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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.

Medicaid information

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Medicaid and dual Medicare-Medicaid provider materials


State-specific resources for Humana Healthy Horizons (Medicaid) products

Humana Healthy Horizons® in Florida (Medical and Long-Term Care plans)

Humana Healthy Horizons® in Indiana

Humana Healthy Horizons® in Kentucky

Humana Healthy Horizons® in Louisiana

Humana Healthy Horizons® in Ohio

Humana Healthy Horizons® in Oklahoma

Humana Healthy Horizons® in South Carolina

State-specific resources for Humana Gold-Plus® Integrated (dual Medicare-Medicaid) products

Illinois Medicare-Medicaid

Florida materials

2022 Humana Healthy Horizons in Florida provider manual – effective March 2, 2022

2023 Humana Healthy Horizons in Florida provider manual – effective October 1, 2023

Illinois materials

2022 Illinois-CMS-sponsored Medicare-Medicaid Alignment Initiative (Demonstration) Manual – effective October 10, 2022

Kentucky materials

2022 Humana Healthy Horizons in Kentucky provider manual – effective June 16, 2022

2023 Humana Healthy Horizons in Kentucky provider manual – effective March 15, 2023

Louisiana materials

2023 Humana Healthy Horizons in Louisiana provider manual – effective January 1, 2023

Ohio materials

2023 Humana Healthy Horizons in Ohio provider manual – effective February 1, 2023

South Carolina materials

2022 Humana Healthy Horizons in South Carolina provider manual – effective September 1, 2022

Publications

Provider manuals