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, contracted parties must share the required information with their employees and, when applicable, with nonemployees with whom they contract as individuals and any subcontracted entities that support a Humana contract.
There are separate attestations for SNP training and the Medicaid states, 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; 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 Availity.com., opens new window
The information below can help you meet the requirement:
Frequently asked questions and answers, PDF opens new window
This document provides additional information regarding the compliance requirements and related online resources.
Availity.com instructions, PDF opens new window
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:
Compliance Requirements for Contracted Healthcare Providers Who Are Unable to Register Online, PDF opens new window
Annual Review Required
Please remember to complete the compliance requirements within 30 days of notification.
If a practitioner, or anyone employed by or contracted with a provider contracted with Humana, 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 1-877-5THE KEY, the Ethics Help Line web reporting, opens new window site or a separate, preferred method of the contracted party that must then forward the information to Humana in a timely manner.