Centene / Home State Health Plan
Welcome to the Centene / Home State 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.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati.
Update on COVID-19
Effective November 1, 2019, a change will go into effect to promote the use of the appropriate setting for advanced imaging services (CT and MR).
Facility Site Selection Program
- Home State Health Plan Facility Site Selection Provider Notice
- Home State Health Plan Facility Site Selection Webinar Invitation
- Home State Health Plan Facility Site Selection Questions and Answers
- Home State Health Facility Site Selection Provider Training PPT
- Appropriate Site of Service for Advanced Radiology Imaging Policy
Documents
- Home State Health Plan Cardiac Checklist
- Home State Health Plan Provider Cardiac Imaging Frequently Asked Questions
- Home State Health Plan Provider Frequently Asked Questions
- Home State Health Plan Quick Reference Guide for Providers
- Home State Health Plan Provider Training Presentation
- Home State Health Plan Training Evaluation Form
- Home State Health Plan / NIA Utilization Review Matrix
- Pediatric Tip Sheet
- Test Request Tip Sheet
RadMD
Radiation Awareness
Physical Medicine
Effective June 1, 2019, physical medicine services (physical therapy, occupational therapy and speech therapy) will no longer be managed through a post-service review process. Therefore, beginning June 1, 2019, Home State Health Plan will implement a prior authorization of outpatient physical medicine services for its Medicaid membership.
- Physical Medicine Frequently Asked Questions
- Physical Medicine Quick Reference Guide
- Physical Medicine Tip Sheet/Checklist
- Physical Medicine Provider Training PPT )
- Outpatient Habilitative Speech Therapy Guideline
- Outpatient Habilitative PT and OT Therapy Guideline
- Date Extension Announcement for Physical Medicine Providers (New)
Physical Medicine RadMD Documents
- Ordering Provider Access to RadMD for Physical Medicine
- RadMD Quick Start Guide for Physical Medicine
Recorded General Trainings
Recorded RadMD Demos
Click here to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA