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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).

compass

Shop plans, learn about Medicare and explore member resources.

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

Humana Healthy Horizons in Florida

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Humana Healthy Horizons believes the key to engaging healthcare providers is to develop a partnership with a common goal of delivering quality care to our members. Humana Healthy Horizons will support you and your business, delivering a best-in-class experience through a robust provider engagement strategy and support structure to ensure you have what you need to:

Transition successfully to the new Medicaid managed care model

Understand your rights and responsibilities when participating within the Humana Healthy Horizons network

Clearly understand Humana Healthy Horizons’ policies to ensure compliance

Access useful tools, resources and educational materials on how to do business with Humana, including navigating our systems and care management model

Deliver high quality, evidence-based clinical care that drives value and performance

Provider training schedule

Claim processing updates for taxonomy and National Provider Identifier (NPI) requirements

MMA Physician Incentive Program (MPIP) education materials

Reporting Florida Medicaid early intervention services, targeted case management and therapy services

Screening, Brief Intervention and Referral to Treatment

Social determinants of health education materials

Statewide Medicaid Managed Care: Continuity of care provisions

Provider education objectives

Behavioral health training

Billing guides

Case management education materials

Claim processing updates for taxonomy and National Provider Identifier (NPI) requirements

Compliance training

HHAeXchange training

MMA Physician Incentive Program (MPIP) education materials

Provider manuals and resource guides

Provider Quick Guides

Reporting Florida Medicaid early intervention services, targeted case management and therapy services

Screening, Brief Intervention and Referral to Treatment

Social determinants of health education materials

Statewide Medicaid Managed Care: Continuity of care provisions

Other miscellaneous training

Florida Medicaid