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

New Hampshire Healthy Families

 

Welcome to the NH Healthy Families 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 Relations Manager, Seth Cohen.

Effective 9/20/2024, peer-to-peer discussions must be performed before a final determination is made on an authorization request. Re-Review is not allowed.

Advanced Imaging Program

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

Cardiac Program

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

Musculoskeletal and Interventional Pain Management Programs

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.

Conservative Treatment Forms  

For access to our conservative treatment forms, click here.

Low Dose Chest CT History Form

Low Dose Chest CT History Form

Clinical Guidelines

  • Clinical Guidelines
  • Click here to view Evolent's Physical Medicine guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.