A child and parent in an exam room with a healthcare provider

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

Provider Training Calendar

Availity

Additional Education & Training Resources

  • 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:

Cultural humility, health equity and implicit bias

Health, safety and welfare (abuse, neglect and exploitation)

Humana Virginia Medicaid and FIDE SNP provider orientation

Training is available through Availity Essentials

  • 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 Availity Essentials - Overview   

Compliance Requirements for Healthcare Providers – Frequently Asked Questions and Answers

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 this link .

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.

Provider Manual

Refer to our provider resource guided for information about resources available to healthcare providers.

BH Provider resource guide

EPSDT Provider resource guide

LTSS Provider resource guide

Provider resource guide

Other Training

Accommodations and support for people with disabilities

Doula guide

Provider town hall presentation

Relias training

Vaccines for children

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