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MedicaidPrior AuthMedium impact

Echocardiography Procedures Will No Longer Require Precertification Effective February 1, 2016

Missouri Medicaid (MO HealthNet)·MO · Cardiology·Provider Notice
Effective date
Feb 1, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

Effective February 1, 2016, MO HealthNet Division (Missouri Medicaid) eliminated precertification requirements for 10 specific echocardiography procedure codes. Billing teams can now submit these echo procedures without obtaining prior authorization.

Action Required

Action needed
Immediately: Billing team must update system settings to remove precertification requirements for the 10 listed echocardiography codes (93303, 93304, 93306, 99307, 93308, 93312, 93315, 93318, 93350, 93351, 93355) for Missouri Medicaid patients. Update encounter forms and staff training materials to reflect that these procedures no longer require prior authorization.

Affected Billing Codes

93303
93304
93306
99307
93308
93312
93315
93318
93350
93351
93355