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Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

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Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Humana Healthy Horizons in Indiana

Providers should review the Humana Healthy Horizons in Indiana (PathWays) Preauthorization and Notification List online at Humana.com/PAL.

IHCP Prior Authorization Request Form

PathWays Medication Preauthorization and Notification List

Pharmacy prior authorization

The process by which medication is supplied by a pharmacy and billed through the pharmacy benefit includes medication prior authorization, quantity limits and medication exceptions. To learn more or view the full list of medications requiring prior authorization:

Contact Us: 800-555-2546, Monday - Friday 8am -11pm ET. Please note, Urgent After-Hours Voicemail is monitored on the weekends.

Right Choices Program

Call 833-410-2496, option 7, from 8 a.m. to 5:30 p.m., Eastern time. After hours, please leave a voicemail with the member's name, Medicaid ID number, contact phone number and a detailed description of your request.

Fax 502-996-8184.

Email CPORM@humana.com.

To request prior authorization for services

Except where otherwise noted in your Provider Manual requests for services may be initiated:

Online via Availity Essentials. Registration is required, and online prior authorization requests are encouraged.

By calling our authorization intake team directly at800-555-2546, Monday - Friday 8 a.m. – 8  p.m. ET



Fax the IHCP Prior Authorization Request Form to 502-324-6376 (Medicaid only) or 502-405-5020 (dual eligible) for both physical health and behavioral health authorizations.

Peer-to-peer (P2P) consultations

Providers may request a P2P consultation when Humana Healthy Horizons denies a prior authorization request. If you would like to request a P2P discussion on a determination with a Humana Healthy Horizons provider reviewer:

email to INMCDP2PRequest@humana.com

fax your request to 502-324-6376

or by calling our authorization intake team directly at 800-555-2546, Monday – Friday, 8 a.m. – 8 p.m. ET

The P2P request must be made within 15 business days of the determination.

Statewide Uniform Preferred Drug List (SUPDL)

Indiana SUPDL



Prior Authorization Request Forms

Antiviral Monoclonal Antibodies Form

Benzo-Opioid Duplicate Therapy PA Form

Bone Formation Stimulating Agents PA Form

Buprenorphine-Opioid Concurrent PA Form

Cardiac Agents PA Form

Carisoprodol PA Form

Dificid PA Form

Growth Hormone Adult PA Form

Growth Hormone Children PA Form

Hetlioz PA Form

Narcolepsy Agents PA Form

Opioid MME Limit Exceed PA Form

PCSK9 and Select Lipotropics PA Form

Pulmonary Antihypertensives PA Form

Testosterones PA Form

Uterine Disorder Agents PA Form

Vaginal Antimicrobials PA Form

Behavioral and physical health clinical coverage policies

Services that require prior authorization

Indiana Medicaid