You can apply to join our Humana Healthy Horizons® in Ohio network.
Step 1: Review this important information
Step 2: Complete the appropriate online application form
In partnership with the Ohio Department of Medicaid, we will work with our provider network to serve our members in Ohio, and help them reach their health goals and get the right care in the right place at the right time.
All providers are required to have an active Medicaid ID number. If you do not have a Medicaid ID number, please visit the
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.
You can apply to join our Humana Healthy Horizons® in Ohio network.
Step 1: Review this important information
Step 2: Complete the appropriate online application form
After you submit your online application, we will:
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:
When applying to join our network, you also must complete the Ohio Department of Medicaid’s
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
Refer to the
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.
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