Humana Healthy Horizons® in Florida offers a whole-person approach to delivering healthcare to Medicaid recipients in Florida. We aim to help improve the health and well-being of children and adults across the state, while helping you provide quality care.
One-time ARPA-related disbursement/payment information
The Agency for Health Care Administration (Agency) announced a disbursement of additional funding from the ARPA HCBS Enhanced Funding Opportunity to the Medicaid Managed Care Plans for provider disbursement. The Agency is initiating a one-time, retention payment for non-HCBS waiver providers.
The one-time payments were calculated based on a 19% rate increase applied to non-waiver HCBS claims with dates of service between July 1, 2021 and June 30, 2022 for the following allowable services:
- Assistive Care Services (PT 14)
- Community Behavioral Health (PT 05)
- Durable Medicaid Equipment (A, E, K, B and T codes only)(PT 90)
- Home Health Visit Services (PT 65)
- Personal Care Services (PT 65)
- Private Duty Nursing Services (PT 65)
Humana managed medical assistance (MMA) program
Humana has contracted with the Agency for Health Care Administration (AHCA) to provide services to Medicaid beneficiaries through MMA plans. Medicaid provides healthcare coverage for income-eligible children, seniors, disabled adults and pregnant women. It is funded by both the state and the federal governments.
Florida regions
Region 1: Escambia, Okaloosa, Santa Rosa and Walton counties
Region 2: Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla and Washington counties
Region 3: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee and Union counties
Region 4: Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties
Region 5: Pasco and Pinellas counties
Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk counties
Region 7: Brevard, Orange, Osceola and Seminole counties
Region 8: Charlotte, Collier, DeSoto, Glades, Hendry, Lee and Sarasota counties
Region 9: Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties
Region 10: Broward County
Region 11: Miami-Dade and Monroe counties