By 2026-10-14, billing and clinical teams must implement prior authorization requirements for all orthotics covered under this policy. Update billing software and prior authorization workflows to require prior auth submissions for the affected HCPCS codes (L2108, L4631, L1680, L1685, L1690, L1836, L2126, L2128, L2136, L1700, L1710, L1720, L1730, L1755, L2525, L2627, L2628, L3050, L3060, L3202, L3203, L3204, L3649, L0700, L0710, L1200, L1310, L0999, L1499, L3710, L3740, L3761, L3971). Providers and clinical staff must ensure that medical documentation includes specific clinical justification matching the coverage criteria outlined in the policy (e.g., goniometer measurements for static AFO, detailed descriptions of medical necessity for custom orthotics, trauma or injury documentation for hip and knee orthotics). Billing team should verify that claims include required supporting documentation before submission; claims without prior authorization or insufficient documentation will be denied by Humana Kentucky Medicaid.