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Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (New)
Act
by Jan 7, 2026
Effective date
Jan 7, 2026
Identified
Jun 24, 2026
Summary
New Medicaid policy for Oklahoma establishes coverage criteria for chronic pain injections including epidural steroid injections, sacroiliac joint injections, and trigger point injections. The policy requires 4 weeks of conservative treatment failure and limits injection frequency and number of nerve root levels per session.
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What to do
by Jan 7, 2026 · 3 steps
01Billing team must update systems to verify Oklahoma Medicaid patients receiving chronic pain injections (CPT 62321, 62323) have documentation of 4 weeks failed conservative treatment including activity modification, medications, and physical therapy.
02Implement checks to ensure radicular pain documentation and proper injection frequency limits (diagnostic phase: 2 injections minimum 2 weeks apart; therapeutic phase: minimum 2 months apart with 50% pain relief).
03Update encounter forms to remind providers of imaging guidance requirements.
Codes mentioned
6232162323
Original notice
Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (New)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (Revised)HighEffective Jul 29, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - KENTUCKY (Revised)HighEffective Jul 15, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - MICHIGAN (New)HighEffective May 22, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - ILLINOIS (New)HighEffective May 22, 2026 · MedicaidBrowse every Humana change in the policy list