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

Health Plans

Centene / Sunflower Health Plan

 

Welcome to the Centene/Sunflower 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, Leta Genasci.

Update on COVID-19

 

Documents

  

Physical Medicine

Effective June 1, 2020, 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, 2020, Sunflower Health Plan will implement a prior authorization of outpatient physical medicine services for its membership.

 

 

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