Clinical & Healthcare Resources
Use these links to browse provider-specific information such as clinical guidelines and industry resources on the Web.
Medical Records Review
List of procedures and services that may require submission of member medical records for review.
Clinical Practice Guidelines
These guidelines, which were developed by nationally recognized organizations, can be valuable tools in diagnosing, managing, and treating various clinical conditions.
Behavioral Health Forms
Access to the form, contact information, and instructions.
Medical Coverage policies
Describes the evaluation and coverage of medical procedures and devices that are being investigated or have been recently introduced.
Healthcare Resources
Industry links, including popular Websites specifically for medical providers.
Language Assistance Program
Free language assistance services are available for Humana members.
Preterm Delivery Prevention Program
A preterm delivery prevention program for pregnant women with a history of spontaneous preterm birth at less than 37 weeks of gestation
- Program Details
- (0.3 MB) Download PDF
- English
Cultural Diversity
Learn about Humana's Clinical Disparities and Cultural Diversity (CDCD) program and access helpful links.
- Cultural Diversity Program
- (56 KB) Download PDF
- English
Download & Print
Comprehensive lists of services requiring preauthorization
- January 24, 2010 Medicare Preauthorization and Notification List
- (0.1 MB) Download PDF
- English
- January 24, 2010 Commercial Preauthorization and Notification List
- (0.1 MB) Download PDF
- English
- July 10, 2009 Medicare Preauthorization and Notification List
- (228 KB) Download PDF
- English
- July 10, 2009 Commercial Preauthorization and Notification List
- (214 KB) Download PDF
- English
- December 1, 2008 Medicare Preauthorization and Notification List
- (228 KB) Download PDF
- English
- December 1, 2008 Commercial Preauthorization and Notification List
- (214 KB) Download PDF
- English
- January 15, 2008 Preauthorization & Notification List
- (64 KB) Download PDF
- English
- 2007 Preauthorization & Notification List
- (54 KB) Download PDF
- English
- 2006 Preauthorization & Notification List
- (35 KB) Download PDF
- English
Chronic Condition Special Needs Plan
Related Resources
Contracting Resources
Learn about an online service to help physicians and other healthcare providers more easily and cost-effectively provide required credentialing information to healthcare organizations and health plans.
Health & Wellness
Read about Disease Management, Wellness programs, and other Humana resources that promote healthy behaviors and support the doctor-patient relationship.
Advanced Illness Planning
Humana's Advanced Illness Planning program helps providers utilize resources such as the Robert Wood Johnson Foundation website to improve end-of- life care, guidance and support to members and caregivers for all advanced illnesses.
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