National Imaging Associates, a Magellan Health Services Company
Welcome to RADMD

Health Plans

Centene / Kentucky Spirit Health Plan

Welcome to the Centene / Kentucky Spirit Health Plan page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check authorizations.

Documents

Attention Rendering Providers: Please be aware certain Kentucky Spirit Health Plan members in the Global Choices Benefit plan have a copay for Outpatient Radiology Services as outlined in the posted benefit summary.

Effective November 1, 2011, Kentucky Spirit Health Plan is contracted with National Imaging Associates, Inc. (NIA), an affiliate of Magellan Health Services, for radiology benefit management.

You may reach NIA directly at 1-877-290-2051 or http://www1.radmd.com/ for prior authorization of the below services:

The program includes management of non-emergent, high-tech, outpatient radiology services through prior authorization.

NIA manages non-emergent outpatient imaging/radiology services through contractual relationships with free-standing facilities.

Prior authorization is required for the following outpatient radiology procedures:

  • CT /CTA/CCTA
  • MRI/MRA
  • PET Scan

KEY PROVISIONS:

  • Emergency room, observation and inpatient imaging procedures do not require authorization.
  • It is the responsibility of the ordering physician to obtain authorization.
  • Providers rendering the above services should verify that the necessary authorization has been obtained. Failure to do so may result in non-payment of your claim.