MedicaidCoverageMedium impact
[Indiana] Evolent 2026 Annual Guideline Updates
CareSource·IN · Radiology·Medical Policy
Effective date
Jun 1, 2026
We identified it
May 9, 2026
Summary
CareSource/Evolent Healthcare is updating three advanced radiology clinical guidelines effective June 1, 2026: Cerebral Perfusion CT (2015 guideline), Low Field MRI (2031 guideline), and Unlisted Study (2061 guideline) for Indiana Medicaid members. Providers must review updated policies on the Evolent website and align billing and clinical practices accordingly.
Action Required
By May 15, 2026: Billing and clinical teams must access https://www1.radmd.com/ to review the three updated Evolent clinical guidelines (2015 for Cerebral Perfusion CT, 2031 for Low Field MRI, 2061 for Unlisted Study). Update billing software, encounter forms, and ordering protocols to reflect any new prior authorization requirements, covered indications, or documentation standards outlined in these guidelines. Notify all providers and radiologists of changes. Contact CareSource Provider Services at 1-844-607-2831 (Mon-Fri, 8 a.m.–8 p.m. ET) with questions. Failure to comply may result in claim denials for services billed outside updated guidelines.