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, working with us online, notices from the Agency for Health Care Administration (AHCA).
Become a participating provider in the Florida Medicaid program
Providers must complete an enrollment application with the Agency for Health Care Administration (AHCA) to be eligible to provide services to Medicaid recipients in Florida. You can complete the application online using
Join the Humana Healthy Horizons in Florida Long-Term Care Provider Network
Providers interested in joining our long-term care provider network can complete an application online. You have to provide information about you/your practices, your license, and how we can reach you.
Healthcare providers who want to work with Humana LTC online can register through the
Availity provides functions such as the following:
- Humana member ID card look-up
- Claims status and remittance information
- Electronic claims submission
- Authorization inquiry
Healthcare providers already registered with Availity can sign in to
Electronic Visit Verification
Beginning Dec. 1, 2019 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 fill out the following questionnaire for each organization.
HHAeXchange healthcare provider functions include:
- FREE electronic visit verification (EVV) tools
- Open model EDI Integration with third party EVV Vendors
- Real-time, two-way messaging with each MCO
- Electronically receive recipient demographics, authorizations and plans of care
- Pre-bill scrubbing to ensure clean claims and accelerate revenue cycle
Provider call center number is 888-998-7735
Member call center number is 888-998-7732
Effective for dates of service beginning June 21, 2021, Humana Healthy Horizons in Florida will deny all claims for personal care services and home health services submitted outside HHAeXchange.
Claims for personal care services and home health services may only be processed outside of HHAeXchange on a case-by-case basis where 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, based on how they are set up:
- Providers utilizing their own EVV system should email e
disupport@hhaexchange.com - All other providers should email
flsupport@hhaexchange.com
- Providers utilizing their own EVV system should email e
- Email Humana Healthy Horizons in Florida’s Provider Resolution team at
FLMedicaidResolution@Humana.com
Upon receipt, Humana Healthy Horizons™ in Florida will review each technical issue case and determine if the claim is exempt from the denial.
For questions regarding Humana Healthy Horizons in Florida’s EVV, please call HHAeXchange at 855-400-4429.