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

Health Plans

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.

 

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

Documents

 

 RadMD

Click here to see information about the 2013 Jimmo v. Sebelius settlement involving skilled nursing and skilled therapy services.

Radiation Awareness

Clinical Guidelines

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by NIA 

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 RadMD Documents