Effective 2026-10-14: Billing and authorization teams must implement prior authorization requirements for all orthotics covered under this policy before processing claims. Specific actions: (1) Update billing system to flag all 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, and L3971 as requiring prior authorization before claim submission; (2) Require providers and clinical staff to submit detailed medical necessity documentation with clinical justification specific to each orthotic type (e.g., goniometer measurements for static AFO contracture treatment, fracture type for tibial fractures, indication documentation for knee immobilization); (3) Ensure prior authorization approval is obtained and documented in the member record before billing; (4) Train billing staff on source-specific medical necessity criteria for each code to prevent claim denials; (5) Review member's individual coverage document to confirm applicability, as policies may be modified by specific plan terms. Failure to obtain prior authorization will result in claim denials. Affected payer: Humana Medicaid Kentucky.