Missouri Prior Authorization Requirements
A guide to prior authorization rules, turnaround times, and laws for medical practices operating in Missouri (MO).
PA Turnaround Times
Standard Requests
14 calendar days
Urgent / Expedited
72 hours
Key Regulations
- Standard PA turnaround of 14 calendar days
- Urgent requests within 72 hours
Missouri Medicaid PA
MO HealthNet (Medicaid) uses managed care. PA requirements vary by MCO.
Top Payers in Missouri
Anthem Blue Cross Blue ShieldUnitedHealthcareAetnaCigna
State Regulatory Body: Missouri Department of Commerce and Insurance
File PA complaints or appeals through your state insurance department.
Automate PA in Missouri
Greenlight knows every payer's PA requirements in Missouri and checks them automatically before every appointment -- so your staff does not have to.
See a Demo