Oklahoma Complete Health

Welcome to the Oklahoma Complete 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 any questions about our programs, please contact [email protected]
Program Update: Effective June 1, 2026, select advanced imaging services for Oklahoma Complete Health Medicaid no longer require prior authorization. Please refer to the updated Advanced Imaging Utilization Matrix.
Advanced Imaging and Cardiology Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - Medicaid - 2026 (Effective 06.01.2026)
- Utilization Review Matrix - Medicaid - 2026 (02.04.2026-05.31.2026)
- Utilization Review Matrix - Medicare - 2026 (Effective 05.01.2026)
- Utilization Review Matrix - Medicare - 2026 (01.01.2026-04.30.2026)
For access to our Advanced Imaging tip sheets/checklists, click here.
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal Surgery and Interventional Pain Management Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix (IPM) - 2026
- Utilization Review Matrix (MSK - Hip, Knee and Shoulder) - 2026
- Utilization Review Matrix (MSK - Spine Surgery) - 2026
For access to our Musculoskeletal Surgery tip sheets/checklists, click here.
For access to our Interventional Pain Management 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.

