Musculoskeletal Care Management

Beginning May 1, 2016, some groups will require National Imaging Associates (NIA) Magellan Healthcare Inc. precertification for interventional pain management-spine services when performed and billed in an outpatient or office location. We also require prior authorization for lumbar and cervical spine surgery in an inpatient and/or outpatient location. NIA Magellan Healthcare Inc. is an independent company that provides utilization management services on behalf of BlueCross.

Here are NIA Megellan Healthcare Inc.'s reference materials about this musculoskeletal care management program: