Annual 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 online at the provider portal (registration required) or manually using the “Training Requirements for Healthcare Providers Who Are Unable to Register” link below. Please refer to the following for more information:

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

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

Compliance Requirements for Healthcare Providers Who Are Unable to Register , PDF opens in new window

MMA Newly Covered Services

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

Early Intervention Services and Child Health Services Snapshot , PDF opens in new window

Screening, Brief Intervention and Referral to Treatment (SBIRT)

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 SBIRT training implementation guidance and resources for healthcare providers.

SBIRT Educational Presentation , PDF opens in new window

SBIRT Educational Video , opens in new window

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, claims submission guidelines and other related processes. These presentations apply to claims submitted for services rendered to children younger than 3 enrolled in a Humana Florida Medicaid plan. These presentations include printable tip sheets.

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

Additional training materials for healthcare providers

Cultural Competency , PDF opens in new window

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

Humana Medicaid Provider Orientation Training , PDF opens in new window

Florida Medicaid preauthorization list training for regions 9, 10 and 11 , PDF opens in new window

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

This guide includes important information regarding hospice billing.

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

This document contains Humana’s guidance related to MediKids vaccines and associated billing and reimbursement information.

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

This orientation presentation covers topics specific to obstetricians and gynecologists who serve Humana MMA plans.

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

MMA Nursing Facility – Provider Training and billing guide, PDF opens new window