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Medicaid long-term care managed care program
We want to thank the providers participating in the Humana Healthy Horizons® long-term care provider network for providing quality, accessible services to their Humana-covered patients in Florida.
Below, you’ll find key information, including the provider resource guide, tips on how to work with us online and notices from the Agency for Health Care Administration (AHCA).
For more information, call the:
- Provider call center at 888-998-7735
- Member call center at 888-998-7732
Become a participating provider in the Florida Medicaid program
Providers must complete an enrollment application with the AHCA to be eligible to provide services to Medicaid recipients in Florida. Complete the application online using
Join our network
To join our LTC provider network, you must complete the
Availity Essentials
Availity Essentials® is a secure multipayer portal that lets you interact with Humana Healthy Horizons in Florida and other participating payers without having to use multiple systems or remember separate payer IDs or passwords. Many Humana-specific tools are accessible from the Humana Healthy Horizons payer space.
To learn more, call Availity Essentials at 800-282-4548, or visit
Through your secure Availity Essentials account, you can:
- Look up a Humana member’s ID card
- Check for claims status and remittance information
- Submit electronic claims
- Ask for authorization to provide a service
Electronic visit verification (EVV)
Humana requires home healthcare providers to use the HHAeXchange portal to submit confirmed visits and bill claims. The first step in effectively working with Humana is to complete the HHAeXchange
HHAeXchange healthcare provider functions include:
- Free EVV tools
- Open model electronic data interchange (EDI) integration with third party EVV vendors
- Real-time, two-way messaging with each MCO
- Electronic receipt of demographics, authorizations and plans of care
- Pre-bill scrubbing to ensure clean claims and accelerate the revenue cycle
Effective for dates of service beginning June 21, 2021, claims for personal care and home health services submitted outside of HHAeXchange will be denied unless there is a documented vendor system issue that prevents the healthcare provider from billing through HHAeXchange.
When there are technical issues between healthcare providers and HHAeXchange, providers should open a technical ticket with HHAeXchange by emailing one of the following:
- Providers utilizing their own EVV system should email
EDISupport@hhaexchange.com - All other providers should email
FLSupport@hhaexchange.com
After following the steps outlined above without resolution, please email our Provider Resolution team at
Upon receipt, we will review each technical issue case and determine if the claim is exempt from denial.
For questions regarding EVV, please call HHAeXchange at 855-400-4429.
Compliance training for healthcare providers
The Centers for Medicare & Medicaid Services (CMS) and state Medicaid contracts mandate that all Humana-contracted healthcare providers complete compliance program requirements each year.
All healthcare providers must complete annual compliance training requirements by Dec. 31 each year on the following topics:
Humana Healthy Horizons provider orientation and training, PDF Cultural competency, PDF Health, safety and welfare (abuse, neglect and exploitation), PDF
We recommend completing the compliance training via your secure Availity Essentials account (registration required). After completing the training, an attestation of completion must be submitted through Availity Essentials.
Additional information
Additional training materials for healthcare providers
This guide includes important information regarding hospice billing.