Amerigroup nj

Welcome, providers!

COVID-19 information

Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

 Request authorizations.

 Submit claims.

 Confirm eligibility.

Don’t have an Availity account?

Register free now

Receive email from Amerigroup

Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Provider News

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Medicaid updates

You are invited! Provider Training Live Webinar

Providers are cordially invited to attend a live training webinar cohosted by CareBridge* and Amerigroup Community Care. No registration is necessary. Wednesday October 27, 2021 — 12 p.m. to 1 p.m. ET

Medicaid continuous glucose monitoring systems

On December 1, 2021, Amerigroup Community Care will implement a change regarding continuous glucose monitoring systems (CGMs).

Quarterly pharmacy formulary change notice effective August 1, 2021

Formulary changes reviewed and approved at our 1st quarter 2021, pharmacy and therapeutics committee meeting.

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.

Infusion Step Therapy Retraction Notice and Update about the EVV Mandate Removed

Providers are cordially invited to attend a live training webinar cohosted by CareBridge* and Amerigroup Community Care on June 4, 2021.

Aspire Health for NJ FamilyCare Members in Need of Palliative Care

Amerigroup Community Care works with Aspire Health to provide in-home and virtual palliative care services to our members facing advanced illness.

Medicare updates

Medicare Advantage — PN for UM AROW Item 1577

On September 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes.

Medicare Advantage — PN for UM AROW Item 1330

On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes.

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

New specialty pharmacy medical step therapy requirements

Effective January 1, 2021, the following Part B medications from the current Clinical Utilization Management (UM) Guidelines will be included in our medical step therapy precertification review process.

Featured resources

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. We encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with behavioral health, substance use, and intellectual and developmental disabilities.

NCQA Health Plan Recognition

Amerigroup Community Care is an NCQA Accredited Plan in New Jersey.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality services to our members.

Sours: https://provider.amerigroup.com

Drug Rehab Centers Covered by Amerigroup in New Jersey

Amerigroup is a health insurance provider for many families and individuals who live in the state of New Jersey. Health insurance is important to have in America because it will help cover the basic cost of medical needs. Moreover, health insurance plans, such as those provided by Amerigroup will cover some or all the cost of treatment for a substance abuse problem. Amerigroup does have a substance use disorder program, where members can access around the clock care, such as emergency services, crisis intervention, and a nurse helpline for non-emergency and behavioral health questions. Members of Amerigroup in New Jersey can be referred to service providers in the state when looking for a drug treatment center in New Jersey. It is also important to contact your insurance provider, and find out what types of services are covered, and where you can go to get the help, you need. Drug and alcohol addiction is a problem that does affect many people who live in the state. Yet, with the right help, an addict can overcome his or her addiction successfully. Health insurance plans can simply make it easier to gain access to the treatment you need to overcome the addiction.

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New Jersey Drug & Alcohol Rehab Services

New Jersey Drug & Alcohol Rehab Services By Insurance

New Jersey Drug & Alcohol Detox Services

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Sours: https://www.addicted.org/drug-alcohol-rehab-services-with-amerigroup-in-new-jersey.html
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Health Plans Currently Under Contract and Providing Medicaid Managed Care Services in New Jersey

Aetna Better Health of New Jersey
  
3 Independence Way, Suite 400  
Princeton, NJ 08540  
   
Provider Services Phone Number1-855-232-3596 
Member Services Phone Number1-855-232-3596 
TTY Number711 
 
Counties Served: Atlantic, Bergen, Burlington, Camden, Cape May,
Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex,
Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren.
 

AMERIGROUP New Jersey, Inc.
  
101 Wood Avenue South, 8th Floor  
Iselin, New Jersey 08830  
   
Provider Relations Phone Number1-800-454-3730 
Member Services Phone Number1-800-600-4441 
TDD Number1-800-852-7899 
 
Counties Served: Atlantic, Bergen, Burlington, Camden, Cape May,
Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex,
Monmouth, Morris, Ocean,Passaic, Salem, Somerset, Sussex, Union, Warren.
 

Horizon NJ Health
  
1700 American Blvd.,   
Pennington, NJ 08534  
   
Provider Relations Phone Number1-800-682-9091 
Member Services Phone Number1-800-682-9090 
TTY/TDD Number711 
 
Counties Served: Atlantic, Bergen, Burlington, Camden, Cape May,
Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex,
Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex,Union, Warren.

UnitedHealthcare Community Plan
  
Four Gateway Center  
100 Mulberry Street, 4th Floor  
Newark, NJ 07102  
   
Member Service:1-800-941-4647 
TTY:711 
Provider Service:1-888-362-3368 
   
Counties Served: Atlantic, Bergen, Burlington, Camden, Cape May,
Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex
Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren.

WellCare
  
33 Washington Street, 1st Floor  
Newark, NJ 07102  
   
Member Services:1-888-453-2534 
Provider Services:1-888-453-2534 
TTY:1-877-247-6272 
   
Counties Served: Atlantic, Bergen, Burlington, Camden, Cape May,
Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex
Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren.

 

 

Sours: https://www.state.nj.us/humanservices/dmahs/info/resources/hmo/

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