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Medicaid Utilization Management Program for Imaging Services (UM/QIO Advanced Imaging)


Location
Mississippi
Publication Date
04/06/2020 11:50 AM EDT
Closing Date
05/15/2020 06:00 PM EDT
Issuing Organization
State of Mississippi - Division of Medicaid
Solicitation Number
Description

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.

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