Centene / Peach State Health Plan
Welcome to the Peach State Health Plan page. Here you can access helpful information related to the program.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Tony Salvati.
Update on COVID-19
- Peach State Health Plan Frequently Asked Questions
- Peach State Health Plan Imaging Facilities QRG
- Peach State Health Plan Ordering Physicans QRG
- Peach State Health Plan Provider Training
- Peach State Health Plan Utilization Review Matrix-2021
- Pediatric Tip Sheet
- Prior Authorization Checklist
- Test Request Tip Sheet
- Ordering Provider Access
- RadMD Quick Start Guide
- RadMD Benefits and Logon
- RadMD Upload Feature
- Submitting Clinical Information on RadMD
- RadMD View Exam with Tracking Number
- RadMD Shared Access Quick Start Guide
- RadMD Flyer
Recorded General Trainings
Recorded RadMD Demos
NIA Facility Selection Program Updates
- NIA Facility Selection Program Announcement Letter
- NIA Facility Selection Program Announcement Letter for CHOA
Effective November 15, 2017, and for all dates of service thereafter, if you do not select a convenient, cost-effective, in-network imaging facility at intake, NIA will assign one without outreach to the member. In addition, the imaging provider selected will become the provider of record for claims payment of that claim. Any claim billed with an imaging provider that differs from the imaging provider selected/assigned during the authorization process will be denied.
Click the link below to see 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.