Updated 9/6/2024 – This article was updated on 9/6/2024 to remove references to Humana. During our advocacy efforts, Humana informed the KAC that the chiropractic preauthorization requirements for their Medicare Advantage plans only apply to doctors located in...
The KAC is aware that providers have been receiving recoupment requests for lack of prior authorization. In late 2019/early 2020, the KAC was successful in stopping Anthem from requiring prior authorization for chiropractors through AIM in Kentucky. Providers should...
What exactly do you need to get prior authorization for Humana and UHC? UHC will need a prior authorization for any services that are deemed as “physical therapy.” These are typically the 97XXX codes. You can look up the code by following this...
As of 10/1/2021 – UHC Medicaid and Humana Medicaid will require prior authorization for chiropractic services. Below is what we know so far. We still believe this is a material change of contract as many have not been notified and all docs have not been...