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

Health Plans

Tufts Health Plan

Welcome to the Tufts 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.

Effective November 1, 2016

Massachusetts Imaging Prior Authorization Form

http://www1.radmd.com/authorizations/state-authorization-requirements-and-clinical-criteria.aspx

 

Documents

Codes highlighted in yellow do not require pre-authorization or medical necessity review for members under 18 years.

Clinical Guidelines

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by NIA
Spine Management and Joint Surgery

 

Cardiac Management Effective 1/1/2017

       

Tufts Health Plan expanded their cardiac study prior authorization program to include Cardiac Catheterizations, Echocardiography, Stress Echocardiography, and Implantable Cardiac Devices effective January 1, 2017.