National Imaging Associates, a Magellan Health Services Company
Welcome to RADMD

Ambetter from Sunshine Health

Welcome to the Ambetter from Sunshine Health page.  The documents below have been designed to help RadMD users navigate the prior authorization process for each program Evolent is responsible for managing. 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 questions about our programs, please contact Evolent at [email protected]. 

Effective January 1, 2026, Ambetter from Sunshine Health Plan is adding Individual Coverage Health Reimbursement Arrangement (ICHRA) to their current programs with Evolent for the Exchange line of business.

Advanced Imaging Program

For access to our Advanced Imaging tip sheets/checklists, click here.

Musculoskeletal Program

For access to our Musculoskeletal 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.