MedicaidCoverageMedium impact
Neurostimulators - MEDICAID - INDIANA (New)
Humana·IN · Neurosurgery, Neurology, Urology·Medicaid
Effective date
Jun 17, 2026
We identified it
Jun 24, 2026
Summary
Humana Indiana Medicaid has established a new policy covering neurostimulator procedures, including brain electrodes, skull-mounted cranial devices for drug-resistant epilepsy, and posterior tibial nerve stimulators for bladder dysfunction. The policy sets specific medical necessity criteria and age requirements (18+ for cranial devices) with detailed coverage limitations.
Action Required
Before June 17, 2026: Billing team must update prior authorization requirements for neurostimulator procedures in Indiana Medicaid. Verify patients meet specific criteria including age 18+ for cranial devices, 3+ seizures per month, and failure of 2+ medications for epilepsy cases. Update encounter forms to capture required documentation elements. Claims without proper documentation will be denied.