Kansas | Providers – Amerigroup

News & Announcements

E&M codes billed with respiratory services
Sterilization policy and consent form reminder
Express Scripts Prior Authorization Tool Available June 1
Positive behavioral support (PBS) services
Annual member rights notification
Q1 Medical Policies and Clinical Utilization Management Guidelines Update
Retroactive eligibility authorization process
Health Home Partner panel listing user guide
Clinical Laboratory Improvement Amendments (CLIA) requirements
Billing for Certain Value Added Benefit Services
Anesthesia billing
PRTF-other services billing revised
Changes to Ordering, Referring, Prescribing Requirements Effective April 1
Implementation of CPT Category II codes
Pharmacy Benefit Manager Change to Express Scripts Effective April 1, 2015
Paper claims submission process changes
PCP Rate Increase Decommission
Community mental health center (CMHC) billing guidelines for modifiers and rendering providers
Ordering, referring and prescribing NPI requirements due to the Affordable Care Act
Attending Provider NPI and Institutional Claims
Upcoming changes to durable medical equipment precertification requirements
Prespecific Limits for Behavioral Health Services
Postponed Upcoming Disbursement Process Changes
Amerigroup Client Obligation Review and Status Update
Availity Announcement and Frequently Asked Questions
Hearing Aid Return Policy
Transition Care Management
CMS 1500 Deadline Extension
Attending Provider Billing with Nursing Homes
Availity Announcement and Frequently Asked Questions
KanCare Health Home Program and Survey
Updated CMS 1500 Form
Medicaid Electronic Health Records (EHR) Incentive Program Attestation Requirements
Changes to Precertification Utilization Review
Anesthesia Claims Update for Eye-Related Procedures
Billing Guidelines for Providers of Intellectual/Developmental Disability Waiver Services
Enrollment Update for FQHCs, RHCs and Hospices
Intellectual/Developmental Disability Provider Orientation Sessions
Intellectual/Developmental Disability Waiver Services Begin February 1, 2014
Preventing the Flu

Provider Self-Service


 Provider Resources & Documents

expand Behavioral Health & Screening Tools
Patient Health Questionnaire (PHQ-9)
Mood Disorder Questionnaire
Case Management Solutions
expand Claims Submission and Reimbursement Policy
Taxonomy Cross Reference Tool
UB-04 Claim Form
Resolving Your Claims Issues
Provider Bulletin 2014, Issue 2
Electronic Data Interchange (EDI)
expand Clinical Practice Guidelines
expand Disease Management Centralized Care Unit
How to Use DMCCU
expand Emergency Transportation Billing
expand EPSDT
EPSDT Toolkit
EPSDT Provider Training
expand Find Your Provider Representative
expand Forms
State Forms (consent, sterilization, etc.)
Refund Notification
Practice Profile Update Form
Claims Correspondence Form
BH Initial Review Fax Form
expand Health Homes
Health Homes Action Plan
Health Homes Member Assignment Refusal Form
Providing Leadership for a Successful Health Home
expand ICD-10
expand Known Issues Log
Known Issues Log
expand Manuals & Referral Directories
Ocular Benefits KanCare Manual
Scion Dental Provider Manual
expand Maternal Child Program
Program Overview
Prenatal Ultrasound Policy
expand Medical Management Model
Health Education and Wellness
expand Newsletters
Provider News Issue 1 2013
expand Pharmacy
Prior Authorization Form
Kansas Preferred Drug List (PDL)
Spend Down Information
Natn'l Drug Code FAQs
expand Quality Management
Medicaid QM Desktop Reference Guide
expand Quick Tools
Reimbursement Policies
expand Training
General Provider Orientation
expand Training Programs
NIA Radiology UM Guide
NIA Training Presentation
Orientation Calendar - June
Orientation Calendar - August
expand Tutorials
Health Risk Assessment Lookup Tool Tutorial
Precertification Requests Tutorial
Member Information and Panel Listing Guide​ Tutorial
Claims Appeal Tutorial
expand Vendor/Partner Links & Information
LabCorp (Laboratory Services)
Quest Diagnostics, Inc. (Laboratory Services)
Kansas Medical Assistance Program
Scion Dental (Dental)
AIM (Diagnostic and Imaging Service Authorizations)
Express Scripts Prior Authorization
Express Scripts Provider Portal

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