Prescribers should complete the applicable form below and fax it to Humana’s Medication Intake Team (MIT) at 1-888-447-3430. To obtain the status of a request or for general information, you may contact the MIT by calling 1-866-461-7273 Monday through Friday, 8 a.m. to 6 p.m. EST.
Colorado authorization form
The use of this form is mandated for prior authorization requests concerning commercial fully insured members who:
Texas authorization form
Physicians and health care practitioners in Texas may use this form to submit authorization requests for their Humana-covered patients. Please complete the form and submit it to Humana by following the instructions on the form.
If you have questions about whether you should use the state-mandated form(s) above, please call the MIT at 1-866-461-7273.
This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals, prior authorization and claims. It also provides phone, fax and Web contact information.
To obtain the appropriate fax form for members covered by AHCA (Agency for Health Care Administration) Florida Medicaid (FLM) plans, please call 1-866- 461-7273.