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We make available below updates and information that may affect our network healthcare providers’ care for Medicaid recipients in South Carolina with coverage through Humana Healthy Horizons® in South Carolina.

Important information about Hurricane Helene

Attention Humana Healthy Horizons in South Carolina members and providers:

We want to help make sure you have access to the health care you need. We can help with finding available doctors, refilling prescription drugs, and answering other health plan questions. Member Services staff and our Nurse Advice Line will be available to assist plan members with urgent needs. The Nurse Advice Line is open 24 hours a day, seven days a week at 877-837-6952.

If you have an emergency, please dial 911.

Medically necessary emergency care will be covered. If you are having an emergency, please call 911 or seek medical attention immediately.

We will provide further information and updates, as they become available.

Additional important numbers and resources

Members needing assistance, please call:

  • Humana Healthy Horizons in SC Member Services at 866-432-0001
  • 24/7 Nurse Advice Line at 877-837-6952

Providers needing assistance, please call:

  • 888-285-1114 for Utilization Management or Authorizations
  • 800-555-2546 for prior authorization requests for pharmacy drugs
  • 866-432-0001 for Member Eligibility
  • 833-441-0950 for faxing clinical information for a medical service prior authorization

For the latest information, visit the  South Carolina Emergency Management Division website.

Provider notices and updates

Network notices and administrative updates

Drug withdrawal notice for Oxbryta

Learn more about Humana Healthy Horizons in South Carolina

The federal public emergency and South Carolina Medicaid eligibility

The South Carolina Department of Health and Human Services released in November 2022 information about the annual review process for a Medicaid recipient’s ongoing eligibility. The information includes answers to key questions, like:

  • How your patients may be affected
  • What you can do to help
  • What your patients should do

Learn more about the federal public health emergency and South Carolina Medicaid eligibility

Humana Healthy Horizons in South Carolina Provider Newsletter

2025

March: South Carolina New Horizon Provider Newsletter

2024

December: South Carolina New Horizon Provider Newsletter

September: South Carolina New Horizon Provider Newsletter

March: South Carolina New Horizon Provider Newsletter

2023

December: South Carolina New Horizon Provider Newsletter

November: South Carolina New Horizon Provider Newsletter

June: South Carolina New Horizon Provider Newsletter

January: South Carolina New Horizon Provider Newsletter

Pharmacy provider newsletter

2025

January: South Carolina On the Horizon Rx pharmacy provider newsletter

2024

March: South Carolina On the Horizon Rx pharmacy provider newsletter

2023

January: South Carolina On the Horizon Rx pharmacy provider newsletter

2022

February: South Carolina On the Horizon Rx pharmacy provider newsletter

Want to connect? Call us at 866-432-0001, Monday – Friday, 8 a.m. – 6 p.m. For additional contact information, refer to the  Humana Healthy Horizons in South Carolina Provider Resource Guide .

2024 Humana Healthy Horizons in South Carolina Regional Provider Summit

Humana Healthy Horizons® in South Carolina will host its annual Regional Provider Summit in several locations across the state this fall. This networking and education event gives you an opportunity to learn more about us and:

  • South Carolina Department of Health and Human Services contract requirements and updates
  • Quality initiatives and reward programs
  • Value-added benefits

Learn more about the annual Regional Provider Summit

 

South Carolina Medicaid

  • Humana Healthy Horizons in South Carolina
  • Documents & resources
  • Claims
  • Communications & network notices
  • Prior authorization
  • Training materials