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.

Provider training and education sessions

Health provider and patient in an exam room.


Compliance training

The following training modules must be completed annually by healthcare providers who participate in Humana Healthy Horizons in Ohio Medicaid plans. We recommend completing the following training modules via your secure Availity Essentials™ account (registration required). After completing the training, you can submit the required attestation to receive credit for training completion.

Cultural humility, health equity and implicit bias training

Health, safety, and welfare education training

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Provider orientation and training

Fraud, waste, and abuse

Cultural humility, health equity and implicit bias training

Health, safety, and welfare education training

Availity Essentials orientation

Doctor on Demand and telehealth

Pregnancy Risk Assessment Form

Electronic visit verification

Provider network management

Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

Assignment and Attribution

Community Resource and FindHelp programs

Contracting

Credentialing

Provider Satisfaction Survey

Private Duty Nursing/ PDN

Value-added benefits

Transportation

Doula

Timely access to care

Training archives

Ohio Medicaid