Nebraska Medicaid Program

Provider Information

Radiology Prior Authorization Program

ALERT!! New Prior Authorization for select radiology procedures required
Effective (Date of Service) September 1, 2009

Nebraska Medicaid will be requiring prior authorization for select radiology procedures effective September 1, 2009, and has contracted with MedSolutions to manage this program. This program applies to fee-for-service Medicaid clients only.

Select radiology procedures includes the following (for out-patient procedures only): Computerized Tomography (CT) scans, Magnetic Resonance Angiogram (MRA) scans, Magnetic Resonance Imaging (MRI) scans, Magnetic Resonance Spectroscopy (MRS) scans, Nuclear Medicine Cardiology scans, Positron Emission Tomography (PET) scans, Single Photon Emission Computed Tomography (SPECT) scans.

To request an authorization, (beginning September 1, 2009) you may use the web portal or call (888) 693-3211 or send a MedSolutions request form (available on web portal) by fax to (888) 693-3210. MedSolutions recommends that ordering physicians secure the authorization and provide the authorization number to the rendering facility at time of scheduling.

Please participate in one of the convenient online training sessions to ensure your understanding of the prior authorization process. Go to to register for training; click on training center, then upcoming to view options, and then register. It is strongly recommended that administrative, clinical, and business staff enroll for training to assure the smoothest transition to the new program.

PDF Radiology Prior Authorization Included CPT Codes

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