News
New Prior Authorization Program from Evolent begins February 1, 2026
Date: 12/18/25
Ambetter from Louisiana Healthcare Connections (Ambetter Health) has partnered with Evolent to implement a new prior authorization program. This interventional cardiovascular program is intended to help providers effectively deliver quality patient care using clinical criteria based on nationally recognized guidelines to promote evidence-based practices.
Effective Feb. 1, 2026, select interventional cardiovascular services will require prior authorization through Evolent before being rendered in outpatient or inpatient settings.
The Evolent interventional cardiovascular program will apply to all ordering provider specialties for the following non-emergent elective procedures for eligible adult Ambetter Health members:
- Cardiac catheterization and intervention
- Electrophysiology
- Vascular radiology and intervention
- Cardiac surgery
- Vascular surgery
Prior authorization requests for these services can be submitted to Evolent via:
- The web at evolent.com/provider-portal, (select RadMD).
- Telephone at 1-800-424-9231 (M – Fri., 7:00 a.m. to 7:00 p.m. Central).
Evolent offers providers the ability to:
- Obtain real-time approvals when selecting evidence-based treatments.
- Upload supporting clinical documentation directly to prior authorization requests.
- View all submitted requests.
- Leverage peer-to-peer reviews when discussing treatment options.
- Consult with dedicated Evolent provider engagement managers to address any issues or questions.
Approvals issued before Feb.1, 2026, are effective until the authorization end date. Upon expiration, authorization requests must be submitted to Evolent. For services/treatment that did not require an authorization prior to Feb. 1, 2026, an authorization may be required from Evolent for service/treatment dates on and after Feb. 1, 2026.
Training sessions will be scheduled for multiple dates beginning in January. For more details and information on registration, please visit the Evolent webpage. If you have questions about Evolent programs, please email providertraining@evolent.com.
We will provide additional information as we get closer to the implementation date. If you have questions, please contact your Ambetter Health provider representative or call customer service at 1-833-635-0450.