MedicaidCoverageMedium impact
Obstructive Sleep Apnea Interventional Therapy - MEDICAID - MICHIGAN (New)
Humana·MI · Sleep Medicine, ENT (Ear, Nose & Throat), General Surgery·Medicaid
Effective date
May 22, 2026
We identified it
Jun 24, 2026
Summary
Humana Michigan Medicaid has issued a new policy stating that tongue neuromuscular electrical stimulation devices (like eXciteOSA) and uvulectomy procedures for obstructive sleep apnea treatment are NOT covered. These services are deemed to have insufficient evidence for standard medical treatment.
Action Required
Before May 22, 2026: Billing team must update system to deny/reject claims for uvulectomy (CPT 42140) and tongue neurostimulation devices (HCPCS E0490, E0491, E0492, E0493) for Humana Michigan Medicaid members with OSA. Update encounter forms to alert providers these services are not covered. Claims submitted will be denied as not medically necessary.