RADMD | Trillium Health Resources

Welcome to the Trillium Health Resources 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 Evolent at [email protected].

New Programs: Effective April 1, 2026, select MSK surgeries and IPM procedures will require prior authorization through Evolent prior to being rendered in a provider office, outpatient hospital, inpatient (MSK only) or ambulatory surgery center for Trillium Health Resources Tailored Plan Medicaid members. Additional information and scope details are outlined under each program.

Advanced Imaging Program

Prior authorization includes the following outpatient procedures: CT/CTA, MRI/MRA, PET Scan, MUGA Scan, Nuclear Stress Test, and Echocardiography.

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

Cardiology Program

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

Interventional Pain Management Program - Effective 4/1/2026

For access to our Interventional Pain Management tip sheets/checklists, click here.

Musculoskeletal Program - Effective 4/1/2026

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.

Clinical Guidelines

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

Trillium Health Resources