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HumanaMedicaid · Coverage · Medicaid · MI · Pain Management, Orthopedics, AnesthesiologyHigh impact

Injections for Chronic Pain Conditions - MEDICAID - MICHIGAN (New)

Effective date
May 22, 2026
Identified
Jun 24, 2026

Summary

New Humana Medicaid policy for Michigan establishes coverage criteria for chronic pain injections including epidural steroid injections, sacroiliac joint injections, and trigger point injections. Requires 4 weeks of failed conservative treatment and specific imaging guidance, with limits on number of injections per session and timing between procedures.

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What to do

Action · 5 steps
01Before May 22, 2026: Pain management and orthopedic providers must update documentation requirements for Humana Medicaid Michigan members receiving chronic pain injections.
02Ensure 4 weeks of conservative treatment (activity modification, NSAIDs, physical therapy) is documented before billing CPT 62321 or 62323.
03Update billing system to enforce injection limits: maximum 1 nerve root level per session for caudal/interlaminar approaches, maximum 2 injections per session for transforaminal approaches.
04Require real-time imaging guidance documentation.
05Claims without proper documentation will be denied.

Codes mentioned

6232162323

Original notice

Injections for Chronic Pain Conditions - MEDICAID - MICHIGAN (New)
mcp.humana.com · Always check the source before changing claims.
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Related changes

See all Humana changes →
Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (Revised)HighEffective Jul 29, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - KENTUCKY (Revised)HighEffective Jul 15, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (New)HighEffective Jan 7, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - ILLINOIS (New)HighEffective May 22, 2026 · MedicaidBrowse every Humana change in the policy list

Related policy hubs

Humana policiesMI policy changesPain ManagementOrthopedicsAnesthesiologyCode 62321Code 62323

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