stethoscope

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.

Find policies for procedures, devices and medications.

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).

compass

Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Telephonic case and care management program

Four case and care management providers smiling at a desk

The Humana Care Management team provides support for patients with chronic and complex medical conditions. Our patient-centric, Individualized Care Plan (ICP) is developed with an Interdisciplinary Care Team (ICT), which includes the Humana Care Manager and the primary care physician.

Who is eligible?

Services are available for select and qualifying Medicare and Medicaid members, including:High-risk members in Medicare Advantage plans

Illinois Medicaid & Medicare members under the Humana Gold Plus® Integrated Medicare-Medicaid health plan

Members in D-SNP and C-SNP plans are automatically enrolled. SNP members that engage with Humana Care management have 12% higher HEDIS scores. A physician referral increases the likelihood members will engage with Humana Care Management.



What is the cost?


Our programs are available to eligible patients at no additional cost.



Health programs

How to make a referral

Review eligibility

Submit the referral form

Explore featured resources

Join our network

Contact Humana

Stay in the know