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)

Humana Gold Plus Integrated Illinois Dual Medicare-Medicaid Plan Preauthorization and Notification List, PDF
Medicare and Dual Medicare-Medicaid Plans Preauthorization and Notification List , PDF

Previous preauthorization and notification lists

Commercial preauthorization list summary of changes

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

Commercial Preauthorization and Notification List, PDF

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

Commercial Preauthorization and Notification List, PDF

Previous preauthorization and notification lists

Current preauthorization and notification lists

Effective April 1, 2024, Humana Healthy Horizons in Oklahoma (Medicaid) Preauthorization and Notification List, PDF
Effective January 1, 2024, Humana Healthy Horizons in South Carolina (Medicaid) Preauthorization and Notification List, PDF
Effective January 1, 2024, Humana Healthy Horizons in Florida (Medicaid) Preauthorization and Notification, PDF
Effective January 1, 2024, Humana Healthy Horizons in Louisiana (Medicaid) Preauthorization and Notification List , PDF
Effective January 1, 2024, Humana Healthy Horizons in Kentucky (Medicaid) Preauthorization and Notification List, PDF
Effective January 1, 2024, Humana Healthy Horizons in Ohio (Medicaid) Preauthorization and Notification List, PDF

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

Previous preauthorization and notification lists

Commercial

Colorado

Georgia

Illinois

Texas

Preauthorization resources

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

Ready to submit

Submit or manage your preauthorization on Availity.

Learn more about Availity

Streamline preauthorization and referrals, PDF

Coverage criteria

Search coverage, medical and pharmacy criteria.

Medical and pharmacy coverage criteria

Medical coverage criteria updates and recent changes, PDF

Fax forms

Download a form to submit your preauthorization by fax.

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

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Preauthorization submission information

Submit preauthorizations for Humana Medicare or commercial or patients.