Centene / Trillium Community Health Plan
Welcome to the Centene/Trillium Community Health Plan. 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 Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Debbie Patterson.
Update on COVID-19
Radiology Benefits Management Program
- Trillium - Utilization Review Matrix-2021
- Trillium - Frequently Asked Questions
- Trillium - Ordering Provider Quick Reference Guide
- Trillium - Rendering Provider Quick Reference Guide
- Trillium - Provider Training
- Trillium - Prior Authorization Checklist
- Trillium - Tip Sheet
- Trillium - Pediatric Tip Sheet
- Trillium - Peer-to-Peer Process
Cardiac
- Trillium - Cardiac Checklist
- Trillium - Cardiac Frequently Asked Questions
- Trillium - Cardiac Solutions Tip Sheet
- Trillium - MPI vs. SE Tip Sheet
RadMD Documents
RadMD is our user-friendly, real-time tool that provides you with instant access to the high-tech imaging authorization and supporting information you need. Whether submitting imaging exam requests or checking the status of a prior authorization request, you will find RadMD to be an efficient, easy-to-navigate resource.
Search for resources by solution below:
Recorded General Trainings
We have a series of training videos that discuss the components of requesting a prior authorization request. Click here to access these videos.
Recorded RadMD Demos
Need additional help using RadMD? Click here to access a series of RadMD demos that demonstrate how to properly submit a prior authorization request.
Click the link below 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
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.