See Medical Coverage Criteria for policies these special programs use to make medical necessity decisions.
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Special Programs
Radiation Oncology Benefits Management
ConnectiCare has selected National Imaging Associates, Inc. (NIA) to provide radiation oncology benefit management services for members in ConnectiCare’s commercial plans through its OncologyConnectionsSM program. Effective June 1, 2011, NIA will provide utilization management services for outpatient radiation therapy treatment of breast, prostate, lung, colon, and rectal cancers.
For more details about the radiation oncology benefit management services, click here and sign in with your RadMD credentials. Once logged in, click on the "Health Plan Specific Educational Documents" and select ConnectiCare.
National Imaging Associates, Inc. (NIA)
NIA Magellan provides preauthorization for Advanced Radiology (MRI, MRA, CT scan, Nuclear Cardiology, PET Scan and Bone Density), Radiation Oncology (for all cancer diagnoses), and spine surgery and pain pumps (Musculoskeletal program). To request pre-authorization or obtain more information, contact NIA at 877-607-2363 or at radmd.com.
PPM/10.16
