Effective 2026-10-14: Billing team must update claim submission processes to align with Humana Virginia Medicaid orthotics policy (HUM-VA-2177-001). For each affected HCPCS code (L2106, L2108, L4631, L1640, L1680, L1681, L1685, L1686, L1690, L2060, L2126, L2128, L2132, L2134, L2136, L1700, L1710, L1720, L1730, L1755, L2525, L2526, L2627, L2628, L0810, L0820, L0830, L0859, L0700, L0710, L1000, L0624, L1200, L1230, L1300, L1310, L0999), ensure submitted claims include the specific clinical documentation required by coverage instructions. For example: AFO claims (L2106, L2108) must document tibial fracture with support need beyond ankle; L4631 static AFO requires goniometer-measured passive range of motion and stretching program documentation; hip orthosis codes (L1640-L1690) require diagnosis-specific clinical notes (hip dysplasia, trauma, cerebral palsy). Update billing software templates and prior authorization worksheets to capture and require these documentation elements before claim submission. Establish verification process with providers to confirm clinical documentation completeness, as claims lacking required detail may be denied. Train front-desk and billing staff on the specific medical necessity criteria for each code to prevent submission errors.