Prior Authorization

Humana – CareSource® evaluates prior authorization requests based on medical necessity, medical appropriateness and benefit limits.

Services That Require Prior Authorization

All services that require prior authorization from Humana – CareSource should be authorized before the service is delivered. Humana – CareSource is not able to pay claims for services in which prior authorization is required, but not obtained by the provider.

Prior Authorization Procedures

Request prior authorization for health care services via the Provider Portal or by phone, fax or mail.

Phone: 1-855-852-7005

Fax: 1-888-246-7043

Mail:

Humana – CareSource 
P.O. Box 8738
Dayton, OH 45401

Email:    kymedicalmanagement@caresource.com

Written prior authorization requests should be submitted on the  Medical Prior Authorization Request Form.