A physicians writes in a notebook while another types on his laptop

FRAUD ALERT: Please remind your patients with Medicaid coverage that Illinois will never ask for money to renew or apply for Medicaid. If they receive a request to pay to renew or apply for Medicaid, please ask them to report the scam on the fraud report website or call the Medicaid fraud hotline at 844-ILFRAUD (453-7283).

Provider training materials

Compliance requirements for healthcare providers

Humana and the state of Illinois require all entities that participate with dual Medicare-Medicaid plans and Medicaid plans—including those contracted with subsidiaries—complete the following training materials:

  • Cultural competency training
  • Health, safety and welfare education training
  • Medicaid provider training
  • Humana orientation training
  • Compliance and fraud, waste and abuse training

 

Frequently asked questions and answers

The document below provides additional information regarding the compliance requirements.

Compliance Requirements for Healthcare Providers – Frequently Asked Questions

Availity.com instructions

This document covers how to register, create a new user, assign a compliance business function to another user, update an organization Tax Identification Number (TIN) and complete requirements on Availity.com .

How to Complete the Training Requirements via Availity.com

If your organization is unable to register on Humana.com or Availity.com , refer to the following document:

Training Requirements for Healthcare Providers Who Are Unable to Register Online

Required annual training materials

Cultural competency training

Health, safety and welfare education training

Humana Medicaid provider training

Humana Medicaid provider orientation training

Attestation form

If you complete the trainings manually, please fill out and return the Compliance Requirements Attestation form, after completing the required compliance trainings. You must complete these trainings and return an attestation form each year.

Compliance Requirements Attestation form

Social Determinants of Health (SDoH)

Addressing Social Determinants of Health (SDOH) Physician Quick Guide

Food Insecurity SDOH Physician Quick Guide

Loneliness and Social Isolation SDOH Physician Quick Guide

Transportation SDOH Physician Quick Guide

Illinois Medicaid

  • Illinois Medicaid
  • Illinois Medicaid Provider Notices and Updates
  • Illinois Medicaid Provider Documents
  • Illinois Medicaid Provider Training Materials
  • Illinois Medicaid Provider Long-Term Services & Support