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Cranial Electrical Stimulation - Medicare Advantage (Revised)

Humana·Psychiatry, Neurology, Pain Management +1 more·Medicare Advantage
Effective date
May 1, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage has revised its policy to explicitly deny coverage for Cranial Electrical Stimulation (CES) for all indications including anxiety, depression, insomnia, fibromyalgia, and pain management. The policy states there are no covered indications and all uses are considered medically unnecessary.

Action Required

Action needed
Before May 1, 2026: Billing team must update systems to deny all Cranial Electrical Stimulation claims for Humana Medicare Advantage patients. Notify providers that CES devices (Alpha-Stim AID, Cervella, CES Ultra, Elexoma, Genesis Sleep, Modius Sleep) are not covered for any indication. Update pre-authorization systems to automatically deny CES requests as medically unnecessary.