On Jan. 22, 2018, Humana will update its preauthorization and notification lists for all commercial fully insured, Medicare Advantage (MA) plans and dual Medicare-Medicaid plans. Preauthorization will be required for left atrial appendage closure (LAAC) device (e.g.; Watchman™), lung biopsy and resection and simple mastectomy and gynecomastia surgery (excluding radical and modified), as well as additional medications delivered in the physician’s office, clinic, outpatient or home setting.
Important note regarding epidural injections: The notification letter mailed to all participating physicians and health care professionals included the following:
The epidural injection requirement has been revised, and OrthoNet will retain management of epidural injections.