Clinical

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.

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.

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.

Related resources

View cultural diversity documents and a variety of helpful links.