MedicaidPrior AuthMedium impact
COVID-19: Radiology (Diagnosis Codes Added) - Revised
Missouri Medicaid (MO HealthNet)·MO · Radiology, Diagnostic Imaging·Coding
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Missouri Medicaid (MO HealthNet) has waived prior authorization requirements for chest CT scans (codes 71250, 71260, 71270) when COVID-19 related diagnosis codes are present, effective March 1, 2020. All radiology procedures managed by their Radiology Benefit Manager will be automatically approved for 90 days during the COVID-19 crisis.
Action Required
Immediately: Billing team should update system to reflect that prior authorization is NOT required for chest CT codes 71250, 71260, and 71270 when any of the listed COVID-19 diagnosis codes are present for Missouri Medicaid patients. Update radiology workflow to automatically approve these procedures for 90 days during COVID-19 crisis.