MedicaidPrior AuthMedium impact
Sinuva® (mometasone furoate) sinus implant (New)
Humana·IN · ENT (Ear, Nose & Throat)·Medicaid
Effective date
Dec 1, 2025
We identified it
Jun 24, 2026
Summary
Humana Indiana Medicaid has established a new prior authorization policy for Sinuva® (mometasone furoate) sinus implant effective December 1, 2025. Prior authorization will be required for patients 18+ with chronic rhinosinusitis with nasal polyps who have had ethmoid sinus surgery.
Action Required
By December 1, 2025: Billing team must update prior authorization requirements for Sinuva® (mometasone furoate) sinus implant for Indiana Medicaid patients. Verify patients are 18+ years old and have diagnosis of chronic rhinosinusitis with nasal polyps before prescribing. Visit www.humana.com/PAL for medical and procedural coding information. Claims will be denied without proper prior authorization.