Help for pharmacists: Vision Care. Amerigroup members in Georgia receive routine vision services through Avesis Vision. To find a vision doctor, go to the Avesis Vision website. You don’t need a referral for vision care. Call Avesis Member Services at for help finding a local eye doctor in your plan. Medical policies and clinical utilization management (UM) guidelines are two resources that help us determine if a procedure is medically necessary. These guidelines are available to you as a reference when interpreting claim decisions. Medical Policies are used by all plans and lines of business unless Federal or State law—as well as. The processes and information within the provider manual apply to providers who serve Georgia Families and Georgia Families ° SM members (including FC, AA and DJJ). Be sure to review this manual in its entirety. Mission Amerigroup is a community-focused managed care company committed to providing access toAuthor: Blank, Mark.
Amerigroup provider manuals contain key administrative information, details regarding programs including the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more. Details regarding dental, vision and behavioral health services can also be found in the provider manuals. Behavioral health providers. We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources. This enables Amerigroup to meet the needs of members with mental health and substance use disorders as well as those with. Integrated healthcare. Amerigroup Community Care facilitates integrated physical and behavioral health services as a vital part of healthcare. Our mission is to address the physical and behavioral healthcare of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.
Provider manuals, policies and guidelines for Amerigroup providers in Georgia. The Michigan Department of Health and Human Services (MDHHS) - Contains participation coverage, billing, and reimbursement policies for Medicaid. Provider Manual Amerigroup Community Care, Tennessee Real Solutions Suite 3B70 Atlanta, GA o Fax: Information can also be obtained at.
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