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 online at , opens new window (registration required) or manually using the , PDF opens new window link. Please refer to the following for more information:
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Compliance training materials for healthcare providers
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.
Additional training materials for healthcare providers
Billing Guides for Healthcare Providers
Reporting Florida Medicaid EIS, TCM and therapy services
Learn about Humana’s approach to early intervention services (EIS), targeted case management (TCM) and therapy services, and the guidelines for claims submission and other related processes. These presentations apply to claims submitted for services rendered to children younger than 3 enrolled in a Humana Healthy Horizons in Florida. These presentations include printable tip sheets.
Updated October 2020: For claims with dates of service in 2021 (Runtime: 8:17) , For claims with dates of service in 2021, opens new window
Released July 2019: For claims with dates of service in 2020 (Runtime: 8:33) , For claims with dates of service in 2020, opens new window