Humana Healthy Horizons in Florida provider training materials

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 Availity.com, opens in new window (registration required)
• Manually using the Training Requirements for Healthcare Providers Who Are Unable to Register, PDF opens new window link

Please refer to the following for more information:

Compliance Requirements for Healthcare Providers – Frequently Asked Questions and Answers, PDF opens in new window/span>

How to Complete the Training Requirements via Availity.com, opens in new window

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 opens in new window

Annual Compliance Training Reminder Notice – LTC, PDF opens in new window

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 opens in new window

SBIRT Educational Video, opens in new window

Cultural Competency Training, PDF opens in new window

Doula Provider Training for Billing & Claims Payment, PDF opens in new window

Early Intervention Services and Child Health Services Targeted Case Management, PDF opens in new window

Florida SMMC reference guide for hospice Medicaid services, PDF opens in new window

Health, Safety and Welfare Education Training, PDF opens in new window

Humana Healthy Horizons in Florida Provider Orientation and Training, PDF opens in new window

Addressing Social Determinants of Health (SDOH) Physician Quick Guide, PDF opens in new window

Food Insecurity SDOH Physician Quick Guide, PDF opens in new window

Loneliness and Social Isolation SDOH Physician Quick Guide, PDF opens in new window

Transportation SDOH Physician Quick Guide, PDF opens in new window

Long Acting Reversible Contraceptives (LARCs), PDF opens in new window

Medicaid-participating obstetricians and gynecologists training, PDF opens in new window

Provider Request to Transfer Process, PDF opens in new window

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

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

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

MediKids vaccines billing and service guideline, PDF opens in new window

Medical Foster Care – Provider Training and billing guide, PDF opens in new window

MMA Nursing Facility Admission Notification Report Template, PDF opens in new window

Nursing Facility Custodial Care Services Provider Billing and Resource Guide, PDF opens in new window

Vaccines for Children (VFC) Billing and Service Guide, PDF opens in new window

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.

Updated September 2021: For claims with dates of service in 2021 (Runtime: 8:21) View presentation, Updated September 2021, for claims with dates of service in 2021,

Updated October 2020: For claims with dates of service in 2021 (Runtime: 8:17) View presentation, Updated October 2020, for claims with dates of service in 2021,

Released July 2019: For claims with dates of service in 2020 (Runtime: 8:33) View presentation, Released July 2019, for claims with dates of service in 2020,