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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 Kentucky Provider Training Materials

A group of female physicians sit around a table smiling and taking notes

The Centers for Medicare & Medicaid Services and state Medicaid contracts mandate that all Humana-contracted physicians and other healthcare providers complete specific compliance-related trainings each calendar year. Required annual trainings include:

KY Medicaid Orientation and Training Module

Health, Safety, and Welfare Education Training

Cultural humility, health equity and implicit bias training for providers

We recommend completing the compliance training and attestation via your secure Availity Essentials™ account (registration required).

To complete your compliance training and attestation online (unless otherwise instructed):

Sign in to Availity Essentials

Select Payer Spaces – Humana

Select the Resources tab

Select Humana Compliance Events

Select I agree to the notice that pops up to indicate you are leaving Availity's website.

If a security warning pops up indicating you are navigating to https://sso2.archer.rsa.com, choose Yes to proceed. You will be entering Humana's secured compliance portal.If directed to select a Humana Partner option, select Availity SSO. You also can select Remember my selection to bypass the question in the future.



Follow the on-screen instructions to add, review and accept the compliance events.

After you complete your training and attestations, please select 'Actions - Complete' and then 'Save and Close'

All applicable events should show a status of 'Review Complete.'

All applicable events will show a status of Review Complete.

Within a few hours of completing the training, it will be listed as part of your completed training history.

How to complete the training requirements via Availity.com

How to complete the training manually (for providers who are unable to register online and complete via Availity Essentials)

Compliance Requirements for Healthcare Providers – Frequently Asked Questions and Answers

Attestation form

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

Additional training materials for healthcare providers

Closing Healthcare Effectiveness Data and Information Set (HEDIS®)* Measure Care Gaps via Telemedicine

KY Fee Schedule Training Webinar

Medicaid Well-Child Visit and Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Information for Physicians

Medicaid Well-Child Visit and EPSDT Provider Training

Relias: Addressing unique enrollee needs

Humana Healthy Horizons® in Kentucky providers have access to Relias, a web-based library available through your secure Availity Essentials account.

Through Relias, you can explore topics like:

Addiction

Behavioral health

Integrated care

Mental health

Access the Relias library

These behavioral health-focused training modules provide integrated information to support comprehensive care and address unique enrollee needs. The extensive Relias library is comprised of courses designed to improve the likelihood of success in the emerging value-based healthcare delivery system. You also can earn continuing education credits by completing these courses.

For more information, please call Provider Services at 800-444-9137, Monday – Friday, 8 a.m. – 6 p.m., Eastern time.

Social determinants of health

Social determinants of health (SDOH) affect a wide range of health functions, quality-of-life outcomes, and risk. SDOH includes:

Employment and working conditions

Food insecurity

Housing quality and instability

Income and social status

Loneliness and social isolation

Physical inactivity

Transportation

Addressing social health needs alongside clinical needs improves the whole-person health of your patients. The following resources may help you identify, screen for, and address SDOH in your patients:

Addressing Patients’ Social Health Needs – ICD-10-CM SDOH Codes Included

Food Insecurity SDOH Physician Quick Guide

Loneliness and Social Isolation SDOH Physician Quick Guide

Transportation SDOH Physician Quick Guide

* HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

Required annual trainings for healthcare providers

Kentucky Medicaid