The following training modules must be completed annually by healthcare providers who participate in Humana Medicare Advantage (MA) Special Needs Plans (SNPs); Humana Healthy Horizons™ Medicaid plans in one or more applicable states; and/or a Humana Medicare-Medicaid dual plan in Illinois. Read below to determine which modules apply to your practice.
For providers serving Humana MA SNPs, including chronic SNPs (C-SNPs), dual-eligible SNPs (D-SNPs), institutional SNPs (I-SNPs) and institutional-equivalent SNPs (IE-SNPs)
Healthcare providers serving any Humana Medicare SNP members in the following states/territories are required to comply with SNP training:
Healthcare providers serving any Humana Medicare SNP members in the following states/territories are required to comply with SNP training:
Providers, including noncontracted providers, can access the training here:
Humana 2022 SNP Provider Training (English) Humana 2022 SNP Provider Training (Spanish-Puerto Rico), PDF
The training also is available through
For providers serving Humana Healthy Horizons™ plans in Florida, Kentucky, Ohio and/or South Carolina or Humana’s duals plan in Illinois
If you are contracted to provide services for a Medicaid plan administered by Humana Healthy Horizons in Florida, Kentucky, Ohio and/or South Carolina or a Humana duals plan in Illinois, you are required to take the modules below. Your training may include any or all of the modules, depending on the state(s) in which you are contracted.
- 2022 Humana Healthy Horizons Provider Orientation Training
- 2022 Humana Dual-Eligibles Orientation Training
- 2022 Dual-Eligible Medicaid Provider Training
- 2022 Health, Safety and Welfare Training – all states but Ohio
- 2022 Cultural Competency Training
For subcontractors serving Humana Healthy Horizons plans in Florida, Kentucky, Ohio and/or South Carolina or a duals plan in Illinois
If you are subcontracted to provide services for a Medicaid plan administered by Humana Healthy Horizons in Florida, Kentucky, Ohio and/or South Carolina or a duals plan in Illinois, you are required to take the applicable modules below. Your training may include any or all of the modules, depending on the state(s) in which you are contracted.
Health, Safety and Welfare Training - all states but Ohio, PDF Cultural Competency Training, PDF Medicare Fraud and Abuse: Prevent, Detect, Report
You also are required to take the following state-specific trainings in the states where you are subcontracted to provide services:
Why the training is required and how to complete the required compliance attestation
Review and confirmation of the SNP and Medicaid-related training materials help practitioners comply with state and federal law, other government requirements and Humana's policies and procedures. Therefore, applicable parties must share required information with their employees and, when applicable, with contracted (nonemployee) individuals and any subcontracted entities that support any of the following Humana plan types: Medicare, Medicaid (Humana Healthy Horizons), Medicare-Medicaid dual plans, MA SNPs.
There are separate attestations for SNP and other types of training with a Medicaid component, but each attestation should be completed at the contract level. That is, each practitioner in an organization with a direct contract with Humana must separately complete the required attestation. However, if a practitioner is contracted with Humana only through a group contract, the organization will need to have a person responsible for compliance complete the required attestation. Please note that if an organization performs multiple functions for Humana, its compliance contact may receive an additional notification from Humana; however, the organization is only required to complete each applicable attestation once per year.
Any contracted party needing to complete a Humana attestation may do so online via Humana's secure compliance website. To access the website, the contracted party represented must be registered on , opens new window
The information below can help you meet the requirement:
This document provides additional information regarding the compliance requirements and related online resources.
This document covers the process for completing compliance requirements on Availity.com, including how to register, how to create a new user, how to assign the compliance business function to another user and how to update an organization's Tax Identification Number.
If your organization is unable to register on Availity.com, refer to the following document:
Content Requiring Annual Review (No attestation required)
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Fraud, Waste and Abuse (FWA)
If your organization supports Humana’s Medicare Advantage, prescription drug and/or Medicaid plans, CMS and Humana require that your employees be trained on FWA at orientation and annually thereafter.
Your organization can create and train on its own FWA content, or it can use content provided on CMS’ website. Supplemental material for addressing FWA is available in Humana’s Ethics Every Day and Compliance Policy documents, above.
*Important: Humana reserves the right to request evidence at any time that an organization’s FWA training is occurring, that the organization is tracking the training, and that the organization has documented processes for the training and tracking.
Please remember to complete the compliance requirements within 30 days of notification.
If a practitioner or anyone employed by or contracted with a Humana-contracted provider suspects actions of noncompliance and/or fraud, waste and abuse, he or she must report it immediately. This may be done confidentially via the Ethics Help Line at 877-5THE KEY (877-584-3539), through the , opens new window or by a separate method, preferred by the contracted party, that must then forward the information to Humana promptly.