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MedicaidCoverageMedium impact

Prosthetics - MEDICAID - OKLAHOMA (Revised)

Humana·OK · Orthopedics, Plastic Surgery, Ophthalmology +2 more·Medicaid
Effective date
Jan 7, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

This is a comprehensive revision of Humana's Oklahoma Medicaid prosthetics coverage policy, establishing detailed coverage criteria for various prosthetic devices including upper/lower limb prostheses, eye/ear prostheses, and specialized devices like osseointegrated implants. The policy includes specific eligibility requirements and covered HCPCS codes for prosthetic services.

Action Required

Action needed
By January 7, 2026: Billing team must update prior authorization requirements and coverage criteria for all listed prosthetic codes in billing system for Oklahoma Medicaid patients. Review and update encounter forms to include new eligibility criteria for osseointegrated prostheses (age 22-65, specific contraindications). Train staff on enhanced documentation requirements for prosthetic fittings and test sockets. Ensure medical necessity documentation aligns with new policy criteria to prevent claim denials.

Affected Billing Codes

21081
21082
21084
21086
21088
L8044
L8609
V2623
V2627
L5961
L5991
L8699
L3250
L5618
L5620
L5622
L5624
L5626
L5628
L5400
L5410
L5420
L5430