From Meridian on upcoming switch to authorization process:
Beginning July 1, 2021, National Imaging Associates, Inc. (NIA) will provide utilization management for Interventional Pain Management (IPM), outpatient rehabilitative and habilitative physical medicine services for Meridian’s membership. This program is consistent with industry-wide efforts ensuring that IPM and physical medicine services provided to members are consistent with nationally recognized clinical guidelines.
NIA will manage non-emergent outpatient IPM procedures, outpatient rehabilitative and habilitative services through the existing contractual relationships with Meridian Health Plan.
Prior authorizations will be required for the following services:
Interventional Pain Management (IPM)
· Spinal Epidural Injections · Paravertebral Facet Joint Injections or Blocks
· Paravertebral Facet Joint Denervation (Radiofrequency [RF] Neurolysis)
· Sacroiliac Joint Injections
Physical Medicine Service *
· Physical therapy services
· Occupational therapy services
· Speech therapy services (Medicare/MMP only)
*Authorization for physical medicine services is required after the first initial evaluation. All subsequent visits will require authorization through NIA.
Attached are the webinar flyers with invitations to join and listen to the information session we are hosting. There will be several one-hour webinars that will take place, but you will only need to attend one of the following educational sessions. Also posted will be a recording of these sessions to our website www.RadMD.com before we go live, should you not be able to attend.