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Preauthorization and notification lists

The documents below list services and medications that require preauthorization for patients with Medicaid, Medicare Advantage, dual Medicare-Medicaid and commercial coverage.

Medicare Commercial Medicaid State-specific preauthorization statistics

Medicare preauthorization list summary of changes


Current preauthorization and notification lists (effective January 1, 2024)


Future preauthorization and notification lists (Effective July 1, 2024)


Previous preauthorization and notification lists


Current preauthorization and notification lists


Future preauthorization and notification lists lists (Effective July 1, 2024)


Previous preauthorization and notification lists


Preauthorization resources

Use the links below to submit the preauthorization form, find other forms or learn more about the process.

Ready to submit

Coverage criteria

Fax forms

Download a form to submit your preauthorization by fax.

Standard form, PDF

Texas form, PDF

New Mexico form, PDF

Indiana form, PDF

Arizona form, PDF

State exemptions

For more information please see the FAQs below for specific state exemptions.

Texas exemptions

Texas House Bill 3459 – Preauthorization Exemptions, PDF

Louisiana exemptions

Louisiana Senate Bill 112 – Preauthorization Exemptions, PDF

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Provider resources

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Contact Humana

For more information or if you have any questions, please reach out.

Preauthorization submission information

Submit preauthorizations for Humana Medicare or commercial or patients.