Managed Care Organization

How to Get Credentialed with Amerigroup (Anthem) in Virginia

Network: Open
CAQH Required

Quick Overview

Timeline

Varies

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Virginia-Specific Requirements

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.

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 Virginia.

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

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