2025 Provider manual for physicians, hospitals and healthcare providers – effective Feb. 5, 2025
2025 Provider manual for physicians, hospitals and healthcare providers – delegation — effective Feb. 5, 2025
State-specific provider appendices (supplements to Medicare and commercial manuals)
California independent practice association (IPA) administrator handbook
Texas appendix to the Humana provider manual, effective July 1, 2020
Tennessee appendix to the Humana provider manual, effective June 1, 2023
Washington appendix to the Humana provider manual, effective Jan. 1, 2025
Humana Gold-Plus Integrated provider manual
2025 Illinois-CMS-sponsored MMAI (Demonstration) provider manual – effective June 15, 2025
2024 Illinois-CMS-sponsored MMAI (Demonstration) provider manual – effective October 1, 2024
Humana Healthy Horizons provider manuals
2025 Humana Healthy Horizons in Florida Provider Manual - effective February 1, 2025
2024 Humana Healthy Horizons in Indiana provider manual- effective July 1, 2024
2025 Humana Healthy Horizons in Kentucky provider manual
2023 Humana Healthy Horizons in Louisiana provider manual – effective January 1, 2023
2025 Humana Healthy Horizons in Ohio provider manual – effective April 15, 2025
2024 Humana Healthy Horizons in Oklahoma provider manual- effective November 15, 2024
2025 Humana Healthy Horizons in South Carolina provider manual – effective April 15, 2025
Appointment of representative forms
Appointment of representative form - English
Appointment of representative form - Spanish
Archived provider manuals and appendices
List of archived provider manuals and state-specific appendices
Other publications
Claim payment inquiry resolution process guide
Find detailed information about Humana’s claim payment inquiry resolution processes.
HIPAA companion guides
Technical guidance documents for healthcare providers
Medicare provider materials
Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and electronic claims information
Resource sheet for healthcare providers
A guide that includes key phone numbers, claims and preauthorization contacts and information about working with us online.
