AmeriHealth Caritas Delaware
Welcome to the AmeriHealth Caritas Delaware Health Plan page. The documents below have been designed to help RadMD users navigates 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.
Reminder: Re-reviews for AmeriHealth Caritas Delaware will be allowed within 14 days from the denial date. A re-review can be initiated via clinical document upload on RadMD.com or the peer-to-peer process. Providers will continue to have the option to submit an appeal if the timeframe to initiate a re-review has passed or the case cannot be approved post re-review.
If you have any questions about our programs, please contact your dedicated Evolent Provider Engagement Manager:
- Lori Fink (Advanced Imaging/Cardiology)
Advanced Imaging and Cardiology Program
- Frequently Asked Questions
- Peer-to-Peer Process
- Provider Education Presentation
- Tip Sheet - Advanced Imaging
- Utilization Review Matrix
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Conservative Treatment Forms
For access to our conservative treatment form, 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.