Tufts Health Public Plans
Welcome to the Tufts Health Public Plans 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 Website to obtain and check authorizations.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Meghan Murphy.
Update on COVID-19
Effective November 1, 2016
Massachusetts Imaging Prior Authorization Form
http://www1.radmd.com/authorizations/state-authorization-requirements-and-clinical-criteria.aspx
Documents
- Frequently asked questions (for NWH website and RadMD)
- Tufts Health Public Plans Prior Authorization Information
- Tufts Health Public Plans Provider Training
- Tufts Health Public Plans Test Request Tip Sheet
- Tufts Health Public Plans Utilization Review Matrix-2021
Spine Management and Joint Surgery
- Tufts Health Public Plans Announcement Letter
- Tufts Health Public Plans Quarterly Highlights - Spinal Condition Slide
- Tufts Health Public Plans Spine Management - Provider Training
- Tufts Health Public Plans Frequently Asked Questions Interventional Pain Management
- Tufts Health Public Plans Frequently Asked Questions Surgery Lumbar and Cervical
- Tufts Health Public Plans Spine Pain Management QRG
- Tufts Health Public Plans Joint Surgery Provider Training PPT
- Tufts Health Public Plans FAQ - Joint Surgery
- Tufts Health Public Plans Ordering QRG Joint Surgery
- Tufts Health Public Plans Hip Knee Shoulder Surgery Utilization Review Matrix 2021
- Tufts Health Public Plans Spine Surgery Utilization Review Matrix 2021
- Tufts Health Public Plans IPM Utilization Review Matrix 2021
RadMD Documents
- RadMD Pain Managment (Injection) Quick Start Guide
- RadMD Pain Managment (Surgery) Quick Start Guide
- 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
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.