Tufts Health Public Plans
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) (PDF 81K)
- Tufts Health Public Plans Prior Authorization Information (PDF 83K)
- Tufts Health Public Plans Provider Training (PDF 1,897K)
- Tufts Health Public Plans Provider Training Evaluation Form (PDF 16K)
- Tufts Health Public Plans Test Request Tip Sheet (PDF 259K)
- Tufts Health Public Plans Utilization Review Matrix (PDF 257K)
Spine Management and Joint Surgery
- Tufts Health Public Plans NIA Email Draft (PDF 143K)
- Tufts Health Public Plans Quarterly Highlights - Spinal Condition Slide (PDF 17K)
- Tufts Health Public Plans Spine Management - Provider Training (PDF 1,407K)
- 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 Spinal Conditions Management and Joint Surgery Utilization Review Matrix
- Spine Surgery Authorization and Coding Reference Guide (PDF 312K)
- Hip Knee and Shoulder Authorization and Coding Reference Guide (PDF 312K)
Clinical Guidelines
- Clinical Guidelines
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Refer to the Utilization Review Matrix document to view specific codes managed by NIA