Compliance training materials for healthcare providers

The Centers for Medicare & Medicaid Services (CMS) and state Medicaid contracts mandate that all Humana-contracted physicians and other healthcare providers complete compliance program requirements. Healthcare providers can complete this requirement:


Please refer to the following for more information:

Compliance Requirements for Healthcare Providers – Frequently Asked Questions and Answers, PDF

How to Complete the Training Requirements via Availity.com, PDF

Annual Compliance Training Reminder Notice

All healthcare providers must complete annual compliance training requirements by Dec. 31 each year.

Please refer to the following for more information:

Annual Compliance Training Reminder Notice – MMA, PDF

Annual Compliance Training Reminder Notice – LTC, PDF

2023 Humana Healthy Horizons in Florida Provider Orientation and Training – effective Jan. 1, 2023, PDF

Cultural Competency Training, PDF

Health, Safety and Welfare Education Training, PDF

Screening, Brief Intervention and Referral to Treatment (SBIRT)

Screening, brief intervention and referral to treatment (SBIRT) is an evidence-based practice used to identify, reduce and prevent problematic use, abuse and dependence on alcohol and recreational drugs. The goal is to improve the identification of clinical care and coordination for perinatal women using substances. The educational material below provides training on SBIRT, guidance on implementation, and resources for healthcare providers.

SBIRT Educational Presentation, PDF

SBIRT Educational Video

Doula Provider Training for Billing & Claims Payment, PDF

Early Intervention Services and Child Health Services Targeted Case Management, PDF

Florida SMMC reference guide for hospice Medicaid services, PDF

Addressing Social Determinants of Health (SDOH) Physician Quick Guide, PDF

Food Insecurity SDOH Physician Quick Guide, PDF

Loneliness and Social Isolation SDOH Physician Quick Guide, PDF

Transportation SDOH Physician Quick Guide, PDF

Long Acting Reversible Contraceptives (LARCs), PDF

Medicaid-participating obstetricians and gynecologists training, PDF

Provider Request to Transfer Process, PDF

Billing Guides for Healthcare Providers

Florida Medicaid Managed Medical Assistance (MMA) and Long-Term Care (LTC) Billing Guidance – English, PDF

Florida Medicaid Managed Medical Assistance (MMA) and Long-Term Care (LTC) Billing Guidance – Spanish, PDF

Long-Acting Reversible Contraception (LARC) Coverage with Inpatient Services Billing Guide, PDF

MediKids vaccines billing and service guideline, PDF

Medical Foster Care – Provider Training and billing guide, PDF

MMA Nursing Facility Admission Notification Report Template, PDF

Nursing Facility Custodial Care Services Provider Billing and Resource Guide, PDF

Vaccines for Children (VFC) Billing and Service Guide, PDF

Reporting Florida Medicaid EIS, TCM, and therapy services

Updated September 2022.: Learn about Humana’s approach to early intervention services (EIS), targeted case management (TCM), therapy services, claims submission guidelines, and other related processes. This presentation applies to claims submitted for services rendered to children younger than 3 enrolled in Humana Healthy Horizons in Florida. This presentation includes a printable tip sheet. (Runtime: 9:26)

View presentation here, Updated September 2022, for claims with dates of service in 2022,