Welcome to the Wellcare by Allwell (Texas) Medicare 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 Relations Manager:

• Priscilla Singleton (Advanced Imaging/Cardiology)
• Charles Allison (Interventional Pain Management/Musculoskeletal/Physical Medicine)
• Karla Lowery (Interventional Pain Management/Musculoskeletal/Physical Medicine)
• Charlotte Taylor (Genetic Testing)

Genetic Testing Program

• Frequently Asked Questions
• Provider Education Presentation

For access to our Genetic Testing checklist and matrix, click here.

Interventional Cardiovascular Program - Effective July 1, 2025

• Frequently Asked Questions
• Grace Period Process for Same-Day Service Changes
• Provider Education Presentation
• Scope of Service
• Utilization Review Matrix

Musculoskeletal and Interventional Pain Management Program

• Frequently Asked Questions - IPM 
• Frequently Asked Questions - Surgery 
• Provider Education Presentation

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  

Low Dose Chest CT History Form

Clinical Guidelines

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