New York | Providers – Amerigroup

News & Announcements

PCP Medicaid Rate Increase
A New Sleep Study Management Program for In-Home Sleep Testing (HST)
Availity Announcement and Frequently Asked Questions
Upcoming Changes to Amerivantage (Medicare Advantage) Precertification Requirements
Coming Soon! Enhanced Online Precertification Tool
Updated CMS 1500 Form
Quarterly Pharmacy Formulary Change Notice
Elective Delivery Policy Change Reminder
Medicare Advantage Product Highlights Provider Letter
Well-Woman Exams Reminder
Quarterly Pharmacy Formulary Change Notice
New Website Password Requirements
Cooling Center Reminder
Medicare Requirements for Outpatient Therapy Claims
Meningitis Vaccine Reminder
Medication Precertification Tool Available Now
The New Electronic Health Risk Assessment Form
Your Quick Start Guide to Serving Legacy Empire CHPlus Members
Specialty Pharmacy Update
Reminder: Benefits Added for Long-Term Care Members
7/1/13 HealthPlus Amerigroup to serve Empire CHP members in Suffolk and Westchester Cos.
HEDIS Requirements for DMARD Therapy for Rheumatoid Arthritis
Quarterly Pharmacy Formulary Change Notice
Upcoming Changes to Precertification Requirements
The Medicare Health Outcomes Survey
Update: Change to Clinical Utilization Management Guidelines
Precertification Appeals Tool Available
Online Claims Appeals Tool Available
4/1/13: HealthPlus Amerigroup to Serve Empire CHPlus Members in NYC and Nassau Co.
Prepayment Reviews for Amerivantage Inpatient Readmission Claims
Our Preferred Lab Vendors
Important Notice: Medicare Advantage Sequestration
Autism Resource Guides Now Available
Preventing the Flu
Updated Clinical Practice Guidelines Now Available
2013 CAHPS Surveys
2013 Medicare Products and Benefit Changes
Hurricane Sandy Relaxed Precertifications End
Transportation Services Update
Our Medicaid ID Cards Have Gone Mobile!
Screening, Treatment and Diagnosis of Autism Spectrum Disorder for Child Health Plus Members
Our New Online Provider Directory: Built for Providers and Members
Changes to New York Medicaid Benefits
HealthPlus Amerigroup Mammography Self-Referral
National Drug Code (NDC) Reporting Requirements
Click here for information about X12 version 5010 compliance standards and testing.
Print-on-Demand ID cards now available on our member website

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 Provider Resources & Documents

expand Autism Resource Guides
Autism Resource Guide - Spanish
expand Behavioral Health
Behavioral Health Quick Reference Grid
Behavioral Health Case Management Flier
expand Clinical Practice Guidelines
Adult Obesity
Asthma
Childhood Obesity
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Chronic Obstructive Pulmonary Disease
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High Risk OB
Immunizations
Postpartum Care
Schizophrenia
Substance Use Disorders Adults
BH Screening Assessment and Treatment
Bipolar Disorder Adults
expand Disease Management Centralized Care Unit
About DMCCU
How to Use DMCCU
expand EPSDT Reminder Program
expand Forms
Training Verification Form
Practitioner Clinical Medical Record Audit
Claim Payment Appeal Submission
Diabetes Treatment Plan
Precertification Request
Mental Health Substance Abuse Screening
Discharge Note Fax Form
expand Health Home
Community Referrals for Health Home Services
expand ICD-10
ICD-10
expand Manuals & QRCs
Quick Reference Card - Medicaid/FHP/CHP
Medicaid/FHP/CHPlus Provider Manual
2014 HealthPlus Medicare Provider Manual
expand Maternal Child Program
17P Frequently Asked Questions
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 2013
expand Pharmacy
Standard Pharmacy Prior Authorization Form
Pharmacy Tools
Synagis Enrollment Form
Preferred Drug List – Caremark
Natn'l Drug Code FAQs
Common OTC Medications List
expand Quick Tools
Medical Policies
expand Training Programs
Cultural Competency
expand Tutorials
Precertification Appeals Tutorial
Medication Precertification Tutorial
Precertification Status and Appeals Tutorial
expand Vendor/Partner Links & Information
Healthplex (Dental Services)
HearUSA (Hearing Services)
LogistiCare Solutions LLC (Nonemergent Transportation)
New York State Medicaid Website
New York

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If you’d like to update your credentials to include ABA or an autism spectrum disorder-related specialty, contact your Provider Relations representative or call Provider Services.