Long-term services and supports (LTSS)

Humana and Independent Living Systems (ILS) End Partnership

Humana and Independent Living Systems (ILS) ended their contract in the Humana Gold Plus® Integrated Medicare-Medicaid plan as of December 31, 2020. Effective January 1, 2022, Humana will assume all administrative responsibilities of the long-term services and supports (LTSS) waiver services for all dates of service (DOS) including those prior to January 1, 2021.

Providers will submit claims, complaints and disputes for all DOS in support of LTSS to Humana. For details on how to submit claims and other plan information, please refer to the Humana – LTSS Provider Resource Guide and Claims Billing Guide below.

LTSS Provider Resource Guide, PDF opens in new window

LTSS Provider Billing Guide, PDF opens in new window

Humana claim-payment inquiry resolution guide

To simplify claim payment inquiries, Humana has worked to clarify its process and to ensure that you have the support you need. Refer to the below document to learn more.

Humana claim-payment inquiry resolution guide, PDF opens in new window