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 opens in new window/span>
How to Complete the Training Requirements via Availity.com, opens in new window
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 opens in new window
Annual Compliance Training Reminder Notice – LTC, PDF opens in new window
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 opens in new window
SBIRT Educational Video, opens in new window
Additional training materials for healthcare providers
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
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), 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,