Ambetter from Louisiana Healthcare Connections

Welcome to the Ambetter from Louisiana Healthcare Connections 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.
If you have any questions about our programs, please contact your dedicated Evolent Provider Engagement Manager:
- Priscilla Singleton (Advanced Imaging/Cardiology)
- April Fox (Interventional Pain Management/Musculoskeletal/Physical Medicine)
Louisiana Healthcare Connections has partnered with Evolent to implement a new interventional cardiovascular prior authorization program for Ambetter/Exchange members 18 years of age and older effective 02.01.2026. To learn more about these programs and register for an upcoming webinar training session, please visit our Ambetter by Louisiana Healthcare Connections program resource page: Program changes effective February 1
Advanced and Cardiac Imaging Program
- Cardiac Frequently Asked Questions
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - 2025
- Utilization Review Matrix - 2026
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Interventional Cardiovascular Program - Effective 2/1/26
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal and Interventional Pain Management Program
- Frequently Asked Questions - IPM
- Frequently Asked Questions - MSK
- Provider Education Presentation
- Utilization Review Matrix (IPM) - 2025
- Utilization Review Matrix (MSK - Hip, Knee and Shoulder) - 2025
- Utilization Review Matrix (MSK - Spine Surgery) - 2025
- Utilization Review Matrix (IPM) - 2026
- Utilization Review Matrix (MSK - Hip, Knee and Shoulder) - 2026
- Utilization Review Matrix (MSK - Spine Surgery) - 2026
For access to our Musculoskeletal tip sheets/checklists, click here.
For access to our Interventional Pain Management tip sheets/checklists, click here.
Physical Medicine Program
For access to our Physical Medicine tip sheets/checklists, click here.
Peer-to-Peer Process
For access to our peer-to-peer process, click here.
Conservative Treatment Forms
For access to our conservative treatment forms, click here.
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.

