High impact
Orthotics - MEDICAID - KENTUCKY (Revised)
Humana·Effective Oct 14, 2026
Humana Kentucky Medicaid has revised its Orthotics coverage policy, effective 2026-10-14. The policy establishes medical necessity criteria, prior authorization requirements, and specific HCPCS codes for coverage of braces, splints, casts, and other orthotic devices across lower extremity, foot, spine, and upper extremity categories. Billing teams must verify prior authorization is obtained before claims submission and ensure documentation supports medical necessity for each orthotic type.