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Medicare and Medicaid information

This webpage offers publications and other information for healthcare professionals who treat patients with Humana Medicare, Medicaid and dual Medicare-Medicaid coverage.

Doctor examining senior female patient


Medicare private-fee-for-service (PFFS)

Terms and conditions for Medicare PFFS

Medicare PFFS , PDF opens in new window

Medicare Advantage materials

Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and other information

Medicare Advantage materials , PDF opens in new window

Medicaid and dual Medicare-Medicaid provider materials

State-specific resources for Humana’s Medicaid and dual Medicare-Medicaid products

Florida Medicaid and long-term care , PDF opens in new window

Illinois Medicaid , PDF opens in new window

Medicaid appendices

Florida materials

Florida Medicaid Provider Manual , PDF opens in new window

Illinois materials

Illinois joint CMS-state-sponsored Medicare Medicaid alignment initiative (“demonstration”) and Illinois integrated care program (ICP) appendix – effective Sept. 1, 2016 , PDF opens in new window

Other resources

National coverage determinations

Learn about the latest changes the Centers for Medicare & Medicaid Services (CMS) has made to services that are covered by Medicare.

National coverage determinations

Quality materials

Visit our quality resources page for information on CMS Star Ratings, the Healthcare Effectiveness Data and Information Set (HEDIS®), the Consumer Assessment of Healthcare Providers and Systems (CAHPS®), the CMS Health Outcomes Survey (HOS) and more.

Quality materials