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HumanaMedicaid · Prior Auth · Medicaid · KY · General Surgery, Dermatology, Plastic Surgery +2 moreMedium impact

RECELL Autologous Cell Harvesting Device - MEDICAID - KENTUCKY (New)

Effective date
Aug 12, 2026
Identified
Aug 4, 2026

Summary

Humana Kentucky Medicaid has issued a NEW policy (effective 08/12/2026) establishing coverage for the RECELL autologous cell harvesting device for specific wound and vitiligo treatment indications. The device is now a covered service under Kentucky Medicaid with mandatory prior authorization requirements. Billing team must implement prior auth workflows and ensure claims are coded using C1832 or C8002 HCPCS codes only for approved indications.

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What to do

Action · 6 steps
01Billing team must configure billing system to REQUIRE prior authorization for all RECELL device claims using HCPCS codes C1832 and C8002 for Kentucky Medicaid members.
02Update encounter forms and provider documentation templates to specify approved indications: thermal burn wounds (with meshed autograft), full-thickness skin defects (traumatic/surgical/resection), acute partial-thickness thermal burns (age 18+), or vitiligo repigmentation (age 18+).
03Implement age verification checks in billing system (minimum age 15 for some indications, age 18 for others).
04Train billing and clinical staff to verify absence of contraindications (trypsin hypersensitivity, compound sodium lactate hypersensitivity, anesthetic/adrenaline/iodine/chlorhexidine hypersensitivity) before submitting prior authorization requests.
05Flag all claims for indications OTHER than those listed as 'not medically necessary' and deny automatically.
06For members under age 21, ensure prior auth requests include EPSDT medical necessity justification.
If missed: Failure to obtain prior authorization will result in claim denials.

Codes mentioned

C1832C8002

Original notice

RECELL Autologous Cell Harvesting Device - MEDICAID - KENTUCKY (New)
mcp.humana.com · Always check the source before changing claims.
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