Humana contracted with the Kentucky Cabinet for Health and Family Services to provide services to Medicaid enrollees through Humana Health Plan. Medicaid provides healthcare coverage for income-eligible children, seniors, disabled adults, pregnant women and other eligible adults. It is funded by both the state and federal governments.

Provider Documents Provider communications & network notices Provider training materials

Continuity of Care Provisions

A prior authorization (PA) shall be honored by the Humana Health Plan for 90 days or until the recipient or provider is contacted by the Humana Health Plan regarding the PA. If the recipient and provider are not contacted by Humana Health Plan, the existing Medicaid PA shall be honored until expired.

How to request preauthorization

Except where noted preauthorization requests for medical services may be initiated:

Except where noted, preauthorization requests for professionally administered medications may be initiated:

  • By sending a fax to 1-888-447-3430 (request forms are available at
  • By calling 1-866-461-7273 (available Monday through Friday, 6 a.m. to 8 p.m. Eastern time)

Except where noted, preauthorization requests for pharmacy medications may be initiated:

Submitting pharmacy claims

Starting Jan. 1, 2020, Humana Pharmacy Solutions began managing the pharmacy network for Humana’s Medicaid managed care plan in Kentucky. See the notification for updates.

Notification for pharmacy claims submission, PDF opens new window

Network Notices

Medicaid and CHIP Provider Relief Fund Application Deadline Extended to August 3, 2020, opens new window

Provider Relief Fund for Medicaid and CHIP Distribution Webinar – July 8, 2020, opens new window

Reinstatement of Prior Authorization Requirements – July 1, 2020, opens new window

Medicaid Bypass List for Medicare Non-Covered Codes – July 1, 2020, opens new window

Targeted Case Management Prior Authorization Notice - April 1, 2020, opens new window

Provider Relations Representative Assignments

Provider Relations Representative Assignment List, opens new window

Provider Relations Representative Assignment Map by County , opens new window

Kentucky Medicaid Provider Newsletter

Kentucky Medicaid Provider Newsletter 2020, PDF opens new window

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 Availity Web Portal (registration required). Please refer to the following for more information:

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

How to Complete the Training Requirements via, PDF opens new window

Compliance requirements for healthcare providers who are unable to register online, PDF opens new window

Additional training for Kentucky Medicaid Providers

KY Medicaid Orientation and Training Module, PDF opens new window