Ambetter of Illinois
Welcome to the Ambetter of Illinois page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Leta Genasci.
Update on COVID-19
Documents
- Ambetter of Illinois Quick Reference Guide
- Ambetter of Illinois Frequently Asked Questions
- Ambetter of Illinois Prior Authorization Checklist
- Ambetter of Illinois Tip Sheet
- Ambetter of Illinois Pediatric Tip Sheet
- Ambetter of Illinois Utilization Review Matrix-2021
Physical Medicine Documents
- Ambetter of Illinois Provider Training PPT
- Ambetter of Illinois Frequently Asked Questions
- Ambetter of Illinois Quick Reference Guide
- Ambetter of Illinois Tip Sheet/Checklist
- Ambetter of Illinois Recording of Provider Physical Medicine Training
RadMD Documents for Physical Medicine
- RadMD Provider Access to Physical Medicine
- RadMD Physical Medicine Quick Start Guide
- RadMD Physical Medicine Upload Feature
- RadMD Request Additional Physical Medicine Visits
- RadMD View Exam with Tracking Number
- RadMD Flyer
Recorded General Trainings
Recorded RadMD Demos
Click the link below to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
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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.