Serving and supporting providers

Humana is making real-time updates to our processes in response to COVID-19 so we can better serve and support our providers.

Claims processing and payments

We have made changes to benefits and administrative requirements to streamline processes and increase access to care.

Suspension of Medicare sequestration

The Coronavirus Aid, Relief and Economic Security (CARES) Act, signed into law on March 27, includes provisions to temporarily suspend the Medicare sequester between May 1, 2020, and Dec. 31, 2020. The Consolidated Appropriations Act 2021 extends the temporary sequestration suspension through March 31, 2021. During this time, Medicare plans will not have Centers for Medicare & Medicaid Services (CMS) premium and fee-for-service claim payments reduced, as they are currently.

Medicaid providers

If you are a Humana Medicaid provider, please refer to the webpage for your particular state for the latest Medicaid-specific updates:

Florida Medicaid

Kentucky Medicaid

Illinois Medicaid.

Call centers:

2 call centers are at reduced capacity due to shelter-in-place requirements in specific areas, and this may result in longer hold times than usual. We encourage providers to leverage self-service tools where possible through Availity, link opens new window.

Credentialing:

The Humana credentialing team is applying any federal or state emergency regulations for COVID-19 including such items as:

  • Waiving site visit requirements
  • Approving licensed providers to practice outside of their licensed state
  • Placing a hold on the de-credentialing process (only for providers missing information)

These are temporary credentialing changes based on the emergency regulations. The normal procedures will apply when the emergency regulations are lifted.

If there are additional ways we can support you and your healthcare organization, please call our Provider Relations department at 866-427-7478 or contact your Humana representative.

Durable medical equipment (DME) delivery

To support social distancing, DME vendors should waive the signature-at-delivery requirement for DME-delivered to members with a COVID-19-related diagnosis.