MedicaidCoverageMedium impact
Home Health - MEDICAID - INDIANA (New)
Humana·IN · Family Medicine, Internal Medicine, Physical Therapy +3 more·Medicaid
Effective date
May 13, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicaid has established a new comprehensive home health services policy for Indiana members, defining eligibility criteria, coverage determination requirements, service hour limitations (3-16 hours daily based on medical needs), and specific documentation requirements including face-to-face encounters and written treatment plans.
Action Required
Before May 13, 2026: Billing team must update systems to ensure all home health service claims for Humana Medicaid Indiana members include required documentation (face-to-face encounter, written treatment plan, qualified practitioner orders). Update prior authorization workflows for 90-day initial authorizations with 60-day physician reviews. Train staff on new service hour criteria (3-16 hours daily based on medical complexity). Claims without proper documentation will be denied.