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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.

Compliance requirements

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The Humana Healthy Horizons Provider Orientation and Training module includes information for Louisiana Medicaid healthcare providers and administrators. We update this information at least once a year and usually more often than that.

This training module provides information on key topics, such as:

    Access-to-care requirements

    Claims processing

    Clinical management programs

    Contact information

    Contracting and credentialing

    Covered services

    Preauthorization and notification

You must review and attest to the completion of this training annually.

Complete the Provider Orientation and Training

The Humana Healthy Horizons Cultural Competency Training includes information for Louisiana Medicaid healthcare providers and administrators. We update this information at least once a year.

This training module provides information on key topics, such as:

    Clear communication

    Culture and cultural competency

    Strategies for working with seniors and people with disabilities 

    Various subcultures and populations

You must review and attest to the completion of this training annually.

Complete the Cultural Competency Training

The Humana Healthy Horizons Abuse, Neglect, and Exploitation Training includes information about risk factors, signs, scenarios, and resources, among other topics. 

Watch a short Abuse, Neglect, and Exploitation (ANE) training video

The Humana Healthy Horizons Health, Safety and Welfare Education Training includes information for Louisiana Medicaid healthcare providers and administrators. We update this information at least once a year.

This training module provides information on key topics, such as:

    Abuse, neglect, and exploitation

    Critical incidents

    General reporting requirements

    “Handle-with-care” measures 

    Reporting abuse, neglect, or exploitation

    Rights of mandated reporters

    Steps to take for prevention of abuse, neglect, or exploitation

You must review and attest to the completion of this training annually.

Complete the Health, Safety and Welfare Education Training

Download, complete, print, and return your attestation

Get answers to frequently asked questions about the compliance requirements for healthcare providers

Complete the required trainings via your secure Availity Essentials account

Complete the required trainings if you do not have/cannot create a secure Availity Essentials account

Learn more about Availity

Provider Orientation and Training

Cultural Competency Training

Abuse, Neglect, and Exploitation (ANE) Training

Health, Safety and Welfare Education Training

Louisiana Medicaid

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Compliance requirements

Documents and forms

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