MedicaidCoverageMedium impact
Medical Supplies, Equipment and Appliances Durable Medical Equipment - MEDICAID - KENTUCKY (Revised)
Humana·KY · Pediatrics, PM&R (Physical Medicine & Rehab), General Practice +1 more·Medicaid
Effective date
Dec 1, 2025
We identified it
Jun 24, 2026
Summary
Humana Kentucky Medicaid has updated their durable medical equipment (DME) policy effective December 1, 2025, establishing specific coverage criteria for ambulatory aids, hospital beds, and related equipment. The policy clarifies that certain items like UpSee Mobility Devices and Safety Sleep Beds are not medically necessary and will not be covered.
Action Required
Before December 1, 2025: Billing team must update DME authorization requests to ensure compliance with new coverage criteria for pediatric walkers, hospital beds, and related equipment. Update billing system to flag non-covered items like UpSee Mobility Devices (E1399) and Safety Sleep Beds as requiring denial. Verify medical necessity documentation meets the specific criteria outlined in the policy before submitting claims to avoid denials.