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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 Florida provider quality resources

A mother and young boy laugh as they talk to a physician during a medical exam

The following document provides important information about a New Service Location Requests policy change from AHCA effective May 28, 2021.

Important Policy Change: New Service Location Requests

The following documents provide important resources for physicians and other healthcare providers specific to Humana Healthy Horizons in Florida members:

Well-Child visit information for physicians

Prenatal and postpartum care for women

Health options to help moms and babies fight the opioid epidemic (Regions 3-11)

Humana supports physicians and clinicians to ensure safe opioid utilization. Humana is working with physicians and clinicians to address safety concerns about opioid utilization by Humana-covered patients.

Available services for women with opioid use disorder (OUD) – Regions 1 and 2 only

Available services for women with opioid use disorder (OUD) – Regions 3-11 only

Behavioral health toolkit for primary care physicians (PCPs) – Region 1 and 2 only

Mental Health Resources for Teens and Young Adults English

Mental Health Resources for Teens and Young Adults Spanish

Notification of Pregnancy Form

Florida Managed Medical Assistance (MMA) Program Pregnancy Outcomes/Healthy Start Service Medical record documentation review elements

Medical record documentation review elements

There are many reasons patients miss the medical services and tests that are valuable to their health. Humana has developed physician tools to help patients with keep their MMA coverage current. The adult sample services letter provides a recommended health services and tests checklist 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.

Physicians 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/or pediatric patients, regardless of the patients’ health benefits plan membership


Sample Adult Services Template Letter

Sample Pediatric Services Template Letter

MMA provider quality resources

Behavioral health and substance abuse

Medical Record Documentation

Sample patient services letters

Florida Medicaid