AmeriHealth Caritas Louisiana

Welcome to the AmeriHealth Caritas Louisiana 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.
If you have any questions about our programs, please contact your dedicated Evolent Provider Engagement Manager:
- Priscilla Singleton (Advanced Imaging/Cardiology)
Program Update: Effective March 1, 2026, Evolent will begin managing advanced and cardiac imaging service authorizations for AmeriHealth Caritas VIP Care Louisiana Medicare D-SNP members for dates of service on and after 3.1.2026. Please refer to the Advanced Imaging Utilization Review Matrix for in-scope services.
Advanced and Cardiology Imaging Program
- Cardiac Frequently Asked Questions
- Frequently Asked Questions- Medicaid
- Provider Education Presentation- Medicaid
- Provider Education Presentation- Medicare eff 03.01.2026
- Scope of Service- Medicaid
- Utilization Review Matrix - 2025- Medicaid
- Utilization Review Matrix - 2026- Medicaid
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac 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 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.

