| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | HealthCheck (EPSDT) | | 07/09/2025 | Prior Authorization : Advanced Imaging ServicesTopic #10678 Prior Authorization for Advanced Imaging Services
Most advanced imaging services, including CT, MR, MRE, and PET imaging, require PA when performed in either outpatient hospital settings or in non-hospital settings (for example, radiology clinics). eviCore healthcare, a private radiology benefits manager, is authorized to administer PA for advanced imaging services on behalf of ForwardHealth. Additional information about PA requirements and submission information for advanced imaging services
is available. |