MHCP will cover Cardiac Magnetic Resonance Imaging (MRI) for the indications listed below. Scans must be performed using scanners with a magnetic field intensity of 1.5 Tesla units or greater and a slew rate of at least 70mT/m/sec. Also, a localized multichannel radiofrequency surface coil and electrocardiographic gating are required.
Indication when will not cover:
For the diagnosis and evaluation of coronary artery disease.
Indication when will cover:
For evaluative and diagnostic procedure when medically necessary. Indications supporting medical necessity include:
MHCP Provider Call Center
(651) 431-2700 or 1-800-366-5411; TDD: 7-1-1