New Jersey | Providers – Amerigroup

News & Announcements

PCP Medicaid Rate Increase
Availity Announcement and Frequently Asked Questions
Upcoming Changes to Amerivantage (Medicare Advantage) Precertification Requirements
Updated CMS 1500 Form
Quarterly Pharmacy Formulary Change Notice
Medicare Advantage Product Highlights Provider Letter
December 2013 Quality Bulletin
Outpatient Therapy Services Precertification Initiative
Provider Quality Management Bulletin
Quarterly Pharmacy Formulary Change Notice
New Website Password Requirements
Medicare Requirements for Outpatient Therapy Claims
August 1 Changes to Precertification Guidelines
We Cover Rapid Strep Tests
Medication Precertification Tool Available Now
The New Electronic Health Risk Assessment Form
HEDIS Requirements for DMARD Therapy for Rheumatoid Arthritis
Survey Shows Members Want Greater Involvement in Care Decisions
2013 Medicare Products Benefits Changes
Access and Availability Standards
Community Workshop Flier
Quarterly Pharmacy Formulary Change Notice
The Medicare Health Outcomes Survey
Precertification Appeals Tool Available
Online Claims Appeals Tool Available
Prepayment Reviews for Amerivantage Inpatient Readmission Claims
Our Preferred Lab Vendors
Important Notice: Medicare Advantage Sequestration
Preventing the Flu
Updated Clinical Practice Guidelines Now Available
May 1, 2013, Change to UniCare CPBs & Guidelines
2013 CAHPS Surveys
Hurricane Sandy Information
Our New Online Provider Directory: Built for Providers and Members
Third-Party Liability Guidance
Do you provide long-term services and supports? We want you on board.
Quarterly Formulary Change Notice

Provider Self-Service

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 Provider Resources & Documents

expand Behavioral Health
Behavioral Health Case Management Flier
expand Claims Submission and Reimbursement
EFT/ERA Guide
expand Clinical Practice Guidelines
Adult Hypertension
Adult Preventive Health
BH Screening Assessment and Treatment
Bipolar Disorder - Adults
Childhood Obesity
Chronic Kidney Disease
Chronic Obstructive Pulmonary Disease
Diabetes Mellitus
High Risk OB
Immunizations
Postpartum Care
Schizophrenia
Substance Use Disorders - Adults
expand Disease Management Centralized Care Unit
Contacting DMCCU
expand EPSDT Reminder Program
EPSDT Reminder Program
expand Forms
Practitioner Clinical Medical Record Audit
Precertification Request Form
Sterilization Consent Form
expand ICD-10
expand Manuals & QRCs
New Jersey Quick Reference Card
2013 Medicare Advantage Provider Manual
2014 Medicare Advantage Provider Manual
expand Maternal Child Program
17P Order Form
Program Overview
expand Newsletters
Provider News Issue 2 2012
Provider News Issue 3 2012
Provider News Issue 4 2013
expand Pharmacy
Clinical Pharmacy Policies
State Preferred Drug List (PDL)
Natn'l Drug Code FAQs
Synagis Enrollment Form
expand Quick Tools
Precertification Lookup Tool
Medical Policies
expand Referral Directories
New Jersey Medicare Referral Directory
expand Training Programs
Cultural Competency
expand Tutorials
Precertification Appeals Tutorial
Medication Precertification Tutorial
expand Vendor/Partner Links & Information
Healthplex (Dental Services)
LabCorp (Laboratory Services)
New Jersey

Do more online by registering for Provider Self-Service

Through Provider Self-Service, you can:

  • File and check the status of medical claims
  • Verify eligibility
  • Request precertification
  • Submit a Pharmacy Prior Authorization Request
  • And much more!

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Join the Amerigroup Network

If you’re a long-term services and supports provider, we have a home for you. In addition to PCPs and specialists, we’re currently credentialing:

  • Nursing home services
  • Adult day care
  • Home care
  • Personal care services
  • Skilled nursing services
  • Assisted living services
  • Home delivered meals
  • Environmental accessibility adaptations
  • Vehicle modification
  • Behavioral health services

We want you on board. Learn more about us or request an application below.


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