Humana
Outpatient Physical, Occupational, and Speech Therapy Management Program

IMPORTANT NOTICE: As announced, Humana resumed Prior Authorization of outpatient Physical Therapy, Occupational Therapy and Speech Language Pathology services effective January 1, 2020. A New Web Portal for this program has been implemented. Please refer to the links and contact information on this page as indicated.

Program Update

Please click on the Program Announcement for the latest information on the program. Also, a Frequently Asked Questions document has been prepared that contains additional program information.

See Frequently asked questions (Outpatient Physical, Occupational, and Speech Therapy Management Program)

Pain Management, Musculoskeletal Surgery Programs

Humana has delegated the precertification of spinal and certain musculoskeletal surgeries in any setting as well as outpatient interventional pain management procedures (not including trigger point injections) to OrthoNet. These procedures are listed on the applicable Humana Prior Authorization List which can be viewed at Humana's website (humana.com).

Services for members covered by Humana’s commercial programs (HMO, POS, PPO, EPO) and Medicare Advantage Programs (not including Private Fee-for-Service members) on these lists must be pre-certified through OrthoNet. Humana will continue to provide all other related services for these procedures such as claim payment, patient case management, member services and provider relations services.

See Frequently Asked Questions (Pain Management and Musculoskeletal Surgery)

Forms

Instructions

Click the link to open the form in a new browser window, then use your browser's Print button to print it. To download the form for later printing, right-click the link and choose "Save target as..." from the popup menu. Then use the file dialog to navigate to a folder on your hard drive where you wish to save the file.

Get Adobe ReaderAll forms are PDF files. You'll need Adobe® Reader® to view and print them. Adobe Reader is available from Adobe for free.

Pain Management Therapy Request Form  
Musculoskeletal Surgery Request Form  
TX Prior Authorization Form (optional)  
IN Prior Authorization Form (optional)
NM Prior Authorization Form

Humana Outpatient Rehab
(PT/OT/SLP)

To begin using our secure site; you must create a user account.

Prior Authorization Submission and Status


  • New User-Account Request Form

  • To submit authorization check status
  • Request Authorization or Check Status
  • Humana Pain Management
    -Surgery

    To begin using our secure site; you must create a user account.

    Prior Authorization Submission and Status


  • New User-Account Request Form

  • To submit authorization check status
  • Request Authorization or Check Status

  • Click on the Web Portal FAQ for Step by Step directions.

    Contact

    Humana Outpatient Rehab (PT/OT/SLP)
    844-938-0346

    Musculoskeletal Surgery
    866-565-4733
    Fax: 866-621-9008

    Pain Management
    888-605-5344
    Fax: 888-605-5345

    Health Plan Web Site

    www.humana.com