Medicaid Provider Materials

Find out more about Humana Medicaid via the following resources:

• Medicaid Appendix to Humana's Provider Handbook – Explains in detail the responsibilities of health care providers who serve Humana Medicaid members.
• Cultural Competency Plan for South Florida – Addresses potential gaps in care due to race, ethnicity and language and suggests ways to reduce disparities and promote optimal health outcomes.
• Provider Tools to Address Gaps in Care – Provides an overview of Humana's "Gaps in Care" program, which seeks to improve the provision of culturally and linguistically appropriate services.
• South Florida Medicaid Member Handbook and Provider Directory – Details South Florida Medicaid member benefits, rights and responsibilities and lists health care providers in Dade, Broward (non-Reform) and Palm Beach counties who are contracted to serve these members.
• Broward County Reform Medicaid Member Handbook and Provider Directory – Details Broward County Reform Medicaid member benefits, rights and responsibilities and lists health care providers in Broward County who are contracted to serve these members.
• Humana Family Medicaid Formulary – Provides a list of covered drugs selected by Humana in consultation with a team of health care providers, representing the prescription therapies believed to be a necessary part of a quality treatment program.

Humana Medicaid Provider Information Bulletins

These following materials provide the latest Humana Medicaid plan information for health care providers:

• Guidance for Prescribing a Psychotropic Medication for a Child in the Medicaid Program – This letter was distributed in September 2011 to pediatricians and family practice primary care physicians who treat pediatric Medicaid patients in South Florida. The letter advises physicians about a change in Florida law that requires health care providers to have express and informed consent from a parent or legal guardian when prescribing psychotropic (psychotherapeutic) medication for a child in the Medicaid program.
• Coverage of Topical Fluoride Varnish for Children with Medicaid – This communication was distributed to pediatricians, primary care providers and family medicine physicians in the South Florida market in June 2011 to describe a change in plan benefits for Humana Family Medicaid members.