MedicaidCoverageMedium impact
Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - OKLAHOMA (Revised)
Humana·OK · Pediatrics, PM&R (Physical Medicine & Rehab), Physical Therapy +1 more·Medicaid
Effective date
Dec 17, 2025
We identified it
Jun 24, 2026
Summary
Humana Medicaid Oklahoma has updated their durable medical equipment (DME) policy covering coverage criteria, repair/replacement guidelines, and specific equipment determinations. The policy includes detailed coverage criteria for pediatric walkers, hospital beds, bathtub equipment, and other DME items with specific medical necessity requirements.
Action Required
Before December 17, 2025: Billing team must update DME authorization procedures for Humana Medicaid Oklahoma members. Review specific coverage criteria for pediatric walkers (E1399), hospital beds (E0250-E0329), and other DME items. Update prior authorization requests to include required medical necessity documentation per the new policy guidelines. Note that several items including UpSee Mobility Devices, Rolling Shower Frames, Oscillating Beds, Overbed Tables, and Safety Sleep Beds are now specifically listed as not medically necessary.