AmeriHealth provides a variety of information and resources regarding policies and guidelines. Please review the following sites when providing services to AmeriHealth members:

• Medical Policy Portal. Review medical and claim payment policies and notifications.
• Pharmacy Policy . Access pharmacy bulletins.
• Preapproval/Precertification for Services. The sites for AmeriHealth New Jersey and AmeriHealth Pennsylvania provide a list of medical services and injectable/infusion drugs that require preapproval/precertification.
Note: The precertification lists for AmeriHealth New Jersey and AmeriHealth Pennsylvania identify certain services and/or items where the precertification review is delegated to either CareCore National, LLC d/b/a eviCore healthcare or AIM Specialty Health^® .
• Clinical Practice Guidelines. View guidelines that advise on how to use standard clinical practices for AmeriHealth New Jersey and AmeriHealth Pennsylvania.

Additional policy and guideline resources can be found on our websites for AmeriHealth New Jersey and AmeriHealth Pennsylvania.