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

Join our network

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You can apply to join our Humana Healthy Horizons® in Ohio network.

Step 1: Review this important information

Information to help you correctly complete the online form

Step 2: Complete the appropriate online application form

Humana medical provider network application

Humana behavioral health provider network application

After you submit your online application, we will:

    Review your application and contact you for additional or clarifying information

    Contact you to initiate a participating agreement

    Ask you to:            Review the participating agreement

        Sign and return it to us




Credentialing may be required before an agreement becomes effective. We may ask you to submit additional information to complete credentialing. Once credentialing is complete, you will:

    Get a copy of the contract, which will be signed by a Humana representative

    Learn your effective date with Humana


When applying to join our network, you also must complete the Ohio Department of Medicaid’s Medicaid addendum.

The Ohio Department of Medicaid (ODM) is responsible for credentialing all Medicaid Managed Care providers. The credentialing and recredentialing processes are paired with enrollment and revalidation, respectively, in the Provider Network Management system. This process adheres to National Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS) federal guidelines for both processes and the types of providers who are subject to the credentialing process.

Please note, you are not able to render services to Medicaid members until you are fully screened, enrolled, and credentialed (if required) by Ohio Medicaid. For a complete list of provider types that require credentialing, please refer to Ohio Administrative Code (OAC) rule 5160-1-42.

Refer to the Humana Healthy Horizons in Ohio Provider Manual for additional information.

For additional information about joining our network:

    Email: OhioNetworkSpecialist@humana.com

    Call: 877-856-5707, Monday – Friday, 7 a.m. – 8 p.m., Eastern time



DentaQuest administers the Humana Healthy Horizons in Ohio dental plan. To join our dental network:

    First, create an account in the Ohio Medicaid credentialing Provider Network Management module, and then 

    Register with DentaQuest for Humana:            By using the DentaQuest online provider portal, or

        By calling the Humana DentaQuest provider phone line at 833-615-0432, Monday – Friday, 7 a.m. – 8 p.m., Eastern time




Existing DentaQuest providers who want to join the Humana Healthy Horizons in Ohio dental network can contact their DentaQuest representative for more information.

Behavioral and physical health clinical coverage policies

Apply online

After you apply

Credentialing process on or after July 1, 2022

Additional information

Join our dental network

Ohio Medicaid