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Join our network

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 Ohio Department of Medicaid’s application portal.

Medicaid provider works in her office

Apply online

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 apply

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.

Credentialing process on or after July 1, 2022

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.

Additional information

For additional information about joining our network:

Join our dental 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.