Texas Providers

Welcome Texas providers!

Attention care providers!

Amerigroup in Texas is now Wellpoint. Our new name fits with our brand vision to be a source of lasting wellness for our members — your patients — at all points in their health journey. There is no action needed by our care providers. There will be no changes to your agreements or contract, reimbursement, or level of support — now or in the future — because of our new name. For members, our new name will not cause any change to coverage or access to care.

For more information, please refer to these Frequently Asked Questions or go to https://www.provider.wellpoint.com/ . You can also contact your provider relationship management representative.

Ensure our members are equipped to renew their Medicaid benefits

Help our members prepare to renew their Medicaid healthcare coverage and benefits by educating them on what documents are needed to ensure their renewal form is completed accurately. Members can submit their renewal form via web (preferred), phone, fax, mail, or in person.

For questions about eligibility, benefits, authorizations, claims status, and more; log into  Availity Essentials * and select Chat with Payer. For additional support, please use the following resources or  contact us   if more clarification is needed.

Join our network

We provide resources that help healthcare professionals do what they do best — care for our members. At Wellpoint, we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

Vaccination resources

Vaccination is important in fighting against infectious diseases. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and patients against contagious illnesses.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

At Availity, you can:

Request authorizations.
Submit claims.
Confirm eligibility.

Learning opportunities

Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.

Receive email from Wellpoint

Wellpoint is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Provider News

Get the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, pharmacy information, and more.

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child services

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health

We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health and substance use conditions, and intellectual and developmental disabilities.

Provider Advisory Groups

Our Provider Advisory Groups meet regularly to provide a forum for providers to have ongoing input into the activities of Wellpoint. We welcome and encourage active participation of our contracted providers.

For additional information about participation, please contact your local Provider Relations representative.

NCQA Health Plan Recognition

NCQA Health Plan Accreditation evaluates the quality of healthcare health plans provide to their members.

Accredited NCQA Health Plan Distinction NCQA Long Term Services and Supports Distinction NCQA Multicultural Health Care

Wellpoint Texas, Inc.
Wellpoint Insurance Company

Provider tools & resources

Interested in becoming a provider in the Wellpoint network?

We look forward to working with you to provide quality services to our members.