Nevada | Providers – Amerigroup

News & Announcements

Q1 Medical Policies and Clinical Utilization Management Guidelines Update​
Innovative Healthcare Delivery Partnership for Non-clinical Transition Care
Pharmacy Formulary Change Notice Effective April 1, 2015​
Medicaid PCP Rate Increase
Adult BMI Information
Patient360 Lets You Access Member Records in a Few Clicks
Pharmacy Benefit Manager Change to Express Scripts, Inc. Effective November 1, 2014​
Upcoming changes to durable medical equipment precertification requirements
Quarterly Pharmacy Formulary Change Notice
Upcoming Disbursement Process Changes
Attention Behavioral Health Providers - Please respond to our brief survey to keep us informed of the services your practice currently performs.
Register Now for Availity
Availity Announcement and Frequently Asked Questions
Coming Soon! Enhanced Online Precertification Tool
Updated CMS 1500 Form
Quarterly Pharmacy Formulary Change Notice
Important Phone Numbers for Providers
Las Vegas Provider Forum Invitation
Reno Provider Forum Invitation
Monthly New Provider Orientation
Quarterly Pharmacy Formulary Change Notice
New Website Password Requirements
August 1 Changes to Precertification Guidelines
Medication Precertification Tool Available Now
Precertification Appeals Tool Available
Online Claims Appeals Tool Available
Quarterly Pharmacy Formulary Change Notice
Updated Clinical Practice Guidelines Now Available
Preventing the Flu
Change to Clinical Utilization Management Guidelines
Proper Claims Submission Reminder
Correct Billing & Coding for Healthy Kids Services

Provider Self-Service

 Provider Resources & Documents

expand Behavioral Health
Screening, Brief Intervention and Referral to Treatment (SBIRT) Flier
Behavioral Health Case Management Flier
expand Claims Submission and Reimbursement Policy
Provider Bulletin 2014, Issue 2
Electronic Data Interchange (EDI)
expand Clinical Practice Guidelines
expand Disease Management Centralized Care Unit
About DMCCU
How to Use DMCCU
expand EPSDT
Improving EPSDT Screening for Members
expand Forms
Provider Demographic Update Form
BH Concurrent Review Fax Form - Medicaid
expand ICD-10
expand Manuals & QRCs
Provider Manual
expand Maternal Child Program
17P Order Form
Prenatal Ultrasound Policy
expand Medical Management Model
Health Education and Wellness
expand Newsletters
Provider News Issue 2 2012
Provider News Issue 4 2012
Provider News Issue 4 2013
Provider News Issue 1 2015
expand Pharmacy
Pharmacy Tools
Formulary
Natn'l Drug Code FAQs
Synagis Enrollment Form
expand Quality Management
HEDIS® 101 for Providers: Improving Quality of Care
expand Quick Tools
Precertification Lookup Tool
Medical Policies
expand Referral Directories
Nevada South Referral Directory
expand Training Programs
expand Tutorials
Claims Appeals Tutorial
Precertification Request Tutorial
Medication Precertification Tutorial
expand Vendor/Partner Links & Information
LabCorp (Laboratory Services)
eyeQuest (Vision Services)
Nevada Division of Health Care Financing and Policy
Express Scripts Provider Portal
ESI Pharmacy Locator Tool
Nevada

Do more online through Provider Self-Service!

  • 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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Visit Frequently Asked Questions about Availity for more information.

Join Amerigroup's Provider Network


New contract Inquiries:

If you are interested in joining the Amerigroup Community Care network, please send a letter of intent and a W9 via e-mail to nv1provsvcs@amerigroup.com or by fax to 1-866-495-8711.

Adding new providers to an existing practice:

If you are already contracted with Amerigroup and would like to add additional providers, please e-mail nvcredentialing@amerigroup.com.