Humana has published their Medicare Advantage and Dual Eligible Special Needs Plans Preauthorization and Notification list for outpatient physical and occupational therapy services for calendar year 2026. To access the list, log into your account and click

Humana has published their Medicare Advantage and Dual Eligible Special Needs Plans Preauthorization and Notification list for outpatient physical and occupational therapy services for calendar year 2025. To access the list, log into your account and click

In this article, I will answer the following questions regarding TRICARE and the upcoming changes that go into effect on January 1, 2025:

Humana Medicaid has implemented a new claim processing edit for therapy services for the state of Indiana. In this article, I will answer the following questions

In this article, I will provide a variety of resources for providers who are and are not contracted with Humana for outpatient physical, occupational and speech therapy services.

In this article, I will answer the following questions regarding TRICARE and upcoming changes:

Beginning on January 1, 2022, Cohere will manage prior authorizations for outpatient therapy services for most Humana Commercial and Humana Medicare Advantage plans.

Aetna, Cigna and Humana have all announced changes to their respective policies related to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) edits and the payment of a CPT code(s) that has had modifier 59 appended to it on the claim form. These positive changes would not have occurred without the advocacy of the American Physical Therapy Association (APTA). Aetna Aetna has informed Cigna According to Humana Humana has informed I hope you found this article and information helpful. Thank you for being a Gold Member!