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Provider compliance training materials

The following training modules must be completed annually by healthcare providers who participate in Humana Medicare Advantage (MA) Special Needs Plans (SNPs); Humana Healthy Horizons® Medicaid plans in one or more applicable states; and/or a Humana Medicare-Medicaid dual plan in Illinois. Read below to determine which modules apply to your practice.

For providers serving Humana MA SNPs, including chronic SNPs (C-SNPs), dual-eligible SNPs (D-SNPs), institutional SNPs (I-SNPs) and institutional-equivalent SNPs (IE-SNPs)

Healthcare providers serving any Humana Medicare SNP members in the following states/territories are required to comply with SNP training:

Alabama, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and Utah. 

Providers, including noncontracted providers, can access the training here:

Humana SNP Provider Training (English)Once this module is completed in its entirety you will receive a Certificate of Completion that serves as your attestation.



Humana SNP Provider Training (Spanish-Puerto Rico)

The training and attestation also is available through Availity.com

For providers and subcontractors serving Humana Healthy Horizons® plans or Humana’s duals plan in Illinois

If you are contracted to provide services for a Medicaid plan administered by Humana Healthy Horizons or the Humana Gold Plus Integrated (Medicare-Medicaid) duals program in Illinois, you are required to complete and attest to completing for several training modules. Your training may include any or all of the following modules, depending on the state(s) in which you are contracted:

Provider Orientation Training

Health, Safety and Welfare Training

Cultural Competency Training

Access training modules

Access your required training modules for the state(s) in which you offer services to our members with coverage through Humana Healthy Horizons

Humana Healthy Horizons in Florida

Humana Healthy Horizons in Indiana

Humana Healthy Horizons in Kentucky

Humana Healthy Horizons in Louisiana

Humana Healthy Horizons in Ohio

Humana Healthy Horizons in Oklahoma

Humana Healthy Horizons in South Carolina

Access your training modules if you offer services to patients with coverage through Humana Gold Plus Integrated in Illinois

Attestation required for Medicaid training

All providers (contracted or subcontracted) serving patients with Humana Healthy Horizon Medicaid coverage in Florida, Kentucky, Louisiana, Ohio, and/or South Carolina, or patients with Humana Gold Plus Integrated in Illinois coverage, must submit an attestation to certify adherence to Medicaid training requirements.

To complete your compliance training and attestation online (unless otherwise instructed):

Sign in to Availity.com.

Select Payer Spaces – Humana

Select the Resources tab

Select Humana Compliance Events

Select I agree to the notice that pops up to indicate you are leaving Availity’s website.

If a security warning pops up indicating that you are navigating to sso2.archer.rsa.com, choose Yes to proceed. You will be entering Humana’s secured compliance portal.If directed to select a Humana Partner option, please select Availity SSO. You also can select Remember my selection, to bypass the question in the future.



Follow the on-screen instructions to add, review and accept the compliance events.

Select Actions and Complete, and then Save and Close.

All applicable events will show a status of ‘Review Complete.”

Within a few hours of completing the training, it will be listed as part of your completed training history.

Abuse, Neglect, and Exploitation (ANE) Training

This training is required for all vendors and subcontractors who have direct contact with Medicaid recipients with coverage through Humana Healthy Horizons, and an attestation of completion must be submitted once completion of the training is complete.

Ethics Every Day for Contracted Healthcare Providers and Third Parties (Standards of Conduct)

Compliance Policy for Contracted Healthcare Providers and Third Parties

Colorado Option Standardized Health Plan Cultural Competency Training

Fraud, Waste and Abuse (FWA)

If your organization supports Humana’s Medicare Advantage, prescription drug and/or Medicaid plans, CMS and Humana require that your employees be trained on FWA at orientation and annually thereafter.

Your organization can create and train on its own FWA content, or it can use content provided on CMS’ website. Supplemental material for addressing FWA is available in Humana’s Ethics Every Day and Compliance Policy documents, above.

*Important: Humana reserves the right to request evidence at any time that an organization’s FWA training is occurring, that the organization is tracking the training, and that the organization has documented processes for the training and tracking.



Please remember to complete the compliance requirements within 30 days of notification.

If a practitioner or anyone employed by or contracted with a Humana-contracted provider suspects actions of noncompliance and/or fraud, waste and abuse, he or she must report it immediately. This may be done confidentially via the Ethics Help Line at 877-5THE KEY (877-584-3539), through the Ethics online-reporting site or by a separate method, preferred by the contracted party, that must then forward the information to Humana promptly.

Why the training is required and how to complete the required compliance attestation

Review and confirmation of the SNP and Medicaid-related training materials help practitioners comply with state and federal law, other government requirements and Humana's policies and procedures. Therefore, applicable parties must share required information with their employees and, when applicable, with contracted (nonemployee) individuals and any subcontracted entities that support any of the following Humana plan types: Medicare, Medicaid (Humana Healthy Horizons), Medicare-Medicaid dual plans, MA SNPs.

There are separate attestations for SNP and other types of training with a Medicaid component, but each attestation should be completed at the contract level. That is, each practitioner in an organization with a direct contract with Humana must separately complete the required attestation. However, if a practitioner is contracted with Humana only through a group contract, the organization will need to have a person responsible for compliance complete the required attestation. Please note that if an organization performs multiple functions for Humana, its compliance contact may receive an additional notification from Humana; however, the organization is only required to complete each applicable attestation once per year.

Any contracted party needing to complete a Humana attestation may do so online via Humana's secure compliance website. To access the website, the contracted party represented must be registered on Availity.

The information below can help you meet the requirement:

Frequently asked questions and answers

This document provides additional information regarding the compliance requirements and related online resources.

Availity.com instructions

This document covers the process for completing compliance requirements on Availity.com, including how to register, how to create a new user, how to assign the compliance business function to another user and how to update an organization's Tax Identification Number.

If your organization is unable to register on Availity.com, refer to the following document:

Compliance Requirements for Contracted Healthcare Providers Who Are Unable to Register Online

Content Requiring Annual Review (No attestation required)

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