The Centers for Medicare & Medicaid Services and state Medicaid contracts mandate that all Humana-contracted healthcare providers complete compliance program requirements.
Complete these requirements:
- Online at Availity (registration required)
For more information:
Compliance Requirements for Healthcare Providers—Answers to Frequently Asked Questions, PDF
Completing training requirements via Availity, PDF
Manually completing training requirements, PDF
Addressing unique member needs
Humana Healthy Horizons™ in Ohio providers have access to Relias—a web-based library available through your secure Availity account.
Through Relias, you can explore topics like:
- Behavioral health
- Integrated care
- Mental health
To access the Relias library, please:
- Sign in to your Availity account
- Select Humana under the Payer Spaces tab
- Select the Resources tab
- Select Relias Behavioral Health Training
These behavioral health-focused training modules provide integrated information to support comprehensive care and address unique member needs. The extensive Relias library is comprised of courses designed to improve the likelihood of success in the emerging value-based healthcare delivery system. You also can earn continuing education credits by completing these courses.
Altruista (population health module)
Altruista is our population health module. This module helps physicians monitor clinical measures identified and executed for members assigned to their panel. Access this module by:
- Signing in to Availity
- Navigating to the Humana Payer Spaces section
- Selecting Resources
The Ohio Medicaid Care Management link will direct providers to the population health dashboard. This allows providers to view member assessments, care plans, authorizations, assigned care management programs, and contact information for the member’s care manager.
Learn more about using the Altruista population health module, PDF
2022 Humana Healthy Horizons in Ohio Orientation and Training Module, PDF
This training includes information about Humana and Humana Healthy Horizons™ in Ohio, covered services, expanded services, contracting and credentialing, access-to-care requirements, preauthorization and notification, and other key topics we want our providers to have. We base these topics on our contract with the Ohio Department of Medicaid and on current Humana policies and procedures.
Cultural Competency Training, PDF
This training includes information about culture, cultural competence, clear communication, various subcultures and populations, strategies for working with seniors and people with disabilities, and additional information we want our providers to have.
Health, Safety, and Welfare Education Training, PDF
This training includes information about abuse; neglect; exploitation; interventions; “handle with care” measures; reporting abuse, neglect, or exploitation; rights of mandated reporters; general reporting requirements; critical incidents; and information about Ohio agencies.