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

Health Plans

Maryland Physicians Care

Welcome to the Maryland Physicians Care page. Here you can download policies and procedures specific to both ordering providers and imaging facilities. These include quick reference guides and information designed to assist you in using the RadMD Web site to obtain and check authorizations.

Beginning January 1, 2021, NIA will provide utilization mangement for outpatient rehabilitative and habilitative physical medicine services on behalf of Maryland Physicians Care for members 21 years and older. Services requiring prior authorization include:

  • Physical therapy services
  • Occupational therapy services
  • Speech therapy services

In addition, NIA provides utilization management services for non-emergent, advanced diagnostic imaging services for Maryland Physicians Care. In addition to the procedures that currently require prior authorization through NIA, certain cardiac-related procedures will also require prior authorization beginning January 1, 2021:

  • MUGA Scan
  • Myocardial Perfusion Imaging (MPI)
  • Stress Echocardiography
  • Echocardiography (TTE/TEE)

If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Charmaine Everett.  

General Information

Update on COVID-19

Physical Medicine Program

Interventional Pain Management Program

Outpatient Imaging and Cardiac Program

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.

Clinical Guidelines

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by NIA  
  • Click here to view NIA’s Physical Medicine guidelines

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.