|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.
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)