Effective February 15, 2010, Louisiana Medicaid will implement a Radiology Utilization Management (RUM) program to promote the health of Medicaid recipients by ensuring appropriate utilization of Department-defined high-tech imaging studies by Medicaid providers and recipients. Medicaid has partnered with MedSolutions Inc. (MSI), to provide prior authorization, monitoring and management of medical imaging services.

Primary care and specialty care providers will be required to request prior authorization for the following non-emergency outpatient procedures:

  • Magnetic Resonance (MR)
  • Computed Tomography (CT)
  • Nuclear Cardiac imaging

To view the RUM Announcement letter, click here.

Updated list of procedures requiring prior authorization - effective January 1, 2012 (posted November 7, 2011) , click here.

Updated list of procedures requiring prior authorization - effective January 1, 2011 (posted December 3, 2010) , click here.

To access the MedSolutions website click here.
Providers may locate information such as MSI's published evidence based medical standards or complete a prior authorization request on this site.

If you are not a Louisiana Medicaid Provider and wish to order a study, click here to visit out provider enrollment page.

Providers should continue to monitor this webpage for the most up-to-date information regarding this program.

Changes to PA requirements for RUM, January 1, 2013

Provider Notice New CPT Codes Added to RUM Program, November 7, 2011

Provider Notice New CPT Codes Added to RUM Program, December 3, 2010

Important DHH Procedure Update, June 7, 2010

DHH Extends Timeline for Retroactive Reviews, May 5, 2010

TIPS FOR RESOLVING IMPLEMENTATION ISSUES, March 25, 2010

Important note regarding MedSolutions’ Auth Numbers: There has been an error on some MedSolutions authorizations where the case number was incorrectly shown as the Authorization Number on approval forms.  This error occurred on authorizations issued between February 15, 2010 through February 24, 2010. MedSolutions will be sending corrected authorizations to the approved facility.   You may also look up a patient authorization number at www.medsolutionsonline.com. Log in with your user ID and password and search the recipient/member ID. Please accept MedSolutions’ apology for this error and inconvenience.

Remember, when submitting your claim to Molina Medicaid Solutions for payment please drop the proceeding “A” on the authorization number. 

Thank you for your continued service to our State and to the Louisiana Medicaid population.

This content was last updated on December 3rd, 2010.