The New Hampshire Department of Health and Human Services has partnered with MedSolutions, Inc., to launch a prior authorization program for certain non-emergent, diagnostic imaging services.  This program will provide needed quality assurance that the most appropriate imaging modality will be utilized to accurately and effectively meet the clinical needs of NH Title XIX recipients. 

Effective August 1, 2006, the ordering practitioner will be required to obtain prior authorization directly from MedSolutions, Inc., for non-emergent computerized tomography (CT), magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), positive emission tomography (PET), and nuclear cardiology services.  Prior authorization will not be required for diagnostic imaging services performed as part of a hospital emergency department visit, as part of an inpatient hospitalization, or if concurrent with, or on the same day as, an urgent care facility visit.  The professional component of interpretation of the procedure will not require prior authorization. 

Prior authorization requests can be submitted through several routes including a toll free telephone, toll free fax, or via the MedSolutions website.  Prior authorization forms may be printed from the MedSolutions website.  Prior authorizations will be completed within one business day of receipt of complete information.  Visit the MedSolutions website for more information.

Toll Free Telephone:    1-888-693-3211

Toll Free Fax:               1-888-693-3210

Web Site:                     http://www.medsolutionsinc.com/home.htm

Provider Questions:     1-888-693-3211  Option #3

If you have any questions about this program, please contact Jane Hybsch, RN, Administrator, Prior Authorization Unit, at 1-800-852-3345, extension 0275 (in NH only), or (603) 271-0275.