Texas | Providers – Amerigroup

News & Announcements

PCP Medicaid Rate Increase
Upcoming Changes to Amerivantage (Medicare Advantage) Precertification Requirements
Coming Soon! Enhanced Online Precertification Tool
Updated CMS 1500 Form
2014 STAR+PLUS MRSA Long Term Care Training Schedule
Help Us Locate Children of Farmworkers
Improving Access to Behavioral Health Providers and Services
Texas Nonemergent Transportation Changing to Access2Care
Dallas, Tarrant and Medicaid Rural Service Area Webinar Training Schedule
Notification of Web Search Tool
El Paso Lubbock Medicare Advantage Product Highlights Provider Letter
Dallas Ft. Worth Medicare Advantage Product Highlights Provider Letter
San Antonio Medicare Advantage Product Highlights Provider Letter
Houston Medicare Advantage Product Highlights Provider Letter
REMINDER: Personal Attendant Services Timesheet Signature Requirement
Hospital Corporations of America (HCA) Returns to Network
Appointment Availability & After-Hours Access Requirements Webinar
Attendant Care Enhancement Program Open Enrollment
Prior Authorization Requirements Update - Nutritional Formulas
2013 Legislative Changes Summary (Professional, Ancillary, and Facility)
New Website Password Requirements
Precertification Requirements Training
Medicare Requirements for Outpatient Therapy Claims
Medication Precertification Tool Available Now
The New Electronic Health Risk Assessment Form
HEDIS Requirements for DMARD Therapy for Rheumatoid Arthritis
Precertification Appeals Tool Coming Soon
Online Claims Appeal Tool Coming Soon
The Medicare Health Outcomes Survey
CMS fact sheets about the rate increase for primary care providers
Assess and strengthen your cultural competency
Our Medicaid ID cards have gone mobile!
We launched our newly designed online provider directory in September. Try it here.
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Provider Self-Service


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 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
EDI Overview
expand Clinical Practice Guidelines
Adult Obesity
Bipolar Disorder - Adolescents
Child and Adolescent Hypertension
Child Preventive Health
Congestive Heart Failure
Coronary Artery Disease
Family Planning
Major Depression
Routine Antepartum Care
Smoking Cessation During Pregnancy
expand Disease Management Centralized Care Unit
How to Use DMCCU
expand EPSDT Reminder Program
expand Forms
Precertification Request Form
Therapy Preauthorization Request
expand ICD-10
expand Manuals & QRCs
2013 Medicare Advantage Provider Manual
Provider Manual
2014 Medicare Advantage Provider Manual
expand Maternal Child Program
17P Order Form
Prenatal Ultrasound Policy
expand Medical Management Model
Care Management
Medical Management Model
expand MultiPlan
Texas True Choice Flier
expand Newsletters
Provider News Issue 1 2013
Provider News Issue 3 2012
Provider News Issue 4 2013
expand Pharmacy
Synagis Enrollment Form
Texas Vendor Drug Program Clinical Edits
Caremark Pharmacy Provider Training
expand Quick Tools
Reimbursement Policies
expand Training Programs
Texas Cultural Competency Plan
Orientation Calendar - March
expand Tutorials
Medication Precertification Tutorial
expand Vendor/Partner Links & Information
Caremark (Pharmacy Services)
Quest Diagnostics, Inc. (Laboratory Services)
Texas Department of Aging and Disability Services
Health and Human Services Commission
Clinical Pathology Laboratories (CPL)

Do more online by registering for Provider Self-Service!

Through Provider Self-Service, you can:

  • File and check the status of medical claims
  • Verify eligibility
  • Request precertification
  • Submit a Pharmacy Prior Authorization Request
  • And much more!

Join Amerigroup's Provider Network

In a Rural Service Area (RSA) county?

We are contracted with the MultiPlan, Inc. (MPI) Texas True Choice (TTC) network for the RSA as our network. To become a participating provider with TTC, please call 1-866-971-7427 or submit your request for application.

In a non-RSA county?

Call our Texas Centralized Credentialing department at 713-218-5112.