Provider resources

Thank you to those providers participating in the Humana Healthy Horizons long-term care provider network for delivering quality, accessible services to their Humana Healthy Horizons-covered patients. Here we provide important documents and forms for providing long-term care for Humana Healthy Horizons members.

Assisted living facility provider billing guidance
Comprehensive long-term care provider resource guide
Faxed authorizations for assisted living facilities, skilled nursing facilities and hospice services
Florida statewide Medicaid managed care (SMMC) reference guide for hospice Medicaid services
Medicaid long-term managed care program

Please notify Humana Healthy Horizons when you become aware one of your patients with Humana Healthy Horizons in Florida coverage moves out of your service area. Please complete this notification form  and submit by fax or email.

Humana Healthy Horizons in Florida network-contracted healthcare providers should use the Notification of Deceased Member Form  to notify us when a member dies.

Available services for women with opioid use disorder

Well-child visit information for physicians

2025 Medicaid Flu Provider Flier

Our Provider Manuals and Resource Guides contain important information to help you work with Humana Healthy Horizons in Florida. Check back regularly, as we update materials periodically.

2025 Humana Healthy Horizons in Florida Provider Manual—February 1st, 2025

Refer to the Humana Healthy Horizons Provider Resource Guide for information about resources we make available to providers. 

Florida Provider Education Guide

Refer to the Humana Healthy Horizons Provider Resource Guide for a list of departments and personnel that can assist with the coordination and authorization of services to help you treat our Humana Healthy Horizons in Florida members. 

Humana Healthy Horizons in Florida Resource Guide

Patients miss valuable medical services and tests for many reasons. Humana has developed physician tools to help patients keep their Managed Medical Assistance (MMA) coverage current. The adult sample services letter provides a checklist of recommended health services and tests for adult MMA members that includes preventive screenings, medications and diabetes care. 

The pediatric sample services letter provides a checklist of the recommended health services and tests for pediatric MMA members, including preventive screenings and medications.

Healthcare providers can: 

• Download and customize the letter(s) for their practice letterheads, communication styles and patients’ needs
• Distribute the letter(s) to their MMA-covered adult and pediatric patients regardless of their patients’ health benefit plan membership

Sample adult services template letter

Sample pediatric services template letter

Humana is looking for physicians who currently provide telemedicine services or would like to learn more about this convenient alternative for Medicaid patients. The What physicians need to know about telemedicine flyer provides information about telemedicine services, reimbursement and Florida Agency for Health Care Administration (AHCA) requirements.

Virtual care visits are included for patients with coverage through Humana Healthy Horizons in Florida. These documents include key information our providers should know about the virtual care coverage our members have.

Closing HEDIS measure core gaps via telemedicine
Resources to support your practice with patient adoption of telehealth

Durable medical equipment provider information
Go365 for Humana Healthy Horizons provider flyer
Medical record documentation review elements
Florida Medicaid Required Provisions Attachment for Providers

The Centers for Disease Control and Prevention (CDC) has launched an initiative called Hear Her, which includes information, stories and resources for providers who serve pregnant patients. Learn how preventing maternal deaths and complications starts with listening.

Learn more about the CDC’s Hear Her campaign

Humana Healthy Horizons in Florida HumanaBeginnings Provider Orientation Training
Humana Healthy Horizons in Florida HumanaBeginnings Program Provider Reference Guide

Breast pump coverage information
Florida Managed Medical Assistance (MMA) program Pregnancy Outcomes/Healthy Start Service medical record documentation review elements
Florida Telephonic Medicaid Case Management referral form—adult and pediatric
Humana Healthy Horizons in Florida family planning services provider overview
Notification of pregnancy form
Prenatal and postpartum care for women

According to the FPQC, overdoses are the leading cause of pregnancy-associated death in Florida. The purpose of MORE is to improve identification of—and clinical care and coordinated treatment/support for—pregnant women with opioid use disorder and their infants.

Important resources for OB providers
Information about Narcan/Naloxone
Talking to your patients about risks of drinking and drug use during pregnancy
Talking to your patients about addiction
Learn more about the MORE initiative

The PROVIDE Initiative aims to improve maternal and newborn outcomes by applying evidence-based interventions to promote primary vaginal deliveries and reduce Nulliparous, Term, Singleton, Vertex (NTSV) cesareans.

Learn more about the PROVIDE initiative

The NAS Initiative develops and promotes standardized approaches to address variability in NAS management and decrease neonatal length of hospital stay due to NAS.

Learn more about the NAS initiative