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Amerigroup Provider Enrollment & Credentialing

Regional payer Availity Essentials Last reviewed September 2026
At a glance
Parent company
Elevance Health (Anthem)
Type
Regional
CAQH / credentialing data
Yes
60–90 days
Typical time to approval
6
Steps in the process
8
Documents to prepare

Planning guidance only—not a guarantee. Requirements, network capacity, contracting, and payer review can affect timing and effective dates.

Amerigroup is a managed care organization focused on Medicaid and Medicare populations, operating as a subsidiary of Elevance Health (formerly Anthem). Amerigroup serves approximately 2 million members across 15 states, primarily through state Medicaid managed care contracts. For providers serving low-income and underserved communities, Amerigroup enrollment is an important pathway to serving this population.

As an Elevance Health subsidiary, Amerigroup's credentialing leverages the parent company's infrastructure and CAQH integration. Providers already enrolled with Anthem's commercial plans may find Amerigroup credentialing comparatively straightforward, though separate applications are still required for each subsidiary's network.

Amerigroup's primary focus on Medicaid means its reimbursement rates reflect Medicaid fee schedules, which vary significantly by state. Providers should evaluate Amerigroup enrollment in the context of their overall Medicaid payer mix strategy and the specific rates in their state. Some states offer managed care rates that are more competitive than traditional fee-for-service Medicaid.

The enrollment path

Ensure CAQH ProView profile is complete and attested within 120 days.
Access Availity Essentials and navigate to the Amerigroup Payer Space for your state.
Complete the Amerigroup Medicaid or Medicare provider enrollment application.
Submit required documents: state license, DEA, board certification, and malpractice certificate.
Amerigroup's credentialing team (under Elevance Health shared services) conducts review.
Receive par approval and effective date; confirm directory listing for Medicaid members.

Documents to have on hand

CAQH ProView number with current attestation
Current state license
DEA registration
Board certification documentation
Malpractice insurance certificate
NPI Type 1 and Type 2
Signed Amerigroup Provider Agreement
W-9 form

Frequently Asked Questions

What is Amerigroup's relationship to Anthem/Elevance Health?

Amerigroup is a wholly owned subsidiary of Elevance Health (formerly Anthem). It operates independently with its own brand, network, and state Medicaid contracts. Being in-network with Anthem's commercial plans does not automatically include Amerigroup Medicaid. Separate enrollment is required.

What type of patients does Amerigroup serve?

Amerigroup primarily serves Medicaid and dual-eligible (Medicare/Medicaid) populations. In some states, it also offers Medicare Advantage plans. Amerigroup is not a significant commercial employer-plan insurer.

How long does Amerigroup credentialing take?

Amerigroup typically processes complete credentialing applications in 60–90 days, consistent with its Elevance Health parent's infrastructure. Applications submitted with complete CAQH data and all supporting documents at the time of submission process most efficiently.

Related state guides

These state links are related Arctic Health credentialing guides for this profile’s listed markets. Product availability, plan or network participation, provider types, and open panels vary by location; confirm current requirements directly with the payer before relying on a market listing.

Reviewed by Arctic Health Team , Credentialing Specialists

Last reviewed: September 2026

Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.

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