A patient in an exam room with a healthcare provider

Provider resources

Find the documents and resources you need to provide quality care for Humana Healthy Horizons® in Virginia members.

Maternal Health

Notification of Pregnancy form

Newborn notification of Delivery form

Pediatrics

Promoting Optimal Development: Identifying Infants and Young Children with Developmental Disorders Through Developmental Surveillance and Screening

Bright Futures Toolkit

Pharmacy Documents and Forms

Preferred Drug List – English

Preferred Drug List – Spanish

Preferred Drug List – Machine Readable Format

Prior Authorization for medical services

Except where noted, prior authorization requests for medical services may be initiated:

  • Online via Availity Essentials™ (registration required)
  • By calling Humana’s interactive voice response line 24 hours a day at 800-523-0023. Humana customer care representatives are available Monday – Friday, 8 a.m. – 8 p.m., Eastern time. 

Online prior authorization requests are encouraged. Clinical information for a medical service prior authorization request may be faxed to 931-650-3709 

Physical health inpatient authorization form

Physical health outpatient authorization form

Provider Manual and Resource Guides

Provider Manual

BH Provider resource guide

EPSDT Provider resource guide

LTSS Provider resource guide

Provider resource guide

Training and Compliance

For training and compliance documents, visit our provider training and education page

Other documents and resources

Care Management Referral form

Contractual and demographic updates

Critical Incident Form

Reconsideration request form

Virginia Medicaid

  • Humana Healthy Horizons in Virginia
  • Availity
  • Behavioral health
  • Claims and payments
  • Clinical coverage policies
  • Communications and network notices
  • Contact us
  • Documents and forms
  • Join our network
  • Pharmacy
  • Prior authorization
  • Training materials