MedicaidCoverageMedium impact
Obstructive Sleep Apnea Interventional Therapy - MEDICAID - FLORIDA (New)
Humana·FL · Sleep Medicine, ENT (Ear, Nose & Throat), Pulmonology·Medicaid
Effective date
Jun 22, 2026
We identified it
Jun 24, 2026
Summary
Humana Florida Medicaid has issued a new policy stating that monitoring features/devices (A9279) and uvulectomy procedures (42140) for obstructive sleep apnea treatment are NOT covered. This policy establishes that these services are considered non-covered benefits with no covered indications.
Action Required
Before June 22, 2026: Billing team must update system to mark CPT 42140 (uvulectomy) and HCPCS A9279 (monitoring features/devices) as non-covered for Humana Florida Medicaid members with OSA. Update encounter forms to alert providers that these services will not be reimbursed. Inform patients of potential out-of-pocket costs before providing these services.