Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
HumanaMedicaid · Coverage · Medicaid · IN · Pain Management, Family Medicine, Internal Medicine +4 moreHigh impact

Opioid Days' Supply Limitation

Act
immediately
Effective date
Jul 1, 2024
Identified
Jun 24, 2026

Summary

Humana Medicaid Indiana has implemented strict opioid prescribing limits effective July 1, 2024. Opioid-naive patients are limited to 7-day supplies for acute pain, while opioid-tolerant patients can receive 30-day supplies for non-acute pain, with specific exceptions for cancer, sickle cell disease, and palliative care patients.

Get alerts when payers change rules like this one

We check Humana and other payers every day and email you when a change matches your specialty and state.

Get Humana alertsPolicy Monitoring is free. No card required.

What to do

immediately · 4 steps
01Billing team must verify opioid prescription quantities align with new limits before submitting claims.
02For opioid-naive patients, ensure prescriptions do not exceed 7-day supplies unless patient meets specific exemptions (cancer, sickle cell, palliative care, long-term care facility resident, or opioid-tolerant).
03Update prior authorization workflows to document patient status and exemption criteria.
04Claims for quantities exceeding limits without proper documentation will be denied.

Original notice

Opioid Days' Supply Limitation
mcp.humana.com · Always check the source before changing claims.
View original ↗

Related changes

See all Humana changes →
Opioid Days' Supply Limitation (Revised)HighEffective Oct 30, 2024 · Medicare AdvantageIndiana Opioid Days' Supply LimitationHighEffective Jul 1, 2024 · MedicaidBrowse every Humana change in the policy list

Related policy hubs

Humana policiesIN policy changesPain ManagementFamily MedicineInternal MedicineGeneral PracticeEmergency MedicineOncologyPalliative Care

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account