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Behavioral health clinical coverage policies adopted by Humana Healthy Horizons in Ohio

Clinical coverage policies are resources for physicians and other Humana-contracted healthcare professionals providing care to our members enrolled in Humana Healthy Horizons® in Ohio. Humana Healthy Horizons in Ohio has adopted the following behavioral health clinical coverage policies:

male doctor talking with male patient in exam room

  • When filing electronic Medicaid claims, please use Payer ID 61103 for your patients with coverage through Humana Healthy Horizons in Ohio. Please do not use Humana’s traditional Payer ID for fee-for-service claims (61101) when submitting Humana Healthy Horizons in Ohio Medicaid claims. Learn more about filing electronic claims, PDF.

Behavioral Health Clinical Coverage Policies

OH.CLI.1383 Medical Necessity Guidelines, PDF

Access Humana Healthy Horizons in Ohio physical health clinical coverage policies

Access Humana Healthy Horizons in Ohio pharmacy clinical coverage policies