Humana - Reinstating Authorizations for COVID-19 and Other Provider Updates

October 19, 2020

Fellow physicians and healthcare professionals:

The last several months have been unlike any other in our lifetime as we are navigating this pandemic together. However, I believe we will emerge on the other side in a stronger, better state. As we continue along this new normal together, I want to share two updates with you regarding reactivating standard authorization processes and new programs for your Humana patients to support the care they receive from you.

Reinstating Authorizations for COVID-19 Diagnoses

Humana is reinstating authorization requirements for COVID-19 related diagnoses for Medicare Advantage and commercial plans. Medicaid and commercial plans will continue to follow state regulations and existing state executive orders as applicable.

We are providing advanced notice so you can prepare for this change. Availity and telephonic authorization tools will continue to provide an approval upon submission of a COVID-19 related authorization request or notification through Oct. 23, 2020, and no process changes are required through that date. We will reinstate authorization requirements on COVID-19 diagnoses for Medicare Advantage and commercial plans for authorizations requested on or after Oct. 24, 2020.

 

Please read the attachements for further details.