Preview January 1, 2027 Guidelines

Evolent works with health plans, providers and patients to improve health outcomes for complex conditions. To support safe and effective treatment for all patients, we have a series of guidelines designed to help both providers and reviewers identify the most appropriate services based on a patient's unique circumstances.

Preview Evolent Clinical Guidelines for January 1, 2027 implementation below:

Advanced Imaging Guidelines

Interventional Cardiac Guidelines

Diagnostic Cardiac Guidelines 

Radiation Oncology Guidelines

Preview Ad Hoc Musculoskeletal Surgery Guidelines for January 1, 2027

Evolent Clinical Guideline 1770 for Shoulder Arthroscopy

Evolent Place of Service Guideline 1773 for Musculoskeletal Surgery