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 Availity.com, opens new window (registration required) or 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

How to Complete the Training Requirements via Availity.com , 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 Plan for Florida , 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 new window

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

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

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

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

Food Insecurity SDOH Physician Quick Guide, PDF opens new window

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

Transportation SDOH Physician Quick Guide, PDF opens 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 new window

Billing Guides for Healthcare Providers

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

MediKids vaccines billing and service guideline, PDF opens new window

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

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

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

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