Louisiana Healthcare Connections

Welcome to the 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 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 any questions about our programs, please contact practice success at [email protected]
COMING SOON!
Interventional Cardiovascular Program-Effective August 1, 2026
Effective August 1, 2026, select interventional cardiovascular services will require prior authorization, through Evolent, prior to being rendered in outpatient or inpatient settings (planned professional services only). The Evolent interventional cardiovascular program will apply to all ordering provider specialties for the following non-emergent elective procedures for Louisiana Healthcare Connections Medicaid members 21 years of age and older:
- Cardiac catheterization and intervention
- Electrophysiology
- Vascular radiology and intervention
- Cardiac surgery
- Vascular surgery
Training Resources and Program Documents
- Frequently Asked Questions (FAQ)
- Scope of Service (Coming Soon)
- Utilization Review Matrix (Coming Soon)
- To view our interventional cardiovascular training video, click here.
- For access to our Cardiac tip sheets/checklists, click here.
If you have training needs or questions about Evolent programs, please email [email protected].
Advanced Imaging Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - Medicaid - 2026 (Effective 04.01.2026)
- Utilization Review Matrix - Medicaid - 2026 (01.01.2026 - 03.31.2026)
- Utilization Review Matrix - Medicare - 2026
For access to our Advanced Imaging tip sheets/checklists, click here.
Cardiac Program
For access to our Cardiac tip sheets/checklists, click here.
Interventional Pain Management Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - Medicaid - 2026
- Utilization Review Matrix - Medicare - 2026
For access to our Interventional Pain Management tip sheets/checklists, click here.
Musculoskeletal Program
- Frequently Asked Questions
- Provider Education Presentation
- 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.
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.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.

