complaince requirements

Compliance Requirements for Health Care Providers

The Centers for Medicare & Medicaid Services (CMS) and Humana’s Medicaid contracts mandate that all those contracted with Humana or Humana subsidiaries to provide health care services for Humana’s Medicare and/or dual Medicare-Medicaid members complete compliance program 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 Web Portal Instructions

This document covers how to complete the compliance requirements on the Availity Web Portal, how to register on the Availity Web Portal, 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 the Availity Web Portal (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)