Washington | Providers – Amerigroup
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expand Claims Submission and Reimbursement Policy
expand Clinical Practice Guidelines
BH Screening Assessment and Treatment – last updated 10/1/15
2017 Preventive Health Guidelines
Clinical Practice Guidelines Matrix
expand Disease Management
Contacting Disease Management
Disease Management Referral Form
expand Enhanced Personal Health Care Program
Measurement Period Handbook
Program Description for the EPHC
expand EPSDT
EPSDT Reminder Program
EPSDT Toolkit - English
expand ICD-10
ICD-10
expand Manuals & QRCs
Medicaid Provider Manual
Medicare Quick Reference Card
Medicaid Quick Reference Card
expand Maternal Child Program
Prenatal Ultrasound Policy
Maternity Notification Form
Healthy Rewards
New separate reimbursement for long-acting, reversible contraception devices
Provider notification letter regarding long-acting, reversible contraceptive devices with FAQ
Medically Intensive Children's program
New case management program for PTSD resulting from stays in the NICU
expand Medical Management Model
Care Management
Medical Management Model
expand Newsletters - Archived
April 2016 News Bulletin
December 2015 News Bulletin
February 2016 News Bulletin
January 2016 News Bulletin
July/August 2015 News Bulletin
June 2016 News Bulletin
March 2016 News Bulletin
May 2016 News Bulletin
October 2015 News Bulletin
September 2015 News Bulletin
November 2016 News Bulletin
January 2017 News Bulletin
March 2017 News Bulletin
May 2017 News Bulletin
July 2017 News Bulletin
September 2017 News Bulletin
November 2017 News Bulletin
expand Newsletters - Current
February 2018 Provider Newsletter
June 2018 Provider Newsletter
October 2018 Provider Newsletter
February 2019 Provider Newsletter
expand Pharmacy
Washington Formulary
Medical Injectables Prior Authorization
ESI Mail Order Form
Prior Authorization Form
Washington Preferred Drug List
Emergency Fill Policy
expand Quality Management
HEDIS Desktop Reference Guide for Medicaid Providers
Advance directives or physician orders for life-sustaining treatment
expand Quick Links
Medicare Advantage 2019 Products
expand Quick Tools
Reimbursement Policies
Requesting preauthorization for the Bariatric Surgery program
Tribal Quick Tips
National drug code: frequently asked questions
expand Training Programs
Medicare Advantage Asthma Care Training
DSNP Plan FAQs
My Diverse Patients Training: Breast Cancer Screening for African American Women
My Diverse Patients Training: Reducing Health Care Stereotype Threat
New Provider Orientation Presentation
Consumer Assessment of Healthcare Providers and Systems
Ask Me 3 Questionnaire (both Eng and Spn)
Ask Me 3 Flier - Spanish
expand Tutorials
Claims Appeals Tutorial
Precertification Request Tutorial
Member Information and Panel Listing
Accessing remittance inquiry process guide
expand Vendor/Partner Links & Information
Washington Health Care Authority (HCA)
Express Scripts Provider Portal
ESI Pharmacy Locator Tool
PACLAB, LLC (a joint venture with PAML in Western WA)
eyeQuest (Vision Services)
WISE
Washington

Do more online through Provider Self-Service!

  • File and check the status of medical claims
  • NEW — Submit Claims Payment Disputes electronically via Availity
  • Verify eligibility
  • Request precertification via the Interactive Care Reviewer (ICR)
  • Conduct an inquiry on the status of any precertification request via ICR
  • For more information on ICR such as features, support or training go to
    ICR-Help
  • Submit a Pharmacy Prior Authorization Request
  • And much more!

To log in, use your Availity ID and password. If you need an Availity ID, visit www.Availity.com to register today.

Visit Frequently Asked Questions about Availity for more information.

NCQA Health Plan Commendable logo NCQA MHC Distinction Seal

Amerigroup Washington, Inc.'s rating increased from 3.0 to 3.5 out of 5 in NCQA's Private Medicaid Health Insurance Plan Ratings 2017-2018.