Florida

Hurricane Michael Alert

Members

Your health and safety are important to us. We have people available to help you get the care you need – whether it’s getting a refill for your medications or finding a doctor, hospital, clinic, or other healthcare provider.

Disaster planning: For information about general disaster relief organizations that can help in Florida and making a disaster plan, visit:

http://www.floridadisaster.org (link opens in new window)

Disaster Declaration: The disaster grace period for Hurricane Michael has been extended from 10/7/18 through 11/9/18 for the following counties: Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Leon, Liberty, Taylor, Wakulla, and Washington

Prior Authorizations: We are working with providers to ensure care is not disrupted. Prior authorizations have been lifted and service limitations have been waived for critical Medicaid services that are life sustaining in order to maintain the health and safety of recipients for dates of service during the disaster grace period in the 12 affected counties.

Medication Refills: For areas declared as a disaster, your pharmacy can override the edit on your medication refill if you are without your normal medications and it is not yet time to refill them.

Providers

Prior Authorizations/Claims Payment: Humana will reimburse for services furnished within the disaster grace period without prior authorization and without regard to service limitations for critical Medicaid services that are life sustaining or whether such services are provided by a participating provider in those instances where the provider and/or enrollee could not comply with policy requirements because of storm-related impacts.

  • Authorizations
    Services will be approved without any form of authorization.
  • Unit/Service limitations
    Limitations will be suspended during the Disaster Grace Period critical Medicaid services that are life sustaining.

Providers not Known to Florida Medicaid that Rendered Services During the Disaster Grace Period

Providers without a Florida Medicaid ID that rendered services during the disaster grace period may refer to the FL Medicaid Web Portal (link opens in new window) to obtain a provisional provider identification number. You may also review Emergent enrollment guidelines (link opens in new window).

Requirements for Humana expedited enrollment is delineated below:

For Medicaid providers within the State of Florida that are not enrolled with Florida Medicaid, along with out-of-state providers who are providing services to our displaced Florida residents, Florida Medicaid is waiving the requirements to submit documentation showing the nature of the treatment, as well as other normally-required information. Until further notice, Humana Medicaid will accept claims with only the following requirements:

  • A fully completed claim form containing the provider’s active National Provider Identifier (NPI), along with the provider’s SSN/FEIN should be submitted via email to ContractAdministration@humana.com.

Member Services

Call the number on the back of your Humana member ID card Monday – Friday 8am to 8pm and a Humana representative can help you:

  • Connect with doctors and specialists to get the care you need
  • Replace durable medical equipment and medical supplies
  • Replace your Humana member ID card

For areas declared as a disaster, your pharmacy can override the edit on your medication refill if you are without your normal medications and it is not yet time to refill them.

If you have online access, you can find additional information, including a copy of your Humana member ID card and important documents, when you sign in to MyHumana.com.

We serve Florida residents who are eligible for Medicaid Medical, Long-Term Care and Comprehensive plans

If you live in certain counties in Florida, and are eligible to receive Medicaid Medical, Long-Term Care, and/or a Comprehensive plan, we can help you easily manage your benefits.

We will also help you learn more about your eligibility and explore your plan options.

Managing Medicaid coverage in Florida

Our Medicaid Medical plans are available in certain counties in Florida. Eligible residents in those areas can keep all the benefits of Medicaid Medical, plus many extras. Our members enjoy more choices for high-quality care, as well as access to programs and resources to help them stay healthy.

Humana Medical plan

The Humana Medicaid Managed Medical Assistance (MMA) program in Florida provides access to affordable healthcare for low-income families and individuals, as well as people with disabilities.
MMA is available in these Florida counties:

  • Escambia
  • Okaloosa
  • Santa Rosa
  • Walton
  • Hardee
  • Highlands
  • Hillsborough
  • Manatee
  • Polk
  • Indian River
  • Martin
  • Okeechobee
  • Palm Beach
  • St. Lucie
  • Broward
  • Miami-Dade
  • Monroe

Humana Long-Term Care

We offer Long-Term Care plans if you are eligible and enrolled in the Medicaid Managed Medical Assistance (MMA) program. Eligible individuals may qualify for management of chronic conditions, including benefits for institutional care and community- and/or home-based care options.

This coverage is available in all Florida counties.

Humana Comprehensive plans

We also provide Comprehensive coverage that combines the benefits of Medicaid Medical and Long-Term Care if you are eligible and enrolled in the Medicaid Managed Medical Assistance (MMA) program.

This plan provides coverage for treatment of chronic health conditions for people with low-incomes and disabilities.