stethoscope

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).

compass

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 quality resources

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

Access resources to help you meet Healthcare Effectiveness Data and Information Set (HEDIS) requirements.*

Diabetes monitoring for people with diabetes and schizophrenia (SMD)

Antidepressant medication management (AMM)

Cardiovascular monitoring for people with cardiovascular disease and schizophrenia (SMC)

Follow-up after emergency department visit for alcohol and other drug abuse or dependence (FUA)

Follow-up after hospitalization for mental illness (FUH)

Follow-up care for children prescribed ADHD medication (ADD)

Initiation and engagement of substance use disorder treatment (IET)

Metabolic monitoring for children and adolescents on antipsychotics (APM)

Pharmacotherapy for Opioid Use Disorder (POD)

Prenatal and postpartum care for women

Use of first-line psychosocial care for children and adolescents on antipsychotics (APP)

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

Medicaid Well-Child Visit and EPSDT Information for Physicians

HEDIS information

Additional training materials for healthcare providers

Kentucky Medicaid