Specifications include, but are not limited to: The Contractor shall be responsible for the development, implementation, and operation of
a radiology management program for prior authorization of non-emergency, outpatient advanced imaging
services, including but not limited to, hospital outpatient, free standing clinics, and private physician offices.
The Contractor shall develop and operate a process to receive and review authorization requests for
advanced imaging services, to ensure that benefits are provided for medically necessary services, based on
DOM approved criteria for advanced imaging procedure and diagnostic codes.