Nevada | Providers – Amerigroup

News & Announcements

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
Screening, Brief Intervention and Referral to Treatment (SBIRT) Flier
Behavioral Health Case Management Flier
expand Claims Submission and Reimbursement Policy
Provider Bulletin 2014, Issue 1
Provider Bulletin 2014, Issue 3
Provider Bulletin 2015, Issue 1
expand Clinical Practice Guidelines
expand Disease Management Centralized Care Unit
How to Use DMCCU
expand EPSDT
Improving EPSDT Screening for Members
expand Forms
Provider Demographic Update Form
BH Concurrent Review Fax Form - Medicaid
OrthoNet Therapy Prior Authorization Form
Psychological Testing Request Form
expand ICD-10
expand Manuals & QRCs
Quick Reference Card
expand Maternal Child Program
Maternity Notification Form
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​
expand Pharmacy
Pharmacy Tools
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
Hysterectomy and Sterilization Consent Forms Training
Credentialing Quick Tips
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)

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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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