Humana Integrated Care Program of Illinois and Humana Gold Plus Integrated (Medicare-Medicaid)
Illinois joint CMS-State sponsored Medicare Medicaid Alignment Initiative ("Demonstration")
The document below highlights the key points related to Humana Demonstration policies and procedures and is an extension of participating health care providers' contracts. It is intended to be a guideline to facilitate and inform health care providers on what the Illinois Demonstration is about, what Humana needs from health care providers and what health care providers can expect from Humana.
Illinois joint CMS-State sponsored Medicare-Medicaid Alignment Initiative (MMAI)
Humana Gold Plus Integrated (Medicare-Medicaid) preauthorization and notification list
The document below lists services and medications for which preauthorization may be required for Humana Gold Plus Integrated (Medicare-Medicaid) members. Please review the detailed information at the top of the lists for exclusions and other important information before submitting a preauthorization request.
You can also download , opens new window list.
Humana Gold Plus Integrated (Medicare-Medicaid) Prescription Drug Guide
Cultural Competency Program Information
Compliance requirements for health care providers
Humana and the state of Illinois require that all entities that participate with dual Medicare-Medicaid plans and Medicaid plans, including those contracted with subsidiaries, complete the following training materials:
- Cultural Competency Training
- Health, Safety and Welfare Education Training
- Medicaid Provider Training
- Humana Orientation Training
- Compliance and Fraud, Waste and Abuse Training