UPDATE: National Imaging Associates, Inc. (NIA) Authorization Program Beginning October 1, 2019
9/20/2019
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Posted by Provider Relations
As previously announced, Fidelis Care has engaged National Imaging Associates, Inc., a Magellan Healthcare Company, to implement a new prior authorization program to manage outpatient (office and hospital) habilitative and rehabilitative physical medicine services, including services rendered in the home, effective on October 1, 2019.
All providers will be required to obtain prior authorization for physical therapy, occupational therapy, and speech therapy services to be rendered in an outpatient or home-based setting on and after October 1, 2019. The NIA Call Center and www.RadMD.com will be available beginning September 23, 2019, for prior authorization for dates of service October 1, 2019 and beyond.
This program will include the following Fidelis Care health insurance products:
• Medicaid Managed Care (NYM)
• Child Health Plus (CHP)
• HealthierLife (HARP)
• Fidelis Care at Home (FCAH – managed long term care)
• Metal-level Products (qualified health plan)
• Essential Plan (EP)
Submitting Prior Authorization Requests
• There are two preferred ways to submit prior authorization -- either through the NIA website at
www.RadMD.com or by calling NIA at 1-800-424-4952*
• To create a new Provider portal account, go to www.RadMD.com click the New User button and
submit a RadMD Application for a New Account by selecting “Physical Medicine Practitioner.”
Your RadMD login information should not be shared.
*The NIA Call Center and www.RadMD.com will be available beginning September 23, 2019, for prior
authorization for dates of service October 1, 2019 and beyond.
Register for Remaining Provider Education Webinars
• Thursday, September 26, 2019 at 12: 00 pm (EST)
http://bit.ly/MagellanHealth09261912PM
• Tuesday, October 8, 2019 at 12: 00 pm (EST)
http://bit.ly/MagellanHealth10081912PM
National Imaging Associates Provider Notice
Fidelis Care Physical Medicine Prior Authorization Quick Reference Guide for Providers
Frequently Asked Questions – Fidelis Care Physical Medicine Services Prior Authorization
Clinical guidelines can be found by visiting the NIA website at www.RadMD.com
If you have any questions regarding this new prior authorization program, please contact the Fidelis Care Provider Call Center at 1-888-FIDELIS (1-888-343-3547).