Preauthorization and notification lists

The documents below list services and medications for which preauthorization may be required for patients with Medicaid, Medicare Advantage, dual Medicare-Medicaid and commercial coverage. Please review the detailed information at the top of the lists for exclusions and other important information before submitting a preauthorization request.

Please note: We are currently changing the layout of our lists to allow for easier searching. In the latest commercial list below, we have provided individual links to the medical services and medications that require preauthorization. We will be doing the same soon for our other preauthorization lists.

Summary of Preauthorization and Notification List Changes

Previous lists

October 1, 2022, Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List, PDF

May 1, 2022, Humana Healthy Horizons in South Carolina (Medicaid) Preauthorization and Notification List, PDF

Feb. 1, 2022, Humana Healthy Horizons in Florida (Medicaid) Preauthorization and Notification List, PDF

September 1, 2022, Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List, PDF

Feb. 1, 2022, Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List , PDF

Feb. 1, 2022, Humana Healthy Horizons in South Carolina (Medicaid) Preauthorization and Notification List, PDF

August 1, 2022, Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List, PDF

August 1, 2022, Commercial Preauthorization and Notification List, PDF

Jan. 1, 2022, Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List, PDF

Jan. 1, 2022, Commercial Preauthorization and Notification List, PDF

Jan. 1, 2022, Part B Step Therapy Preferred Drug List, PDF

Oct. 1, 2021, Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List , PDF

Aug. 1, 2021, Humana Healthy Horizons in Florida (Medicaid) Preauthorization and Notification List, PDF

July 1, 2021, Humana Healthy Horizons in South Carolina (Medicaid) Preauthorization and Notification List, PDF

Jan. 1, 2021, Commercial Preauthorization and Notification List , PDF

Jan. 1, 2021, Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List, PDF

Jan. 1, 2021, Part B Step Therapy Preferred Drug List, PDF

Jan. 1, 2020, Commercial Preauthorization and Notification List, PDF

Jan. 1, 2020, Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List, PDF

Jan. 1, 2020, Part B Step Therapy Preferred Drug List, PDF

Jan. 1, 2020, Kentucky Medicaid Preauthorization and Notification List, PDF