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Prior authorization resources

Humana Healthy Horizons® in Louisiana members may see any participating network provider, including specialists and inpatient hospitals. Humana Healthy Horizons does not require referrals from primary care physicians (PCPs) to see participating specialists; however, prior authorization must be obtained to see nonparticipating providers. Members may self-refer to any participating provider. PCPs do not need to arrange or approve these services for members, as long as applicable benefit limits have not been exhausted.

Medicaid doctor reviews documents

Services that require prior authorization

Providers should review the Louisiana Medicaid Prior Authorization List online at Humana.com/PAL.

Learn more about prior authorization in the Humana Healthy Horizons in Louisiana Provider Manual, PDF.

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Compliance requirements

Review and complete required annual compliance training modules.

Documents and forms

Find the documents and forms you need, including your Provider Manual.

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