Notification Number: 3626
Effective date: 5/3/2018
Notification date: 2/2/2018
Topic: Non-speech-generating augmentative and alternative communication device
Humana will not reimburse charges for the following services:
Humana's policy on autism spectrum disorders has been updated to indicate that the services above are not covered expenses.
For more information, refer to Humana's Medical and Pharmacy Coverage Policies page and search for keywords “92605” or “92606.”
Claim edits do not supersede the necessity to obtain preauthorization. Preauthorization requirements are still applicable. Modifiers should be used when appropriate to accurately represent the services rendered. The use of modifiers may impact Humana’s application of these edits. For additional information, consult professional coding resources.
*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.