You can apply to join our Humana Healthy Horizons® in Ohio network.
Step 1: Review this important information
Information to help you correctly complete the online form, PDF
Step 2: Complete the appropriate online application form
Humana medical provider network application
Humana behavioral health provider network application
After you submit your online application, we will:
- Review your application and contact you for additional or clarifying information
- Contact you to initiate a participating agreement
- Ask you to:
- Review the participating agreement
- Sign and return it to us
Credentialing may be required before an agreement becomes effective. We may ask you to submit additional information to complete credentialing. Once credentialing is complete, you will:
- Get a copy of the contract, which will be signed by a Humana representative
- Learn your effective date with Humana
When applying to join our network, you also must complete the Ohio Department of Medicaid’s Medicaid addendum.
The Ohio Department of Medicaid (ODM) is responsible for credentialing all Medicaid Managed Care providers. The credentialing and recredentialing processes are paired with enrollment and revalidation, respectively, in the Provider Network Management system. This process adheres to National Committee for Quality Assurance (NCQA) and Centers for Medicare & Medicaid Services (CMS) federal guidelines for both processes and the types of providers who are subject to the credentialing process.
Please note, you are not able to render services to Medicaid members until you are fully screened, enrolled, and credentialed (if required) by Ohio Medicaid. For a complete list of provider types that require credentialing, please refer to Ohio Administrative Code (OAC) rule 5160-1-42.
Refer to the Humana Healthy Horizons in Ohio Provider Manual, PDF for additional information.
For additional information about joining our network:
DentaQuest administers the Humana Healthy Horizons in Ohio dental plan. To join our dental network:
Existing DentaQuest providers who want to join the Humana Healthy Horizons in Ohio dental network can contact their DentaQuest representative for more information.
