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MedicaidCoverageMedium impact

Prosthetics - MEDICAID - KENTUCKY (New)

Humana·KY · Orthopedics, Plastic Surgery, PM&R (Physical Medicine & Rehab) +3 more·Medicaid
Effective date
Oct 7, 2025
We identified it
Jun 24, 2026
Days to comply

Summary

New Humana Medicaid policy for Kentucky establishes comprehensive coverage criteria for prosthetic devices including limbs, eyes, ears, and specialized systems. The policy defines covered prosthetics, specific eligibility requirements, and billing codes for various prosthetic components and services.

Action Required

Action needed
Before October 7, 2025: Billing team must review and implement new Humana Kentucky Medicaid prosthetics coverage criteria. Update prior authorization workflows for OPRA devices (L5991) to verify age 22-65 and specific medical criteria. Ensure documentation captures medical necessity for all prosthetic claims to restore ADL function. Train staff on new socket quantity limits (up to 2 test sockets and 2 regular sockets per prosthesis).

Affected Billing Codes

V2623
V2627
L8609
21086
21088
L8044
L5961
L5991
L3250
L5618
L5620
L5622
L5624
L5626
L5628
L6682
L6684
L6050
L6055
L6100
L6110
L6120
L6130
L6200
L6205
L6250
L6300
L6350
L6400
L6450
L6500
L6550
L6570
L6580
L6582
L6584
L6586
L6588
L6590
L6686
L6687
L6688
L6689
L6690
L6691
L6692
L6693
L6694
L6695
L6696
L6697
L6698
L6883
L6884
L6885