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Provider documents and resources

These documents apply to all counties where Humana Healthy Horizons in Ohio coverage is available.

2022 Humana Healthy Horizons in Ohio Provider Manual , PDF

2022 Humana Healthy Horizons in Ohio Provider Resource Guide , PDF

Visit the Humana Healthy Horizons in Ohio unsecure member website

Access the ODM searchable provider directory

Access a searchable provider directory via our online Find a Doctor service

Pharmacy resources

Gainwell (Single Pharmacy Benefit Manager)

Review the current ODM Unified PDL Forms

Other resources

Provider relations representative assignments, PDF

Provider relations representative assignments by county, PDF

Communicating with Humana Healthy Horizons in Ohio

Provider relations: 877-856-5707 (TTY: 711), Monday – Friday, 7 a.m. – 8 p.m., Eastern time

24-Hour Nurse Advice Line (24/7, 365 days a year): 800-648-8097

Prior authorization assistance for medical procedures and behavioral health: 888-285-1114

Prior authorization for pharmacy drugs: 800-555-2546

Medicaid case management: 888-285-1121

Availity customer service/tech support: 800-282-4548

Fraud, waste, and abuse

  • Special Investigations Unit (SIU) hotline: 800-614-4126 (24/7 access)
  • Ethics Help Line: 877-5-THE-KEY (584-3539)

Humana Provider Relations

Grievance and Appeal Department
P.O. Box 14546
Lexington, KY 40512-4546
Fax: 800-949-2961

Access2Care

Members can obtain transportation through Humana Healthy Horizons’ Non-Emergent Medical Transportation vendor Access2Care by calling 855-739-5986. Members may also contact the Medicaid Transportation Coordinator at the local county department of job and family services (CDJFS). The main phone number for each CDJFS is included in a list available at jfs.ohio.gov; select County Directory.

DentaQuest

Humana has contracted with DentaQuest to provide members with routine and value added dental benefits.

Email: OHProviderEngagement@dentaquest.com
Credentialing hotline: 800-233-1468

EyeMed

Humana has contracted with EyeMed to provide members with routine and value-added vision benefits.

Apply for the Ohio Medicaid network
Complete the online join form
Complete the application and indicate “Ohio Medicaid Network” in the “Additional Comments” field at the bottom of the form

For more information: