January 16, 2024
In keeping with our commitment of promoting continuous quality improvement, Wellcare will be expanding its partnership with National Imaging Associates Inc. (NIA)** Effective April 1, 2024, National Imaging Associates Inc. is now a subsidiary of Evolent Health. Evolent Health and its affiliates and subsidiaries are collectively referred to as “Evolent.” to implement a Musculoskeletal (MSK) Management Program effective April 1, 2024.
This program will include prior authorization for non-emergent MSK procedures, including: outpatient, interventional pain management (IPM) services specific to spinal cord stimulators; and inpatient and outpatient hip, knee, shoulder, lumbar, and cervical spine surgeries. This decision is consistent with industry-wide efforts to ensure clinically appropriate quality of care and to manage the increasing utilization of these services.
Wellcare and NIA welcome providers to attend one of our upcoming provider education webinars on the NIA MSK Management Program prior authorization process.
Download the full NIA MSK Management Program Webinar schedule (PDF)
