Humana contracted with the Kentucky Cabinet for Health and Family Services to provide services to Medicaid enrollees through Humana Health Plan. Medicaid provides healthcare coverage for income-eligible children, seniors, disabled adults, pregnant women and other eligible adults. It is funded by both the state and federal governments.

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Continuity of Care Provisions

A prior authorization (PA) shall be honored by the Humana Health Plan for 90 days or until the recipient or provider is contacted by the Humana Health Plan regarding the PA. If the recipient and provider are not contacted by Humana Health Plan, the existing Medicaid PA shall be honored until expired.

How to request preauthorization

Except where noted preauthorization requests for medical services may be initiated:

  • Online via Availity.com (registration required)
  • By calling Humana’s interactive voice response (IVR) line at 1-800-444-9137 (available Monday through Friday, 8 a.m. to 8 p.m. Eastern time)
    Please note: Online preauthorization requests are encouraged.
  • By calling our authorization intake team directly at 1-888-285-1114
  • Additionally, clinical information for a medical service preauthorization request may be faxed to 1-833-974-0059 using KY Medicaid Fax Form, PDF opens new window.

Except where noted, preauthorization requests for professionally administered medications may be initiated:

  • By sending a fax to 1-888-447-3430 (request forms are available at Humana.com/medpa
  • By calling 1-866-461-7273 (available Monday through Friday, 6 a.m. to 8 p.m. Eastern time)

Except where noted, preauthorization requests for pharmacy medications may be initiated:


Submitting pharmacy claims

Starting Jan. 1, 2020, Humana Pharmacy Solutions began managing the pharmacy network for Humana’s Medicaid managed care plan in Kentucky. See the notification for updates.

Notification for pharmacy claims submission, PDF opens new window

Annual compliance training materials for healthcare providers

The Centers for Medicare & Medicaid Services (CMS) and state Medicaid contracts mandate that all Humana-contracted physicians and other healthcare providers complete compliance program requirements. Healthcare providers can complete this requirement online at the Availity Web Portal (registration required). Please refer to the following for more information:

Compliance Requirements for Healthcare Providers – Frequently Asked Questions and Answers, PDF opens new window

How to Complete the Training Requirements via Availity.com, PDF opens new window

Compliance requirements for healthcare providers who are unable to register online, PDF opens new window

Additional training for Kentucky Medicaid Providers

KY Medicaid Orientation and Training Module, PDF opens new window