Humana Healthy Horizons® in Florida offers a whole-person approach to delivering healthcare to Medicaid recipients in Florida. We aim to help improve the health and well-being of children and adults across the state, while helping you provide quality care.
The Agency for Health Care Administration (Agency) announced a disbursement of additional funding from the ARPA HCBS Enhanced Funding Opportunity to the Medicaid Managed Care Plans for provider disbursement. The Agency is initiating a one-time, retention payment for non-HCBS waiver providers.
The one-time payments were calculated based on a 19% rate increase applied to non-waiver HCBS claims with dates of service between July 1, 2021 and June 30, 2022 for the following allowable services:
Humana has contracted with the Agency for Health Care Administration (AHCA) to provide services to Medicaid beneficiaries through MMA plans. Medicaid provides healthcare coverage for income-eligible children, seniors, disabled adults and pregnant women. It is funded by both the state and the federal governments.
NARRATOR: As of April 1 2021, Humana Florida Medicaid will change its name to Humana Healthy Horizons™ in Florida. This new name reflects our goal to help our members achieve their best health and live their best lives. Humana Healthy Horizons will have the same benefits we offer today – PLUS more. Learn more at humana.com/HealthyFlorida.
Access current network notices, current and previous issues of our New Horizon Florida Medicaid provider newsletter and updates to our prior authorization processes.
Access information about COVID-19 coverage and resources.
Access key information for providers participating in the Humana Healthy Horizons long-term care provider network.
Access important information we want our providers to have. Check back often, as we update materials periodically during the year.
Access key documents for OB-GYN and other doctors who provide care to our pregnant members and new moms.
Access key pharmacy information, including drug lists, additional resources and forms.
Access key information about quality resources, behavioral health and substance use, medical record documentation and sample patient services letters.
Access required compliance training sessions our providers must complete each year.
Region 1: Escambia, Okaloosa, Santa Rosa and Walton counties
Region 2: Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla and Washington counties
Region 3: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee and Union counties
Region 4: Baker, Clay, Duval, Flagler, Nassau, St. Johns and Volusia counties
Region 5: Pasco and Pinellas counties
Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk counties
Region 7: Brevard, Orange, Osceola and Seminole counties
Region 8: Charlotte, Collier, DeSoto, Glades, Hendry, Lee and Sarasota counties
Region 9: Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties
Region 10: Broward County
Region 11: Miami-Dade and Monroe counties
