National Imaging Associates, Inc. (NIA) Physical Medicine Authorization Program Expansion Beginning October 1, 2021
As previously announced, Fidelis care is pleased to share we are expanding our partnership with National Imaging Associates, Inc. (NIA) to provide utilization management for outpatient rehabilitative and habilitative physical medicine services for Fidelis Care’s Medicare members. This expansion builds on Fidelis Care’s current prior authorization program for physical medicine services being provided to their Medicaid and Qualified Health Plan members. The program is consistent with industry-wide efforts ensuring that physical medicine services provided to our members are consistent with nationally recognized clinical guidelines.
All providers will be required to obtain prior authorization for physical therapy, occupational therapy, and speech therapy services rendered in an outpatient or home-based setting on and after October 1, 2021. The NIA Call Center and www.RadMD.com will be available beginning September 20, 2021, for prior authorization for dates of service October 1, 2021 and beyond.
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
Your RadMD login information should not be shared.
*The NIA Call Center and www.RadMD.com will be available beginning September 20, 2021, for prior authorization for dates of service October 1, 2021 and beyond.
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
NIA will be conducting provider educational seminars on Physical Medicine services. Please follow this link for additional information and registration details:
NIA - Fidelis Care Physical Medicine Provider Webinar September 2021 Invite
- Thursday, September 30, 2021 at 12 PM EST
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).