Managed Care Organization

How to Get Credentialed with Amerigroup (Anthem) in District Of Columbia

Network: Unknown
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

District Of Columbia-Specific Requirements

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.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for District Of Columbia.

2

Complete Your CAQH ProView Profile

Amerigroup (Anthem) requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Amerigroup (Anthem).

4

Track & Follow Up

Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Medical Degree

Medical License

NPI Certificate

Professional Reference

Contact Information

Credentialing

National

Network Enrollment

National

Quick Links

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