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News & Press: Zika Virus Updates

Zika Virus and Pregnancy Ultrasounds

Thursday, March 17, 2016   (0 Comments)
Posted by: Diane Berg
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Florida Medicaid Health Care Alert
March 16, 2016

Provider Type(s): 25, 26, 29, 30, 34, 66, 68, 70, and 77

Zika Virus and Pregnancy Ultrasounds


The purpose of this alert is to provide guidance for health care providers caring for pregnant women relating to the Zika virus.

According to the Centers for Disease Control and Prevention interim guidelines dated 2/12/2016:

  • All pregnant women with a history of travel to an area with ongoing Zika virus transmission should be tested for infection
    • If positive or inconclusive then consider serial fetal ultrasounds, and consider amniocentesis
    • If negative, one fetal ultrasound should be performed to detect microcephaly or intracranial calcifications
      • If microcephaly or intracranial calcifications are present, then retest pregnant women and consider amniocentesis
      • If negative for microcephaly or intracranial calcifications, then continue with routine prenatal care

Florida Medicaid reimburses for up to four routine ultrasounds for pregnant women.  Florida Medicaid reimburses for additional ultrasounds, when medically necessary and prior authorized.  Providers rendering services to recipients in the fee-for-service delivery system should request authorization through the Agency’s contracted quality improvement organization, eQHealth Solutions (for more information, please visit  Providers rendering services to recipients enrolled in a Medicaid health plan should refer to their contract with each plan for service authorization requirements/procedures.