Provider training materials
At Humana, we believe one of the foundational elements to a great partnership is robust training and education for our provider network. Outlined below you will see both our philosophy and commitment to providing you with the training and education that you need to successfully provide services to Humana Healthy Horizons in Virginia members.
Provider education objectives
Humana Healthy Horizons in Virginia believes the key to engaging healthcare providers is to develop a partnership working toward a common goal of delivering quality care to our members. Humana Healthy Horizons will support you and your business, delivering a best-in-class experience through a robust provider engagement strategy and support structure to ensure you have what you need to:
- Understand your rights and responsibilities when participating within the Humana Healthy Horizons network
- Understand clearly Humana Healthy Horizons’ policies to ensure compliance
- Access useful tools, resources and educational materials on how to do business with Humana, including navigating our systems and care management model
- Deliver high quality, evidence-based clinical care that drive value and performance
Availity
-
Availity Essentials high-level overview for new users - Availity Essentials offers free product training. Log in to
Availity Essentials and click on Help & Training > Get Trained to get started. - Humana offers training courses and resources on Availity. Log in to
Availity Essentials and click on Payer Spaces > Humana > Humana Learning Center to get started.
Compliance training
The Centers for Medicare & Medicaid Services (CMS) and state Medicaid contracts mandate that all Humana-contracted healthcare providers complete compliance program requirements each year. Healthcare providers must complete these annual compliance training requirements by Dec. 31 each year:
Training is available through
- Once logged into Availity Essentials, Select Payer Spaces > Humana > Humana Learning Center>
- Select the category: Compliance trainings
- Search for the current year training by state (for any state(s) in which you are contracted).
If you have not yet registered on Availity Essentials, this document will guide you through the process: Register and Get Started with
Humana Healthy Horizons is here to help. If you have questions about required training, please contact your Provider Relations representative.
HHAeXchange training
HHAeXchange is the EVV vendor for Humana Healthy Horizons. Explore training materials for HHAeXchange by visiting
Provider manuals and resource guides
The Humana Healthy Horizons provider manuals and resource guides contain important information. Check back regularly, as Humana Healthy Horizons updates materials periodically through the year.
Refer to our provider resource guided for information about resources available to healthcare providers.
Other Training
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