For Providers
This webpage offers publications and other information for healthcare professionals who treat patients with Humana Medicare, Medicaid and dual Medicare-Medicaid coverage.
Terms and conditions for Medicare PFFS
Operational and reimbursement guidelines, provider qualifications and requirements, frequently asked questions and other information
State-specific resources for Humana Healthy Horizons (Medicaid) products
State-specific resources for Humana Gold-Plus® Integrated (dual Medicare-Medicaid) products
Learn about the latest changes the Centers for Medicare & Medicaid Services (CMS) has made to services that are covered by Medicare.
Learn about the special needs plans (SNPs) we offer in select states and the critical role you play in the care of our SNP members.
Visit our quality resources page for information on CMS Star Ratings, the Healthcare Effectiveness Data and Information Set (HEDIS®), the Consumer Assessment of Healthcare Providers and Systems (CAHPS®), the CMS Health Outcomes Survey (HOS) and more.