Maryland - Contracting and Credentialing | Providers – Amerigroup
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Maryland

Join Our Network

The Contracting and Credentialing Process

1

Network Participation
Request

Complete the form and we'll let you know if we're accepting new practitioners. This takes up to:

30 days

2

The Credentialing
Process

After your documents and paperwork are submitted, we'll let you know if you have passed credentialing. This takes up to:
60 days

3

Provider
Setup

After passing credentialing, or you are already a participating provider, you'll be configured in our system within:
30 days

Required Forms & Documents

To ensure timely processing of your request, please download and submit all forms.

Submit documents to:

PARequests@Amerigroup.com. Be sure to include the practitioner's name and NPI in all email correspondence.

If you are a:
Non-Participating
Practitioner:
Applying for participation with a participating group
Applying for participation with a non-participating group
Participating Practitoner:
Opening or changing groups
Amending a contract