Clinical & Payment Policies

To easily search for a policy, use the Ctrl+F (Command+F on Mac) function on your keyboard to search by keyword, policy number or effective date.

Ambetter Policies

Ambetter from Arkansas Health and Wellness will be partnering with National Imaging Associates (NIA) beginning January 1, 2021, for prior authorization requests for the following services:

  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Spinal Epidural Injections
  • Paravertebral Facet Joint Injections or Blocks
  • Paravertebral Facet Joint Denervation (Radiofrequency Neurolysis)
  • Sacroiliac Joint Injections

Clinical Policies for these procedures can be found at the NIA website.

Clinical Policies for CT/CTA/CCTA, MRI, MRA, and Pet Scans can also be found at the NIA website.

Wellcare by Allwell Policies