Washington | Providers – Amerigroup
minus font size default font size plus font size

Provider Self-Service

provider-survey.css
wa-state-styles.css

Provider Survey

Please help us improve our provider website by taking this brief survey
Take Survey

 Provider Resources & Documents

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 Centralized Care Unit
Contacting DMCCU
Disease Management Referral Form
expand Enhanced Personal Health Care Program
Measurement Period Handbook
Program Description for the EPHC
expand EPSDT
EPSDT Reminder Program
expand Forms
Hysterectomy & Sterilization Forms
Growth Hormone for Adults Request
OB/GYN Encounter Form
Outpatient Therapy Progress Report
Provider Payment Dispute and Correspondence Submission Form
Provider Demographic Update Form
BH Outpatient Treatment Report
BH Concurrent Review Fax Form - Medicare
DSM-5 Checklist
Precertification Request Form
Functional Progress Chart
Hospital Communication Log
Request for a Change of Primary Care Provider
Practice Profile Update Form
Neuropsychological Testing Request Form Medicare
expand ICD-10
ICD-10
expand Manuals & QRCs
Washington 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
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
expand Newsletters - Current
May 2017 News Bulletin
July 2017 News Bulletin
September 2017 News Bulletin
November 2017 News Bulletin
February 2018 Provider Newsletter
expand Pharmacy
Pharmacy Tools
Natn'l Drug Code FAQs
Medication Assisted Treatment Form - Buprenorphine Monotherapy
Medical Injectables Prior Authorization
OTC Preferred Drug List
Opioid Clinical Criteria - State Policy
Opioid PA with Attestation Form
Medication Assisted Treatment Form - Patient Status
expand Quality Management
Medicare Advantage – Clinical HEDIS Medicare Stars Quick Reference Guide
Medicare Quality Improvement Programs
HEDIS Benchmarks and Coding Guidelines
expand Quick Tools
Reimbursement Policies
Requesting preauthorization for the Bariatric Surgery program
Tribal Quick Tips
expand Referral Directories
Washington East Referral Directory
expand Training Programs
Cultural Competency Training
Medicare Advantage Asthma Care Training
DSNP Plan FAQs
My Diversepatient Training: Breast Cancer Screening for African American Women
My Diversepatient Training: Reducing Health Care Stereotype Threat
expand Tutorials
Precertification Status and Appeals Tutorial
Provider Updates: Account Information
Medication Precertification Tutorial
expand Vendor/Partner Links & Information
LabCorp (Laboratory Services)
Quest Diagnostics, Inc. (Laboratory Services)
AIM (Diagnostic and Imaging Service Authorizations)
Pathology Associates Medical Laboratories, LLC (PAML)
Tri-Cities Laboratory
Washington

Do more online through Provider Self-Service!

  • File and check the status of medical claims
  • 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.