Humana is committed to supporting you as you care for your patients. For information about coronavirus (COVID-19), please visit our Florida Medicaid COVID-19 web-page .

MMA provider quality resources

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)

Behavioral health and substance abuse

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

Medical Record Documentation

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

Sample patient services letters

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

Florida Medicaid

  • Humana Healthy Horizons in Florida
  • Communications and network notices
  • COVID-19
  • Florida long-term care
  • Education materials
  • OB-GYN provider documents and forms
  • Pharmacy materials
  • Quality resources
  • Training materials