MMA provider quality resources

The following document provides important information about a New Service Location Requests policy change from AHCA effective May 28, 2021

Important Policy Change: New Service Location Requests, PDF opens new window

The following documents provide important resources for physicians and other healthcare providers specific to Healthy Horizons in Florida members:

Well-Child visit information for physicians, PDF opens in new window

Prenatal and postpartum care for women, PDF opens in new window

Health options to help moms and babies fight the opioid epidemic (Regions 3-11), PDF opens in new window

Behavioral health and substance abuse

Humana supports physicians and clinicians to ensure safe opioid utilization. Humana is working with physicians and clinicians to address safety concerns about opioid utilization by Humana-covered patients.

Available services for women with opioid use disorder (OUD) – Regions 1 and 2 only, PDF opens new window

Available services for women with opioid use disorder (OUD) – Regions 3-11 only, PDF opens new window

Behavioral health toolkit for primary care physicians (PCPs) – Region 1 and 2 only, PDF opens new window

Medical Record Documentation

Notification of Pregnancy Form, PDF opens new window

Florida Managed Medical Assistance (MMA) Program Pregnancy Outcomes/Healthy Start Service Medical record documentation review elements, PDF opens new window

Medical record documentation review elements, PDF opens new window

Sample patient services letters

There are many reasons patients miss the medical services and tests that are valuable to their health. Humana has developed physician tools to help patients with keep their MMA coverage current. The adult sample services letter provides a recommended health services and tests checklist for adult MMA members that includes preventive screenings, medications and diabetes care. The pediatric sample services letter provides a checklist of the recommended health services and tests for pediatric MMA members, including preventive screenings and medications.

Physicians can:

  • Download and customize the letter(s) for their practice letterheads, communication styles and patients’ needs
  • Distribute the letter(s) to their MMA-covered adult and/or pediatric patients, regardless of the patients’ health benefits plan membership

Sample Adult Services Template Letter, PDF opens in new window

Sample Pediatric Services Template Letter, PDF opens in new window