Amerigroup (Anthem)
Credentialing and enrollment guides for Amerigroup (Anthem) across 15 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
15
How Amerigroup (Anthem) Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Committee review typically lands about 45 days after a complete application; plan on 90 to 120 days end to end
Recredentialing
Every 36 months, with CAQH re-attestation roughly every 120 days
This is an Elevance Health (Anthem) Medicaid brand. The federal Medicaid rule applies: an active state Medicaid ID is required first (42 CFR 438.602). Credentialing then flows from CAQH ProView through Availity's Digital Provider Enrollment.
Behavioral health routing: Behavioral health is carved out to Carelon Behavioral Health. Behavioral clinicians credential with Carelon, not with Anthem medical.
The stall to avoid: Enroll with the state Medicaid program before applying, and route behavioral applications to Carelon, not the medical network.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Amerigroup (Anthem)
Amerigroup is a managed care company and subsidiary of Elevance Health (formerly Anthem) that serves Medicaid, Medicare, and CHIP beneficiaries in over 20 states. Amerigroup focuses on government-sponsored healthcare programs.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Amerigroup (Anthem) requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Amerigroup (Anthem). Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Amerigroup (Anthem)?
Our specialists handle the entire Amerigroup (Anthem) enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Contact Information
Provider Credentialing
1-800-454-3730
Mon-Fri 8am-5pm
Provider Services
1-800-454-3730
Claims & Billing
1-800-454-3730
Quick Links
Need Help?
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Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Amerigroup (Anthem)-specific credentialing details including timelines, contacts, and local requirements.
Amerigroup (Anthem) credentialing requirements by state
Amerigroup (Anthem) enrollment is not identical everywhere. The table below lists what actually differs across the 15 states Amerigroup (Anthem) operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | State-specific notes |
|---|---|---|---|
| District Of Columbia | Amerigroup DC | Unknown | Amerigroup DC participates in the DC Medicaid Managed Care program administered by DHCF. Providers must first enroll with DC Medicaid, then apply to Amerigroup via CAQH ProView. Active DC medical license and NPI are required. The plan serves members throughout the District of Columbia. All provider types including PCPs, specialists, and behavioral health providers are accepted. |
| Florida | Amerigroup Florida | Unknown | Amerigroup Florida participates in the Statewide Medicaid Managed Care (SMMC) Managed Medical Assistance (MMA) program. Providers must first enroll as a Florida Medicaid provider through AHCA, then apply to Amerigroup via CAQH ProView. Active Florida medical license and NPI are required. Service areas are organized by AHCA regions across the state. The plan also participates in the Long-Term Care program in select regions. |
| Georgia | Amerigroup Georgia | Open | Amerigroup Georgia participates in the Georgia Families Medicaid managed care program. Providers must first enroll with Georgia Medicaid through GAMMIS, then apply to Amerigroup via CAQH ProView. Active Georgia medical license and NPI are required. Service areas cover all 159 counties statewide. The plan also participates in Georgia Families 360 (foster care) and Planning for Healthy Babies programs. |
| Iowa | Amerigroup Iowa | Open | Amerigroup Iowa participates in the Iowa Medicaid managed care program. Providers must first enroll with Iowa Medicaid through the Iowa Medicaid Enterprise, then apply to Amerigroup via CAQH ProView. Active Iowa medical license and NPI are required. Service areas cover all 99 Iowa counties. Home and community-based services (HCBS) providers may have additional enrollment requirements through Iowa Total Care. |
| Kansas | Amerigroup Kansas | Unknown | Amerigroup Kansas participates in the KanCare Medicaid managed care program. Providers must first enroll with Kansas Medicaid through KMAP, then apply to Amerigroup via CAQH ProView. Active Kansas medical license and NPI are required. Service areas cover all 105 Kansas counties. KanCare integrates physical health, behavioral health, and disability services under a single managed care umbrella. |
| Louisiana | Amerigroup Louisiana | Unknown | Amerigroup Louisiana participates in the Healthy Louisiana Medicaid managed care program. Providers must first enroll with Louisiana Medicaid through LDH, then apply to Amerigroup via CAQH ProView. Active Louisiana medical license and NPI are required. Service areas cover all 64 parishes statewide. The plan covers physical health and basic behavioral health services for Healthy Louisiana enrollees. |
| Maryland | Wellpoint Maryland (formerly Amerigroup) | Open | Amerigroup Maryland participates in the HealthChoice Medicaid managed care program. Providers must first enroll with Maryland Medicaid through the CRISP enrollment portal, then apply to Amerigroup via CAQH ProView. Active Maryland medical license and NPI are required. Service areas cover select jurisdictions across the state. Maryland requires providers to meet specific access standards and timely appointment availability for HealthChoice participation. |
| North Carolina | Amerigroup North Carolina | Open | Amerigroup North Carolina participates in NC Medicaid Managed Care (Medicaid Transformation). Providers must first enroll with NC Medicaid through NCTracks, then apply to Amerigroup via CAQH ProView. Active North Carolina medical license and NPI are required. Service areas are organized by NC DHHS managed care regions across the state. Behavioral health, intellectual/developmental disability, and traumatic brain injury services are managed through Tailored Plans separately. |
| New Jersey | Amerigroup New Jersey | Open | Amerigroup New Jersey participates in the NJ FamilyCare Medicaid managed care program. Providers must first enroll with NJ Medicaid through the NJMMIS provider enrollment portal, then apply to Amerigroup via CAQH ProView. Active New Jersey medical license and NPI are required. Service areas cover all 21 New Jersey counties. The plan serves children, pregnant women, parents, and adults under the NJ FamilyCare umbrella. |
| New Mexico | Amerigroup New Mexico | Unknown | Amerigroup New Mexico participates in the Centennial Care 2.0 Medicaid managed care program. Providers must first enroll with New Mexico Medicaid through HSD, then apply to Amerigroup via CAQH ProView. Active New Mexico medical license and NPI are required. Service areas cover all 33 New Mexico counties. Centennial Care integrates physical health, behavioral health, and long-term services and supports under one plan. |
| New York | Amerigroup New York | Open | Amerigroup New York participates in the NY Medicaid Managed Care program. Providers must first enroll with NY Medicaid through eMedNY, then apply to Amerigroup via CAQH ProView. Active New York medical license and NPI are required. Service areas include select counties across the state. Behavioral health services are subject to the NYS behavioral health carve-in with specific network adequacy requirements. |
| Tennessee | Amerigroup Tennessee | Open | Amerigroup Tennessee participates in the TennCare Medicaid managed care program. Providers must first enroll with TennCare through the TennCare provider enrollment portal, then apply to Amerigroup via CAQH ProView. Active Tennessee medical license and NPI are required. Service areas cover all three Grand Regions (East, Middle, West Tennessee). TennCare integrates physical and behavioral health services under managed care. |
| Texas | Amerigroup Texas | Open | Amerigroup Texas participates in the STAR, CHIP, and STAR+PLUS Medicaid managed care programs administered by HHSC. Providers must first enroll in Texas Medicaid via TMHP, then apply to Amerigroup via CAQH ProView. Active Texas medical license and NPI are required. Service areas are organized by HHSC service delivery areas across the state. The plan also participates in STAR Kids for children with disabilities in select regions. |
| Virginia | Amerigroup Virginia | Open | Amerigroup Virginia participates in the Medallion 4.0 Medicaid managed care program. Providers must first enroll with Virginia Medicaid through DMAS, then apply to Amerigroup via CAQH ProView. Active Virginia medical license and NPI are required. Service areas cover multiple DMAS regions across the Commonwealth. Medallion 4.0 integrates physical health, behavioral health, and pharmacy services under a single contract. |
| Washington | Amerigroup Washington | Open | Amerigroup Washington participates in the Apple Health (Medicaid) managed care program. Providers must first enroll with Washington Apple Health through ProviderOne, then apply to Amerigroup via CAQH ProView. Active Washington medical license and NPI are required. Service areas are determined by the Health Care Authority and cover select regions. Behavioral health integration is in effect across most Apple Health managed care regions. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified July 23, 2026. Network status changes without notice — confirm before you file.
Common questions about Amerigroup (Anthem) credentialing
How long does Amerigroup (Anthem) credentialing take?
Amerigroup (Anthem) credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Amerigroup (Anthem) require CAQH?
Yes. Amerigroup (Anthem) pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Amerigroup (Anthem) before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Amerigroup (Anthem) operate in?
Amerigroup (Anthem) has credentialing operations in 15 states. 10 of those 15 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.