Clinical resources

Browse clinical and behavioral health guidelines, Medicaid materials, a list of services and procedures that may require medical records review and other resources.

Behavioral health guidelines

Access clinical practice resources for behavioral health care providers.

Care Decision Insights

Use cost and evidence-based metrics to improve outcomes for Medicare Advantage patients.

Clinical practice guidelines

View tools for diagnosing, managing and treating various clinical conditions.

Drug utilization reviews and resources

Get an overview of Humana's clinical communications about members’ drug utilization.

Health and wellness resources

Find information on Humana programs for expectant mothers, tobacco cessation, members with cancer or renal disease and much more.

Home sleep program

Order a home sleep test and treatment with one form through the Humana/Apria Integrated Sleep Program.

Medicaid provider materials

See resources for Humana’s Medicaid and dual Medicare-Medicaid products.

Medical and pharmacy coverage policies

Browse Humana's evaluation and coverage of medical procedures, devices and medications.

Medical records review

Learn which procedures and services may require Humana's review of member medical records.

Quality resources

Find HEDIS® measures and codes, information on CAHPS and HOS measures, materials related to CMS Star ratings and more.

Telemedicine information

Learn more about telemedicine options for Humana members.

Transplant resources

Access guidelines for transplant programs and answers to frequently asked questions.