Chemotherapy – New Century Health
The Humana Oncology Quality Management Program, founded on evidence-based care standards, utilizes a counseling model within traditional preauthorization management for chemotherapeutic drugs, symptom-management drugs and supporting agents. This program is administered by New Century Health for Humana commercial, Medicare Advantage (MA) and some administrative-services-only members in the following states:
- New Mexico
- North Carolina
- North Dakota
- South Carolina
- South Dakota
- West Virginia
In addition, New Century Health administers this program for Medicaid members in Illinois.
The terms prior authorization, precertification, preadmission, preauthorization and notification all are used to refer to the preauthorization process. For MA private fee-for-service (PFFS) plans, notification is requested, not required.