Medicare private-fee-for-service (PFFS)
Terms and conditions for Medicare PFFS
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Medicare Advantage materials
Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and other information
Medicaid and dual Medicare-Medicaid provider materials
State-specific resources for Humana’s Medicaid and dual Medicare-Medicaid products
National coverage determinations
Learn about the latest changes the Centers for Medicare & Medicaid Services (CMS) has made to services that are covered by Medicare.
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.