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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.

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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.

Humana Dual Integrated Special Needs Plan

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D-SNPs are designed to assist healthcare providers in managing care for individuals who qualify for both Medicare and Medicaid. These plans are available in certain states and areas, and they combine medical, behavioral health and pharmacy benefits into one easy-to-manage plan. 

D-SNPs can make things simpler for both members and providers by offering extra support, like help with prescription drug costs and monthly allowances for everyday needs. For more details about where these plans are offered and what benefits are included, please review the Humana Dual Integrated Special Needs Plan (HMO-POS D-SNP).

Understanding a D-SNP

The Humana D-SNP offers members tailored benefits, including prescription drug coverage and a Healthy Options Allowance, which can be applied toward everyday expenses such as groceries, pet care items, utilities and rent. 

Beyond these core benefits, the Humana D-SNP delivers additional support for chronic health conditions, care coordination, dental and vision services, as well as access to wellness initiatives aimed at improving overall health. It is important for providers to be aware that the availability of specific benefits and eligibility criteria may differ depending on the plan selected.

Eligibility for enrollment

Members must qualify for both Medicare and Medicaid to enroll in a D-SNP. Availability of D-SNPs varies by state, so patients must reside in an area where Humana offers these plans. As a provider, you can help eligible patients maximize their benefits through Humana’s coordinated care approach. 

For members in South Carolina who meet these criteria, consider discussing the Humana Dual Integrated Special Needs Plan (HMO-POS D-SNP).

Key documents

D-SNP Provider Manual

Member ID Card

Humana Healthy Horizons in South Carolina

What is a D-SNP

South Carolina Medicaid