MedicaidCoverageMedium impact
Cardiac Devices - MEDICAID - INDIANA (New)
Humana·IN · Cardiology, Emergency Medicine, Internal Medicine +1 more·Medicaid
Effective date
Mar 18, 2026
We identified it
Jun 24, 2026
Summary
Humana Indiana Medicaid has established a new comprehensive policy for cardiac devices including automated external defibrillators (AEDs), implantable cardioverter-defibrillators (ICDs), and mobile cardiac outpatient telemetry (MCOT). The policy defines specific eligibility criteria and coverage limitations for each device type, with detailed medical necessity requirements.
Action Required
Before March 18, 2026: Billing team must update systems to incorporate Humana Indiana Medicaid's cardiac device coverage criteria. Ensure documentation requirements are met for AED eligibility (including caregiver capability and specific cardiac conditions), ICD medical necessity, and MCOT indications (symptoms less frequent than every 48 hours). Update encounter forms to remind providers of the detailed exclusion criteria for AEDs and limited indications for MCOT to prevent claim denials.