complaince requirements

Compliance Requirements for Health Care Providers

The Centers for Medicare & Medicaid Services (CMS) mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements.

The information below is provided to help health care providers complete these requirements:

Frequently Asked Questions and Answers

This document provides additional information regarding the compliance requirements and Web access

Frequently Asked Questions and Answers (164 KB)

Humana.com Instructions

This document covers how to complete the required compliance requirements on Humana.com, how to register on Humana.com, how to create a new user, how to assign the compliance business function to another user and how to update an organization's TIN

How to Complete the Required Compliance Information on Humana.com (97 KB)

Availity.com Instructions

This document covers how to complete the compliance requirements on Availity.com, how to register on Availity.com, how to create a new user, how to assign the compliance business function to another user and how to update an organization's TIN

How to Complete the Required Compliance Information on Availity.com (120 KB)

If your organization is unable to register on Humana.com, refer to this document.

Compliance Requirements for Health Care Providers Who Are Unable to Register (97 KB)

Information for Dental Providers

The HumanaDental PPO network provides benefits to Humana members enrolled in Medicare Advantage and Prescription Drug Plan programs.

The Centers for Medicare & Medicaid Services (CMS) mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements on an annual basis.

If you have already completed this training through another entity, or if your practice has established training plans for these policies, you may proceed directly to the attestation page located at the bottom of this notice.

The information below is provided to help dental providers complete these requirements:

Fraud, Waste, and Abuse Training and General Compliance Training (link opens in new window) : Humana has adopted training published by the Centers for Medicare & Medicaid Services (CMS).

Accessing the CMS Training File

Note to Virginia Duals Dental Providers:

Virginia Dual Providers can access additional required materials at the following links:

Once you have reviewed the materials, please complete the appropriate version of the attestation form and submit it to HumanaDental as instructed on the bottom of the form.

Find additional information regarding the compliance requirements for dental providers:

Frequently Asked Questions and Answers for Dental Providers (225 Kb)