Medicare AdvantageAdministrativeLow impact
Refer AmeriHealth members for care coordination and support
AmeriHealth New Jersey·NJ·Medical Policy
We identified it
Jul 1, 2026
Summary
AmeriHealth is promoting clinical support programs for eligible HMO and New Jersey Insurance Company members to coordinate care, provide education, and connect members with resources between visits. This is an informational policy about available support services rather than a change to billing, coding, or coverage requirements.
Action Required
No immediate billing action required. Billing and clinical staff may optionally review the AmeriHealth provider communication portal to understand available care coordination programs that can be offered to eligible members. Providers can refer appropriate patients to these support services to enhance member engagement, but this is not a mandate affecting claims processing, coding, or reimbursement.