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

WellCare of North Carolina

Welcome to the WellCare of North Carolina page.  The Medicaid (WellCare of North Carolina), Medicare (Wellcare of North Carolina) and Exchange (WellCare of North Carolina by Celtic Insurance Company) 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:

Any services requested that are listed on the IFSP form will be redirected back to Medicaid Direct for children less than 3 years of age. Evolent will not process these requests.  

Advanced and Cardiac Imaging Program

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

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

Interventional Cardiovascular Program - Effective November 1, 2025

Interventional Pain Management Program

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

Musculoskeletal Program - Effective 4/1/2024

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

Physical Medicine Program

For access to our Physical Medicine 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.