Nevada | Providers – Amerigroup

News & Announcements

Updated hysterectomy acknowledgment form
Scoliosis and Spinal Deformity Medical Necessity Reviews
Update on Pharmacy Prior Authorization Submissions
HCPCS billing update: Avastin for ophthalmology
Provider Newsletter
Measure members’ body mass index regularly
Medical policies update
Diabetic Podiatry Update
Enhanced Availity eligibility and benefits inquiry
Quarterly Pharmacy Formulary Change Notice
Behavioral Healthcare benefits for Amerigroup members
Q4 Medical Policies and Clinical Utilization Management Guidelines Update
Precertification for knee arthroscopy effective April 1, 2016
Precertification for knee and hip arthroplasty effective May 1, 2016
Custom molded orthotics precertification
Option 1 Healthcare Solutions designated as the exclusive enteral and parental nutrition provider
Fluoride Update
Advance directives
Hemophilia drugs medical necessity reviews
Quarterly pharmacy formulary change notice
Anesthesia claims billed without a modifier
Quarterly Formulary Change Notice Effective December 1, 2015
Amerigroup Community Care offers web-based physician visits
Q3 Medical Policies and Clinical Utilization Management Guidelines Update
Orientation Webinars Invite for Applied Behavioral Analysts
Prior authorization required for drugs Entyvio and Cyramza
Home Health Therapy Codes Update Effective November 1, 2015
Cultural Competency Training Update
Behavioral Health: Authorization Requirement Changes Effective October 1, 2015
Cervical Length Screening Guidelines
ICD-10 Coded Authorizations Accepted Effective June 1.
Advair Formulary Change Notice Effective July 1, 2015
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
Primary Care and Behavioral Health Providers: Working Together to Treat the Whole Person Flier
Nevada Applied Behavior Analysis Overview
expand Claims Submission and Reimbursement Policy
Provider Bulletin 2014, Issue 2
Electronic Data Interchange (EDI)
expand Clinical Practice Guidelines
Clinical Practice Guidelines Matrix
expand Disease Management Centralized Care Unit
Contacting DMCCU
expand EPSDT
EPSDT Reminder Program
expand Forms
Provider Demographic Update Form
BH Concurrent Review Fax Form - Medicaid
Recoupment Notification Form
Precertification Request Form
PCP Change Request Form (Spanish)
expand ICD-10
expand Manuals & QRCs
Provider Manual
expand Maternal Child Program
17P Order Form
Prenatal Ultrasound Policy
expand Medical Management Model
Care Management
Medical Management Model
expand Newsletters
Provider News Issue 3 2012
Provider News Issue 1 2013
Provider News Issue 3 2014
Provider News Issue 2 2015​
Provider News Issue 4 2015
expand Pharmacy
Pharmacy Tools
Preferred Drug List
Medical Injectables Prior Authorization
Common OTC Medications List
Clinical Pharmacy Policies
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
CLIA Training
Cultural Competency Training
expand Tutorials
Precertification Status and Appeals Tutorial
Provider Updates: Account Information
Member Information and Panel Listing
expand Vendor/Partner Links & Information
Quest Diagnostics, Inc. (Laboratory Services)
Scion Dental (Dental)
Office of Consumer Health Assistance
AIM (Diagnostic and Imaging Service Authorizations)
Accredo (Specialty Pharmacy)

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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 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