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

Commercial Summary of Changes (SOC)

Medicare Summary of Changes (SOC)

Coming Soon – Lists Effective February 1, 2023

February 1, 2023 Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List

Coming Soon – Lists Effective January 1, 2023

January 1, 2023 Humana Healthy Horizons in Florida (Medicaid) Preauthorization and Notification List

January 1, 2023 Humana Healthy Horizons in Louisiana (Medicaid) Preauthorization and Notification List

January 1, 2023 Humana Healthy Horizons in South Carolina (Medicaid) Preauthorization and Notification List

Jan. 1, 2023, Humana Gold Plus Integrated Illinois Dual Medicare-Medicaid Plan Preauthorization and Notification List

Jan. 1, 2023, Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List

Jan. 1, 2023, Commercial Preauthorization and Notification List

Coming Soon – Lists Effective December 1, 2022

December 1, 2022 Humana Healthy Horizons in Ohio (Medicaid) Preauthorization and Notification List

Current lists

Previous lists