From Humana --
An important message regarding Humana’s COVID-19 response: ADMINISTRATIVE UPDATE Jan. 20, 2021
Like you, we are concerned with the unprecedented surge of COVID-19 cases in Arkansas, Colorado, Delaware, Idaho,
Indiana, Kansas, Kentucky, Michigan, Missouri, New Hampshire, New Mexico, North Carolina, Ohio, Oklahoma,
Pennsylvania, Texas, Utah, Virginia and West Virginia. We strive to understand the unique challenges different states face
and determine how we can help.
In response, Humana is suspending authorization requirements for skilled nursing facilities (SNFs) for Medicare
Advantage and commercial members in the entire states of Arkansas, Colorado, Delaware, Idaho, Indiana, Kansas,
Kentucky, Michigan, Missouri, New Mexico, North Carolina, Ohio, Oklahoma, Texas, Utah, Virginia and West Virginia
through Feb. 28, 2021. These suspended authorization requirements also apply to six Pennsylvania counties (Franklin,
Philadelphia, Montgomery, Bucks, Chester and Delaware) and Hillsborough County in the state of New Hampshire.
Except for the states of Delaware, Idaho and Utah, as well as Franklin County in Pennsylvania, NaviHealth will continue to
work with SNF facility-based teams on concurrent review for length of stay and appropriate level of care, including
Please provide notification of admission within 24 hours to allow us to track our members’ progress and provide
assistance with discharge planning. You will receive an approval when you submit the notification. This suspension
applies to participating/in-network providers only.
- Authorization suspension, as outlined herein, will continue through Feb. 28, 2021.
- This suspension applies to participating/in-network providers only.
- Please provide notification of admission within 24 hours to allow us to track our members’ progress. You will receive an approval when you submit the notification.
- No other services requiring prior authorization are included in this suspension.
We are here to support you as you care for your Humana-covered patients, particularly during this difficult time. Humana
leaders will continue to monitor service volumes as well as the progression of the COVID-19 curve and recovery. We will
update you on policies and processes that affect your practices and organizations as this crisis evolves.
If you have any questions about these new procedures, please contact your Humana representative.