MedicaidCoverageMedium impact
Superficial Radiation Therapy - MEDICAID - MICHIGAN (New)
Humana·MI · Dermatology, Radiation Oncology, Oncology·Medicaid
Effective date
Mar 9, 2026
We identified it
Jun 24, 2026
Summary
Humana Medicaid in Michigan now covers superficial radiation therapy (SRT) for nonmelanoma skin cancers when surgery is contraindicated or refused, but explicitly excludes image-guided SRT. This establishes new coverage for standard SRT procedures while setting clear limitations on advanced imaging-guided treatments.
Action Required
By March 9, 2026: Billing teams must update systems to recognize coverage for CPT codes 77436, 77437, 77438, and 77439 for superficial radiation therapy under Humana Medicaid Michigan plans, but only when treating nonmelanoma skin cancer and surgery is contraindicated or refused. Flag any image-guided superficial radiation therapy claims as non-covered. Update prior authorization workflows to verify medical necessity documentation showing surgical contraindication.