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 Healthy Horizons (Medicaid) products
State-specific resources for Humana Gold-Plus Integrated (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.
Special needs plans presentation
Learn about the special needs plans (SNPs) we offer in select states and the critical role you play in the care of our SNP members.
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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.