MedicaidPrior AuthMedium impact
Prior Authorization Requirements for 2026 Radiology CPT Codes
Alabama Medicaid·AL · Radiology, Neurology·Prior Authorization
Effective date
Jul 1, 2026
We identified it
Jun 21, 2026
Summary
Alabama Medicaid will require prior authorization for two specific CT scan procedures (head/neck blood vessels and brain blood flow with contrast) starting July 1, 2026. Claims submitted without approved prior authorization will be denied.
Action Required
By July 1, 2026: Billing team must update system to require prior authorization for CPT 70471 and 70473 for Alabama Medicaid patients. Update encounter forms and EMR templates to alert providers. Contact Gainwell Technologies at (800) 688-7989 for prior auth questions. Reference Chapter 22 of Provider Billing Manual for authorization procedures. Claims without prior auth will be denied.