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Musculoskeletal Management Program Provider Education Webinars

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)

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Y0020_WCM_134133E_M Last Updated On: 1/16/2024
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.