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
State Authorization Requirements and Clinical Criteria
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 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 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
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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.