Tennessee | Providers – Amerigroup

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My PCP Connection Frequently Asked Questions
Medicare Advantage - Select Cardiac Services to Be Reviewed
Medicare Advantage - Intensive Outpatient Program Services
Phone number change for Part B benefits
Medicare Advantage: Precertification Required on Four New Part B Injectables
Encourage Medicare Advantage Members to Stay Up-to-Date on Preventive Care
OrthoNet to conduct post-service prepay reviews
Chiropractic benefits managed by ASH effective June 1, 2015
Medicare Advantage - ClaimCheck Version 55 Upgraded Effective April 1, 2015
Medicare Reimbursement Policy Bulletin 2015, Issue 1
Medicare Advantage: Medicare Update to Pneumococcal Vaccine Policy
Medicare Advantage - Clearing House Helps Ensure Timely and Accurate Claims Payment for Vaccines Covered by Medicare Part D
Recoveries related to retroactive eligibility terminations​
Medicare Advantage: Medicare Immune Globulin Home Infusion Therapy Part B Coverage Reminder
Medicare Advantage national coverage determinations
Medicare Advantage: Amerigroup Community Care, Optum Collaborating To Ensure Members Receive Regular Exams, Preventive Screenings
2015 Town Hall Invites for Middle Tennessee
Medicare Advantage: OrthoNet to Conduct Medical Necessity Reviews, Professional Service Coding Reviews
New Provider Orientation - Tazewell
New 2015 precertification fax number for skilled nursing, long term acute care and inpatient rehab
December 30, 2014 - Knoxville New Provider Orientation
Medicare Amerivantage PBM Conversion
Upcoming 2014-2015 Provider Orientation Sessions
Attention long-term care (LTC) providers – Please respond to this brief electronic visit verification survey. Participation is mandatory for LTC providers.
Medicare Advantage: Provider Requirements and Medicare Notices
Patient360 Lets You Access Member Records in a Few Clicks​
PCP Rate Increase Decommissioning Bulletin
Amerigroup implementation provider transition FAQs
TennCare Drug Safety Alert to Providers
Nursing Facility Training Invitation
Electronic Visit Verification (EVV) Service Training Invitation
Medicare Advantage 2015 Annual Notice of Change in Products
New Federally Qualified Health Center Billing Guidelines in Effect for Original Medicare
Flu Vaccinations
Medicare Advantage Peer to Peer Changes
Inpatient Readmissions
Encourage Exercise to Prevent Falls
Provider NewsBlast – Sept 2014
Upcoming changes to durable medical equipment precertification requirements
Postponed Upcoming Disbursement Process Changes
Provider News Blast Notice - August 2014
HIPPS Codes Required for All Skilled Nursing and Home Health Providers
Join Us in the Million Hearts Initiative
Attention Behavioral Health Providers – Please respond to our brief survey to keep us informed of the services your practice currently performs.
Reducing the Overuse of Imaging Studies for Lower Back Pain
Availity Announcement and Frequently Asked Questions
Upcoming Changes to Amerivantage (Medicare Advantage) Precertification Requirements
Coming Soon! Enhanced Online Precertification Tool
Updated CMS 1500 Form
EVV Joint Training with Amerigroup, BlueCare and United
Medicare Advantage Product Highlights Provider Letter
Annual CPG Notice
School Based Services IEP Reminder
Change in Authorization Process for Short Term Nursing Facility Care - CHOICES Group 2 and 3 Members
Putnam County Provider Town Hall Invitation
Provider News Blast - August 2013
New Website Password Requirements
Clarification Regarding Item D Deductions
Medicare Requirements for Outpatient Therapy Claims
August 1 Changes to Precertification Guidelines
Medication Precertification Tool Available Now
The New Electronic Health Risk Assessment Form
HEDIS Requirements for DMARD Therapy for Rheumatoid Arthritis
Consent Form Requirement for Sterilization Services
The Medicare Health Outcomes Survey
Univita Update
Important reminder regarding behavioral health CPT codes
CMS fact sheets about the rate increase for primary care providers
Latest updates on the transition to ICD-10
May 1, 2013, Change to UniCare CPBs & Guidelines
CHOICES critical incident reporting and investigation duties
We launched our newly designed online provider directory in September. Try it out here.
Our Medicaid ID cards have gone mobile!
Preventing the flu
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 Provider Resources & Documents

expand Behavioral Health
Primary Care and Behavioral Health Providers: Working Together to Treat the Whole Person Flier
PACT Level of Care Guidelines Update
expand Claims Submission and Reimbursement Policy
EDI Overview
Provider Facility ED Policy
Emergent Diagnosis List by Description
Provider Bulletin 2014, Issue 2
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Adult Hypertension
Child Preventive Health
Chronic Obstructive Pulmonary Disease
Immunizations
Bipolar Disorder - Adolescents
Family Planning Preventive
HIV
Obesity - Adult
Postpartum Care
Schizophrenia
Adult Preventive Health
Bipolar Disorder - Adults
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Precertification Request Form
Refund Notification Form
BH Initial Review Fax Form - Medicare
BH Concurrent Review Fax Form - Medicaid
Primary Care Provider Change Form
expand ICD-10
ICD-10
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CHOICES Critical Incident Reporting and Investigation Details
TennCare QuiLTSS Community Forums for Providers
2014 Maximum ACLF Room and Board Charges
Medial Branch Block Injections
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Medicaid Provider Manual
Medicare Quick Reference Card
Member Handbook - Spanish
expand Maternal Child Program
17P Order Form
Prenatal Ultrasound Policy
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Care Management
Medical Management Model
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Provider News: August 2014​
Provider NewsBlast – June 2014
Provider News Blast - September 2014
Provider NewsBlast – December 2014​
Provider NewsBlast - February 2015
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Natn'l Drug Code FAQs
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About Population Health
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Precertification Lookup Tool
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CHOICES Referral Directory
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Bundled Payment Initiative: Overview of Episode Risk Adjustment
Rate Reduction Memo (July 22, 2014)
Q3 QulLTSS Bridge Payment Submission​
QuILTSS Nursing Facility Value-Based Purchasing Quality Framework
TennCare Synagis Season 2014-2015 Information​
2015 Maximum Room and Board Charges for ALF
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Provider Initiated Notice Presentation
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Medication Precertification Tutorial
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Univita (DME)
CareMore Operational Guidelines​
Tennessee

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