WPS Health Plan
Welcome to the WPS Health Plan page. Here you can download the clinical guidelines.
If you have any questions about the NIA Program, please contact your dedicated NIA Provider Relations Manager, Leta Genasci.
Update on COVID-19
- WPS Health Plan Utilization Review Matrix-2021
- WPS Health Plan Frequently Asked Questions
- WPS Health Plan Ordering Provider Quick Reference Guide
- WPS Health Plan Rendering Provider Quick Reference Guide
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
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.