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

PA Health & Wellness

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Welcome to the PA Health & Wellness 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 Engagement Manager:

PROGRAM UPDATE: Effective January 1, 2026, Wellkids by PA Health & Wellness CHIP Medicaid membership will require prior authorization through Evolent for select advanced imaging services being rendered in a provider office, outpatient hospital and ambulatory surgical center and musculoskeletal (MSK) surgeries being rendered in outpatient hospital, inpatient hospital or ambulatory surgery center. 

Advanced Imaging Program

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

Musculoskeletal Program

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  

Low Dose Chest CT History Form

Clinical Guidelines

  • Clinical Guidelines
  • Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.