Skip to main content
Skip navigation
Search
Home
Evolent.com
Who We Are
Contact Us
Main navigation
Sign In
Authorization Requirements
State Authorization Requirements and Clinical Criteria
Clinical Guidelines
Preview July 1, 2026 Guidelines
Advanced Imaging
Cardiology
Genetic Testing
Interventional Pain Management (IPM)
Musculoskeletal Surgery (MSK)
Physical Medicine
Radiation Oncology
Sleep Health
Resources
Clinical Guidelines & Other Resources
Conservative Treatment Forms
Nondiscrimination & Languages
Peer-to-Peer Process
Policies & Compliance
RadMD Resources
Appeals
Authorization Call Center Phone Numbers
Absolute Total Care
Alliance Health
Ambetter Health (Iowa)
Ambetter Health (Nebraska)
Ambetter Health of Delaware
Ambetter from Absolute Total Care
Ambetter from Buckeye Health Plan
Ambetter from Coordinated Care
Ambetter from Home State Health
Ambetter from Louisiana Healthcare Connections
Ambetter from MHS
Ambetter from Magnolia Health
Ambetter from Meridian
Ambetter from New Hampshire Healthy Families
Ambetter from PA Health & Wellness
Ambetter from Peach State Health Plan
Ambetter from SilverSummit Healthplan
Ambetter from Sunflower Health Plan
Ambetter from Sunshine Health
Ambetter from Superior Healthplan
Ambetter from Wellcare of Kentucky
Ambetter from Wellcare of New Jersey
Ambetter of Alabama
Ambetter of Illinois
Ambetter of North Carolina Inc.
Ambetter of Oklahoma
Ambetter of Tennessee
AmeriHealth Caritas Delaware
AmeriHealth Caritas District of Columbia
AmeriHealth Caritas Louisiana
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas Next A Product of AmeriHealth Caritas Florida, Inc.
AmeriHealth Caritas Next A Product of AmeriHealth Caritas Louisiana, Inc.
AmeriHealth Caritas Next A Product of AmeriHealth Caritas VIP Next, Inc. (AmeriHealth Caritas Next Delaware)
AmeriHealth Caritas Next A Product of AmeriHealth Caritas, North Carolina, Inc.
AmeriHealth Caritas North Carolina
AmeriHealth Caritas Ohio
AmeriHealth Caritas Pennsylvania
AmeriHealth Caritas VIP Care - Delaware
AmeriHealth Caritas VIP Care - Florida
AmeriHealth Caritas VIP Care - Michigan
AmeriHealth Caritas VIP Care – Pennsylvania
Arizona Complete Health
Arkansas Health & Wellness
Arkansas Total Care
Blue Cross Complete of Michigan
Blue Shield of California
BlueChoice HealthPlan
BlueCross BlueShield of Nebraska
BlueCross BlueShield of South Carolina
BlueCross BlueShield of Tennessee
Buckeye Health Plan
Capital Blue Cross
CareSource Georgia
CareSource Indiana
CareSource Marketplace Kentucky
CareSource Marketplace North Carolina
CareSource Marketplace West Virginia
CareSource Nevada
CareSource Ohio
CareSource PASSE
CareSource TRICARE (Tampa and Atlanta)
Carolina Complete Health
Common Ground Healthcare Cooperative
CommunityCare Oklahoma
ConnectiCare
Coordinated Care
CountyCare
Delaware First Health
Fidelis Care (New Jersey)
Fidelis Care (New York)
First Choice Next A Product of Select Health of South Carolina (First Choice Next)
First Choice VIP Care - South Carolina
First Choice VIP Care Plus - South Carolina
HAP CareSource Michigan
HMSA
Harvard Pilgrim Health Care
Health Net of California
Health Net of Oregon
Healthy Blue
Home State Health
Independent Health
Iowa Total Care
Keystone First VIP Choice
Keystone First
Louisiana Healthcare Connections
Magnolia Health
Managed Health Services
Maryland Physicians Care
Meridian Health Plan of Illinois
Meridian Michigan
NH Healthy Families
Nebraska Total Care
Neighborhood Health Plan of Rhode Island
Oklahoma Complete Health
PA Health and Wellness
Page Under Construction- Coming Soon
Partners Health Management
Peach State Health Plan
Presbyterian Health Plan
Qualchoice Health Insurance
Select Health of South Carolina
Sentara Health Plans
SilverSummit Healthplan
Sunflower Health Plan
Sunshine Health
Superior HealthPlan
Trillium Community Health Plan
Trillium Health Resources
TrueCare
Tufts Health Plan
Tufts Health Public Plans
Wellcare Complete
Wellcare Medicare
Wellcare by Nebraska
Wellcare by Ohana
Wellcare of Arizona
Wellcare of Delaware
Wellcare of Kentucky
Wellcare of North Carolina
Page Under Construction- Coming Soon
