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Learn more about our Medicaid health plans and how to enroll by choosing your state below. Medicaid coverage can vary based on the state you live in. Shop Amerigroup plan options in your state to meet your healthcare needs. Enroll today.
Effective September 1, 2023, Amerigroup will apply Medicaid static fee schedule changes on a retrospective basis at the direction of the Texas Health and Human Services Commission (HHSC). The Medicaid static fee schedules are posted on Texas Medicaid & Healthcare Partnership (TMHP) website at https://bit.ly/3hm2aLV.
Effective January 1, 2021, Amerigroup Community Care will update the Reference Laboratory Fee Schedule. This change is applicable to providers who are reimbursed, either in whole or in part, based on the fee schedule for laboratory services for Medicaid and Medicare products.
Reimbursement Policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a member’s benefit plan.
Reimbursement policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a member’s benefit plan.
Medicaid Fee Schedules. Search the Outpatient and Dental Fee Schedule Database. Download Medicaid Program Outpatient Fee Schedule The PROMISe™ Outpatient Fee Schedule is available for download in the following formats: Excel, PDF, and Comma Delimited.
Limitations such as age, gender, min/max units, PA requirements and PA min/max age are now available for procedures as a reference on this fee schedule. Please refer to the appropriate MA bulletins and handbooks for more information concerning these limitations.
Wellpoint provider Apple Health (Medicaid) manuals and Quick Reference Cards provide key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies.
Amerigroup offers Medicaid and Medicare solutions to millions of members. Visit Amerigroup.com to learn more about the health plans in each state we serve.
Access Medicare Fee Schedules for physicians, ambulance services, clinical laboratory services, DMEPOS, and other Medicare FFS providers.