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
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
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,