Wellcare Complete

Welcome to the Wellcare Complete 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:
- Alabama: Priscilla Singleton
- Florida: Brandi Patterson
- Illinois: Chyanne Jones
- Indiana: Betsy Roberts
- Kansas: Charles Allison (Advanced Imaging)
- Kansas: Sharee Adams (MSK/IPM)
- Michigan: Rachel Vowels-Delk
- Texas: Priscilla Singleton
Advanced Imaging Program
- Frequently Asked Questions
- Provider Education Presentation
- Utilization Review Matrix - 2025
- Utilization Review Matrix - 2026
For access to our Advanced Imaging tip sheets/checklists, click here.
Cardiology Program
For access to our Cardiac tip sheets/checklists, click here.
Musculoskeletal and Interventional Pain Management Program
(Wellcare Complete Kansas Members only)
- Utilization Review Matrix (IPM) - 2026
- Utilization Review Matrix (MSK - Joint Surgery) - 2026
- Utilization Review Matrix (MSK - Spine Surgery) - 2026
For access to our Musculoskeletal 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.
Low Dose Chest CT History Form
Clinical Guidelines
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by Evolent.

