Ambetter from Buckeye Health Plan
Welcome to the Ambetter from Buckeye Health Plan 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.
Effective January 1, 2025, Ambetter from Buckeye Health Plan is adding ICHRA (Individual Coverage Health Reimbursement Arrangement) membership to their current program with Evolent (formerly National Imaging Associates, Inc.).
ICHRA members can easily be recognized by the "Solutions" section on the member ID card as seen below.
If you have any questions about our programs, please contact your dedicated Evolent Provider Relations Manager, Mara Grimm.
Advanced Imaging Program
- Frequently Asked Questions
- Peer-to-Peer Process
- Provider Education Presentation
- Quick Reference Guide
- Utilization Review Matrix - 2024
- Utilization Review Matrix - 2025
For access to our Advanced Imaging tip sheets/checklists, click here.
Physical Medicine Program
For access to our Physical Medicine tip sheets/checklists, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Clinical Guidelines
- Clinical Guidelines
- Click here to view Evolent's Physical Medicine guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.