Humana Resumes Prior Authorization for Outpatient Therapy

February 24, 2020
 / 
Rick Gawenda
 / 

On December 18, 2017, Humana announced they would no longer require preauthorization for outpatient physical, speech and occupational therapy services for patients with commercial and Medicare Advantage (MA) coverage. Unfortunately, nothing lasts forever.

Effective with dates of service on and after

The content here is for members only log in here or sign up.

I hope you found this article helpful and informative. Thank you for being a Gold Member!


All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

  1. Hey Rick,
    I don’t know how I missed this change and now I’m scrambling to preauthorize patients I currently have on a caseload that has Humana as the primary insurance. The process for preauthorization seems like a duplication of the evaluation. Has anybody voiced concern about the additional time it takes to transcribe evaluation information twice?