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

Health Plans

Centene / Louisiana Healthcare Connections

Welcome to the Centene / Louisiana Healthcare Connections 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.

 

PLEASE NOTE:  Effective January 1, 2018 the Louisiana Medicaid Program has changed their policy to cover PET SCAN for Oncology Diagnoses only. Please  see the below for reference.

 

LOUISIANA MEDICAID PROGRAM ISSUED: 12/xx/17

REPLACED: 04/01/14

CHAPTER 5: PROFESSIONAL SERVICES

SECTION 5.1: COVERED SERVICES PAGE(S) 4

Documents

Cardiac

Physical Medicine

Effective March 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 March 1, 2019, Louisiana Healthcare Connections will implement a prior authorization of outpatient physical medicine services for its Medicaid membership.

 

RadMD

 

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

 

Clinical Guidelines

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