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).

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Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Training materials

A closeup of a stethoscope on a stack of notebooks

The Centers for Medicare & Medicaid Services and state Medicaid contracts mandate that all Humana-contracted healthcare providers complete compliance trainings each year.

We recommend completing the trainings via your secure Availity account (registration required). After completing the training, you easily can submit an attestation of completion. The attestation is a requirement and lets us know you completed the training.

We make the trainings available below as downloadable PDFs. You can review the below PDFs but must submit an attestation of completion through your Availity Essentials account.

How 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 Essentials’ 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.

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

    Sign out in the upper right corner of the screen when all applicable events show ‘Complete.”


If you have questions, please call us at 877-856-5707 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., Eastern time.

You must complete the Medicaid compliance training if your organization has rendered or may render healthcare services for a Medicaid-eligible beneficiary who is a member of a Humana-administered Medicaid plan in Ohio.

Humana Healthy Horizons in Ohio orientation and training module

This training includes information about Humana and Humana Healthy Horizons®, covered services, expanded services, contracting and credentialing, access-to-care requirements, preauthorization and notification, and other key topics we want our providers to have. We base these topics on our contract with the Ohio Department of Medicaid and on current Humana policies and procedures.

We hold virtual training sessions on the second Thursday of each month at 2 p.m., and on the fourth Tuesday of each month at 11:30 a.m., Eastern time.

Register for a Thursday training session

Register for a Tuesday training session

Learn more about the required Humana Healthy Horizons in Ohio Orientation and Training module and access other education resources

Cultural competency training

This training includes information about culture, cultural competence, clear communication, various subcultures and populations, strategies for working with seniors and people with disabilities, and additional information we want our providers to have.

Health, safety, and welfare education training

This training includes information about abuse; neglect; exploitation; interventions; “handle with care” measures; reporting abuse, neglect, or exploitation; rights of mandated reporters; general reporting requirements; critical incidents; and information about Ohio agencies.

Compliance requirements for healthcare providers—answers to frequently asked questions

For more information about these required annual training sessions and completing trainings via Availity Essentials:

Completing training via Availity Essentials

Completing training manually

If you complete the trainings manually, please fill out and return the Compliance Requirements Attestation form. You must complete the training and return an attestation form each year.

Compliance Requirements Attestation form

The Humana Healthy Horizons ANE training includes information about risk factors, signs, scenarios, and resources, among other topics. 

Watch a short ANE training video

Relias

Humana Healthy Horizons providers have access to Relias—a web-based library available through your secure Availity 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 member needs. The extensive Relias library consists 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 877-856-5707, Monday – Friday, 7 a.m. – 8 p.m., Eastern time.

Care Coordination Portal (population health module)

The Care Coordination Portal allows providers to monitor clinical measures and care coordination completed for members assigned to their panel.  Access this portal by: 

Signing in to Availity Essentials

Navigating to the Humana Payer Spaces section

Selecting Resources



The Ohio Medicaid care management link will direct providers to the population health dashboard. This allows providers to view member assessments, care plans, authorizations, assigned care management programs, and contact information for the member’s care manager.

Behavioral and physical health clinical coverage policies

Compliance training materials

Annual compliance training

Attestation form

Abuse, neglect, and exploitation (ANE) training

Additional resources

Ohio Medicaid