Ambetter from WellCare of Kentucky
Welcome to the Ambetter from WellCare of Kentucky Health Plan page. Here you can download policies and procedures specific to both ordering and rendering providers. These include quick reference guides and information designed to assist you in using RadMD to request and check the status of prior authorizations.
If you have any questions about our programs, please contact your dedicated NIA Provider Relations Manager, Andrew Dietz.
Due to a recent Kentucky Department for Medicaid Services announcement, services performed/billed from a place of service 22 facility do not require prior authorization. This only impacts services for Kentucky Medicaid recipients. Please refer to the state website, as this is subject to change based upon additional state-issued COVID directives.
Effective 1/20/2023, National Imaging Associates, Inc. is now a subsidiary of Evolent Health. Evolent Health and its affiliates and subsidiaries collectively referred to as “Evolent.”
Advanced Imaging Program
- Utilization Review Matrix-2023
- Quick Reference Guide for Ordering and Rendering Providers
- Provider Education Presentation
- Frequently Asked Questions
- Peer-to-Peer Process
- Tip Sheet for MPI vs SE
Physical Medicine Program
- Physical Medicine Provider Education Presentation
- Physical Medicine Quick Reference Guide
- Physical Medicine Frequently Asked Questions
For access to our Physical Medicine Program tip sheets/checklists, click here.
Interventional Pain Management (IPM) Program
- IPM Checklist
- IPM Tip Sheet
- IPM Frequently Asked Questions
- IPM Provider Education Presentation
- IPM Quick Reference Guide
- IPM Utilization Review Matrix-2023
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
RadMD is a user-friendly, real-time tool offered by NIA that provides ordering and rendering providers with instant access to prior authorization requests for specialty procedures. Whether submitting exam requests or checking the status of prior authorization requests, providers will find RadMD to be an efficient, easy-to-navigate resource.
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Recorded RadMD Demos
Need additional help using RadMD? Click here to access a series of RadMD demos that demonstrate how to properly submit a prior authorization request.
2013 Jimmo vs Sebelius Settlement Agreement
Click here for information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by NIA
Clinical Training Modules
We have a series of clinical training modules that will help you avoid delays and ensure that you have the right information before submitting your prior authorization request. Click here to access them.
Update on COVID-19
Click here to view our recommendations on the use of CT to detect Coronavirus (COVID-19).