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

Publications

Humana dual-eligible outreach flyer

Information on how Humana can help eligible Medicare beneficiaries apply for financial assistance through the Medicare Savings Program.

Humana dual-eligible outreach flyer , PDF opens in new window

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

Virginia Medicaid , PDF opens in new window

Medicaid appendices

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