Medical Policies & Clinical UM Guidelines
Welcome to the Amerigroup* Medical Policy & Clinical Utilization Management (UM) Guideline website. Our goal in creating this application is to provide you with ready access to electronic versions of medical policies and clinical UM guidelines.
Finding Medical Policies & Clinical UM Guidelines
Our medical policies are listed by the following categories under the tabs noted above:
| All Medical Policies|
| Policies by Type|
Amerigroup Clinical UM Guidelines are listed by the following categories under the tabs noted above:
| All UM Guidelines|
| Guidelines by Type|
You can locate a medical policy or clinical UM guideline in one of the following ways:
| Clicking on a category|
| Browse all medical policies or all clinical UM guidelines|
| Use the search function|
Search for Medical Policies & Clinical UM Guidelines
If you would like to see a copy of the criteria that is being applied to your request, please contact Provider Services at 1-800-454-3730.
Please direct inquiries related to benefit coverage, new ID cards, billing practices, prior authorization, predetermination, reimbursement, medical policy or clinical guidelines to the local plan provider representative or Provider Relations by calling 1-800-454-3730.