Alliance Health
Welcome to the Alliance Health page. The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent is responsible for. Additional process-specific training tools and modules can be found via links on the Resources tab at the top of the screen.
PLEASE NOTE: Alliance Health, consistent with North Carolina Medicaid guidance, is waiving prior authorization for the dates of service from July 1, 2024, through January 31, 2025. Prior authorization is required for all dates of service February 1, 2025, and thereafter.
If you have any questions about our programs, please contact your dedicated Evolent Provider Relations Manager: Priscilla Singleton
Advanced Imaging Program
- Announcement Letter
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix
For access to our Advanced Imaging tip sheets/checklists, click here.
Cardiac Program
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal Program
- Announcement Letter
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix (Hip, Knee, Shoulder)
- Utilization Review Matrix (Spine)
For access to our Musculoskeletal tip sheets/checklists, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.