Benefit Program: . For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) DMEPOS suppliers, go to the DME Center (see under "Related Links" below). Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and electronic claims information. IMPORTANT Rates: Back Cover Changes for 2022: Page 3 Summary of Benefits: Page 60 Serving: Alabama, the majority of Arizona, Arkansas, California, Colorado, District of Columbia, Florida, Georgia, the majority Commonwealth of KentuckyCabinet for Health and Family Services. Out-of-network coverage. Oral health plays an important role when it comes to our health, but this is still an underexposed area. 0000130312 00000 n Likewise, Humana's Medicare Advantage plans require providers to submit all charges for home health services using the 837I transaction standard. Promulgated Fee Schedule 2022. 0000129188 00000 n . For a one-stop resource focused on new Care Management services under the Physician Fee Schedule, such as chronic care management and transitional care management services, visit the Care Management webpage. A guide that includes key phone numbers, claims and preauthorization contacts and information about working with us online. Claims & Payments Fee Schedule Listing Fee Schedules Claim payment inquiries . 0000015965 00000 n Select the Claims & Payments menu and choose Remittance Viewer. If you have purchased an association plan, an association fee may also apply. %PDF-1.6 % KY Medicaid Fee-for-Service Behavioral Health & Substance Health (Just Now) WebOutpatient (Non-Facility) Fee Schedule Effective January 1, 2021 (revised 9/1/2021) Providers are expected to be familiar with State Plan Amendment covered servcies and https://www.chfs.ky.gov/agencies/dms/DMSFeeRateSchedules/BHOutpatientFFS2021.pdf Assistive Care Services Fee Schedule. Operational Documents. ring the ide Fee Schedule Lookup Information p does n rage or must p e, cod o im Type * 0000126470 00000 n 0000036889 00000 n website belongs to an official government organization in the United States. MEDICAID PROGRAM DME FEE SCHEDULE 2021 Note: Red indicates new codes or changes for the most current revision date. Fees may change at the beginning of each fiscal year. No yearly enrollment fee for ADFMs. Care Management On November 14, 2018, CMS had published a final rule that affects the 2019 and 2020 DMEPOS and parenteral and enteral nutrition (PEN) fee schedules. These adjustments result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas, $5.17 to $5.43 in other non-rural areas, and $4.41 to $6.82 in noncontiguous and rural areas. You should never accept a Tricare contract that has more than a 8-10% discount off of CMAC. 0000001756 00000 n With Availity Essentials, a free, health-plan-sponsored solution, providers can enjoy real-time information exchange with many of the payers they work with every day.Availity also offers providers a premium, all-payer solution called Availity Essentials Pro.Essentials Pro can help enhance revenue cycle performance, reduce claim denials . 0000055350 00000 n 0000037283 00000 n PEIA is required by law to maintain the confidentiality, privacy, and security of our members' protected health information (PHI). Billing Schedule. Subscribe to Humana Physician News Medicare and commercial manuals 2022 Provider manual for physicians, hospitals and healthcare providers - effective March 15, 2022 2022 Provider manual for physicians, hospitals and healthcare providers - delegation - effective March 15, 2022 0000008158 00000 n Claims may be affected by other factors, such as state and federal laws and regulations, provider contract terms and our professional judgment. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. When compared to the 2020 fee schedule, rates have dropped over 5%, especially for the most common CPT codes which are highlighted in the chart. An official website of the United States government 0000004582 00000 n CHAMPUS Maximum Allowable Charges (CMAC) is the most frequently used TRICARE reimbursement method for procedures or services. If the General Dentist's normal fee for any dental procedure is less than the fee listed on this schedule, the dentist will charge 20% off of their normal fee for that . hbbd```b``nd dL`X0{ fO @H~$? ? Official websites use .govA On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) to adjust for the following: CMS has recalculated the MPFS payment rates and conversion factor to reflect these changes. Effective for items furnished on or after April 1, 2013, the non-mail order fee schedule amounts for Healthcare Common Procedure Coding System (HCPCS) codes A4233, A4234, A4235, A4236, A4253, A4256, A4258 and A4259 will be recalculated by removing the 5 percent covered item update for calendar year 2009 and applying a 9.5 percent reduction. Humanas benefit estimator is a secure web tool you can use to create a personalized estimate of a patients payment responsibility. *Please note that the CHAMPUS Maximum Allowable Charges (CMAC) take precedence over state prevailing rates. Contact Information. Group Dental and Vision Plans (Insurance through your employer). Humana Physician News replaces Humanas YourPractice. These policies are made available to provide information on certain Humana claims payment processes. This reduction applies to all Medicare Advantage plans. 1rwh 1xpehu 7lwoh 'hwdlov 3udfwlwlrqhu )hh 6fkhgxoh 6huylfhv surylghg e\ dq $351 ru d 3$ zlwklq wkhlu vfrsh ri sudfwlfh pd\ eh eloohg xqghu d a. Call 1-800-943-6880 for the Network Plus Prepaid and Preferred Plus DPPO plans Call 1-866-879-3630 for the Select 15 Prepaid and Schedule B plans Humana's plans encourage preventive treatment, helping you to better oral health and keeping your costs down. . 0000036826 00000 n Beginning with the fourth month, the fee schedu le amount is equal to 75% of the CR fee schedule amount paid in the first three rental months. Secure websites use HTTPS certificates. HumanaDental Prepaid HS195 Plan with Implants The HumanaDental Prepaid plans focus on maintaining oral health, prevention and cost-containment. 0000000016 00000 n If you need a more flexible plan, Humana's Dental High PPO plan might be right for you. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). We strongly encourage all our providers we work with to request an annual fee schedule adjustment to match inflation. For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). These policies are made available to provide information on certain Humana claims payment processes. 401 73 An official website of the State of North Carolina, Nurse Practitioner Fee Schedule - Aug. 16, 2022 - EXCEL, Nurse Practitioner Fee Schedule - Aug. 16, 6022 - PDF, Nurse Practitioner Fee Schedule - Aug. 10, 2022 - EXCEL, Nurse Practitioner Fee Schedule - Aug. 10, 2022 - PDF, Nurse Practitioner Fee Schedule - Aug. 4, 2022 - EXCEL, Nurse Practitioner Fee Schedule - Aug. 4, 2022 - PDF, Nurse Practitioner Fee Schedule - April 25, 2022 - EXCEL, Nurse Practitioner Fee Schedule - April 25, 2022 - PDF, Nurse Practitioner Fee Schedules Feb. 11, 2022 EXCEL, Nurse Practitioner Fee Schedules Feb. 11, 2022 PDF, Nurse Practitioner Fee Schedule - Dec. 21, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Dec. 21, 2021 - PDF, Nurse Practitioner Fee Schedule - Nov. 19, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Nov. 19, 2021 - PDF, Nurse Practitioner Fee Schedule - Nov. 16, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Nov. 16, 2021 - PDF, Nurse Practitioner Fee Schedule - Oct. 7, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Oct. 7, 2021 - PDF, Nurse Practitioner Fee Schedule - Sept. 24, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Sept. 24, 2021 - PDF, Nurse Practitioner Fee Schedule - July 22, 2021 - EXCEL, Nurse Practitioner Fee Schedule - July 22, 2021 - PDF, Nurse Practitioner Fee Schedule - July 15, 2021 - EXCEL, Nurse Practitioner Fee Schedule - July 15, 2021 - PDF, Nurse Practitioner Fee Schedule - June 28, 2021 - EXCEL, Nurse Practitioner Fee Schedule - June 28, 2021 - PDF, Nurse Practitioner Fee Schedule - May 14, 2021 - EXCEL, Nurse Practitioner Fee Schedule - May 14, 2021 - PDF, Nurse Practitioner Fee Schedule - March 23, 2021 - EXCEL, Nurse Practitioner Fee Schedule - March 23, 2021 - PDF, Nurse Practitioner Fee Schedule - March 2, 2021 - EXCEL, Nurse Practitioner Fee Schedule - March 2, 2021 - PDF, Nurse Practitioner Fee Schedule - Feb. 18, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Feb. 18, 2021 - PDF, Nurse Practitioner Fee Schedule - Feb. 12, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Feb. 12, 2021 - PDF, Nurse Practitioner Fee Schedule - Feb. 3, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Feb. 3, 2021 - PDF, Nurse Practitioner Fee Schedule - Jan. 22, 2021 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 22, 2021 - PDF, Nurse Practitioner Fee Schedule - Dec. 21, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Dec. 21, 2020 - PDF, Nurse Practitioner Fee Schedule - Oct. 6, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Oct. 6, 2020 - PDF, Nurse Practitioner Fee Schedule - Sept. 28, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Sept. 28, 2020 - PDF, Nurse Practitioner Fee Schedule - Aug. 12, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Aug. 12, 2020 - PDF, Nurse Practitioner Fee Schedule - June 26, 2020 - EXCEL, Nurse Practitioner Fee Schedule - June 26, 2020- PDF, Nurse Practitioner Fee Schedule - May 19, 2020 - EXCEL, Nurse Practitioner Fee Schedule - May 19, 2020- PDF, Nurse Practitioner Fee Schedule - April 22, 2020 - EXCEL, Nurse Practitioner Fee Schedule - April 22, 2020- PDF, Nurse Practitioner Fee Schedule - March 24, 2020 - EXCEL, Nurse Practitioner Fee Schedule - March 24, 2020- PDF, Nurse Practitioner Fee Schedule - March 18, 2020 - EXCEL, Nurse Practitioner Fee Schedule - March 18, 2020- PDF, Nurse Practitioner Fee Schedule - Feb. 28, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Feb. 28, 2020- PDF, Nurse Practitioner Fee Schedule - Jan. 21, 2020 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 21, 2020- PDF, Nurse Practitioner Fee Schedule - Nov. 8, 2019 - EXCEL, Nurse Practitioner Fee Schedule - Nov. 8, 2019 - PDF, Nurse Practitioner Fee Schedule - Sept. 19, 2019 - EXCEL, Nurse Practitioner Fee Schedule - Sept. 19, 2019 - PDF, Nurse Practitioner Fee Schedule - June 7, 2019 - EXCEL, Nurse Practitioner Fee Schedule - June 7, 2019 - PDF, Nurse Practitioner Fee Schedule - Jan, 24, 2019 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 24, 2019 - PDF, Nurse Practitioner Fee Schedule - Dec. 11, 2018 - EXCEL, Nurse Practitioner Fee Schedule - Dec. 11, 2018 - PDF, Nurse Practitioner Fee Schedule - Aug. 31, 2018- EXCEL, Nurse Practitioner Fee Schedule - Aug. 31, 2018- PDF, Nurse Practitioner Fee Schedule - Aug. 3, 2018- EXCEL, Nurse Practitioner Fee Schedule - Aug. 3, 2018- PDF, Nurse Practitioner Fee Schedule - July 24, 2018 - EXCEL, Nurse Practitioner Fee Schedule - July 24, 2018 - PDF, Nurse Practitioner Fee Schedule - June 1, 2018- EXCEL, Nurse Practitioner Fee Schedule - June 1, 2018 - PDF, Nurse Practitioner Fee Schedule - March 1, 2018- EXCEL, Nurse Practitioner Fee Schedule - March 1, 2018 - PDF, Nurse Practitioner Fee Schedule - Jan. 1, 2018- EXCEL, Nurse Practitioner Fee Schedule - Jan. 1, 2018 - PDF, Nurse Practitioner Fee Schedule - Jan. 1, 2017 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 1, 2017 - PDF, Nurse Practitioner Fee Schedule - Nov. 1, 2016 - EXCEL, Nurse Practitioner Fee Schedule - Nov. 1, 2016 - PDF, Nurse Practitioner Fee Schedule - April 22, 2016- EXCEL, Nurse Practitioner Fee Schedule - April 22, 2016 - PDF, Nurse Practitioner Fee Schedule - Jan. 19, 2016- EXCEL, Nurse Practitioner Fee Schedule - Jan. 19, 2016 - PDF, Nurse Practitioner Fee Schedule - Jan. 1, 2016 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 1, 2016 - PDF, Nurse Practitioner Fee Schedule - Sept. 3, 2015 - EXCEL, Nurse Practitioner Fee Schedule - Sept. 3, 2015 - PDF, Nurse Practitioner Fee Schedule - July 8, 2015 - EXCEL, Nurse Practitioner Fee Schedule - July 8, 2015 - PDF, Nurse Practitioner Fee Schedule - Jan. 7, 2015 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 7, 2015 - PDF, Nurse Practitioner Fee Schedule - Oct. 7, 2014 EXCEL, Nurse Practitioner Fee Schedule - Oct. 7, 2014 - PDF, Nurse Practitioner Fee Schedule - Jan. 1, 2013 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 1, 2013 - PDF, Nurse Practitioner Fee Schedule - July 1, 2012 - EXCEL, Nurse Practitioner Fee Schedule - July 1, 2012 - PDF, Nurse Practitioner Fee Schedule - Jan. 1, 2012 - EXCEL, Nurse Practitioner Fee Schedule - Jan. 1, 2012 - PDF. TRICARE PRIME (JAN. 1-DEC. 31, 2021) Includes TRICARE Prime, TRICARE Prime Remote, the US Family Health Plan (USFHP), and TYA Prime plans. Effective for claims with dates of service on or after April 1, 2021, the fee schedule amounts for HCPCS codes E0424, E0431, E0433, E0434, E0439, E0441, E0442, E0443, E0444, E0447, E1390, E1391, E1392, E1405, E1406, and K0738 are adjusted to remove a percentage reduction necessary to meet the budget neutrality requirement previously mandated by section 1834(a)(9)(D)(ii) of the Act. This allows providers who become qualified after the October 1, 2021, implementation date a second opportunity to become eligible for MPIP. 2022 CDT code changes. 401 0 obj <> endobj xref PA required for rentals as indicated on the fee schedule. 0000127906 00000 n 0000129776 00000 n This final rule also establishes new payment classes for portable liquid oxygen equipment, portable gaseous oxygen equipment, and high flow portable liquid oxygen contents. We will promptly process your voluntary disenrollment and will no longer reach out to set up payment. Section 636 of this new law revises the Medicare non-mail order fee schedule amounts for diabetic testing supplies. Immunizations and Injectables Long Term Care Hospital and Inpatient Rehab Facility Reimbursement Low Back Pain Imaging Partial Hospitalization Programs Psychotropic Pharmacologic Management Services (see Billing Guidelines and Approval section of Benefits A-Z page) Secondary Claims with Other Health Insurance Skilled Nursing Facility Reimbursement As of 2/1, TRICARE Group A retirees who did not set up a payment are subject to disenrollment and have until June 30th to call us at (800) 444-5445 and be reinstated. Publication 4/13/2021 Recommended Content: 0000026892 00000 n 512-463-0235. A lock icon or https:// means youve safely connected to the official website. In the event of a dispute, the policy as written in English is considered the controlling authority. Additional CMS billing requirements for home health include, but are not limited to, the following: Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). If a quantity limit is exceeded, a CMN & PA are required. If you have purchased an association plan, an association fee may also apply. It is the responsibility of the TRICARE beneficiary, parent or legal representative to report a change in status. 0000026662 00000 n Questions may be directed to Humana provider relations by calling 1-800-626-2741, Monday Friday, 8 a.m. 5 p.m., Central time. These codes (A5210, S5210, W9040 and A7350) are not allowed as additional codes for extra benefit, either at point of pre-authorisation and at claims payment; the fee for pain relief is included in the main CCSD code. You can decide how often to receive updates. 2018 Meetings. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). TRICARE Program Manuals - 2021 Edition (T-5) TRICARE Operations Manual 6010.62-M, April 2021; TRICARE Policy Manual 6010.63-M, April 2021; TRICARE Reimbursement Manual 6010.64-M, April 2021; TRICARE Systems Manual 7950.4-M, April 2021 Administered by Humana Insurance Company. Humana Dental feds.humana.com 1-877-692-2468 . 0000016048 00000 n 0000015910 00000 n Get a quote or learn more about Medusinds, Pathology Billing and Practice Management solutions, Pathology Billing and Practice Management. lock This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. The mouth is sometimes forgotten when it comes to good health. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. 23 Comments. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. 0000130234 00000 n 0000055029 00000 n Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 0000054193 00000 n Sign up to get the latest information about your choice of CMS topics. The chart below shows only the professional component (PC) fees for pathology for the current year and previous two years. The professional component of clinical pathology is being increasingly cut out by most major commercial and governmental payors, and look for more payors to drop out in 2022. (In the rare case that a paper submission is appropriate, the plan will permit a provider to submit charges using the paper equivalent of 837I, which is Form CMS-1450, also known as UB-04). For New Mexico residents: Insured by Humana Insurance Company. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. We expect high-call volumes, so if you experience long wait times, we encourage you to continue to try to call us back sometime before June 30. https:// Billing Schedule. The fee schedule amounts for other areas where competitive bidding has yet to be implemented are adjusted using competitive bidding pricing only. To take advantage of this tool, you must be a registered Availity Portal user. Due to the volume of adjustments anticipated, the contractors have been provided 6 months to complete all adjustments. In states, and for products where applicable, the premium may include a $1 administrative fee. 0000010693 00000 n . Our representatives are trained to answer many of your claims questions and can initiate contact with other Humana departments when further review or research is needed. You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. An official website of the United States government 0000037533 00000 n State prevailing rates (or state fees), are fees for Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes for which the Defense Health Agency (DHA) has not established rates or fees. The ruling is effective on or after January 12, 2017 for CGM products covered by the ruling. Contact information for Humana's response . %%EOF hb```f``ZAX C :107bMV T~|wjO8/][{syO/-3=usfAi;->&$[ *pH&hS"? Contact Humana between 8 a.m. and 6 p.m. Eastern time, Monday through Friday. 0000127520 00000 n The State of Texas' fiscal year begins on September 1st. Suppliers should not use the KE modifier for accessories that were included in the 2008 CBP when these accessories are furnished to beneficiaries residing in non-rural, non-CBA areas. Updated Fee Schedule July 2022. It establishes a new methodology for ensuring that all new payment classes for oxygen and oxygen equipment are budget neutral in accordance with section 1834(a)(9)(D)(ii) of the Act. endstream endobj startxref This will result in the fee schedule amounts for non-mail order diabetic testing supplies being equal to the fee schedule amounts for mail order diabetic testing supplies (denoted by KL modifier). For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). Individual applications are subject to eligibility requirements. Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. ABA Maximum Allowed Rates Effective May 1 2021. The calendar year (CY) 2022 PFS final rule is one of several rules that reflect a broader Administration-wide strategy to create a health care system that results in better accessibility, quality, affordability, empowerment, and innovation. If you have a coinsurance rate of 20%, you would be required to pay $200 for the cost of the operation, , https://www.claritychi.com/insurances/humana/, Health (3 days ago) WebHumana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Additionally, healthcare providers may refer to the CMS Medicare FFS Provider e-News (March 8, 2013) , PDF opens new window for more information. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. Hear the welcome to Humana Military statement, When asked if you are provider or beneficiary, say Beneficiary, After the privacy act statement is read, you will hear Lets continue, how can I help you today?, You will then be transferred to our Billing and Enrollment menu. Reimbursement Reimbursement for DME services is listed in the Kentucky Medicaid DME Fee Schedule and defined in 907 KAR 1:479. Duplication of Service Select the Eligibility and Benefits Inquiry link to look up your patients coverage. Whether a procedure is covered shall be determined based on the terms and provisions of a specific member plan or policy. Technical guidance documents for healthcare providers, Medicare provider materials These policies are subject to change or termination by Humana. 0000013491 00000 n However, for claims that the KE modifier would have been applicable to, the supplier may perform adjustments to append the KE modifier or notify their MAC to adjust those claims after the mass adjustments for the 50/50 blended fees have been completed. This rule also proposes the implementation of budget-neutral fee schedules for splints and casts, and intraocular lenses (IOLs) inserted in a physicians office. Not available with all Humana health plans. Fee Schedule. Final Rule and Program Updates. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Durable Medical Equipment, Prosthetics/Orthotics & Supplies Fee Schedule, Medicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) final rule (CMS-1738-F, CMS-1687-F, and CMS-5531-F), that updates payment and benefit category policies and other provisions for DMEPOS items. Humana has full and final discretionary authority for their interpretation and application. The Year 6 qualified provider list, available at the link below, will be updated after each reassessment.

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