Last Call: All Providers Must Complete 2015 Compliance Training and Certification

medical team meeting

Dec. 31, 2015, marks the last day that Humana-contracted health care providers can complete compliance requirements mandated by the Centers for Medicare & Medicaid Services (CMS). Health care providers are expected to review and provide certification regarding the following materials:

  1. Compliance Policy for Contracted Health Care Providers and Business Partners
  2. Ethics Every Day for Contracted Health Care Providers and Business Partners (Standards of Conduct)
  3. General Compliance and Fraud, Waste and Abuse (FWA) training
  4. Special Needs Plans (SNP) training (if the organization has physicians or other practitioners participating in any Humana Medicare HMO network in one of the following states or territories: Alabama, Arkansas, Arizona, California, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Missouri, Mississippi, North Carolina, Nevada, New York, Ohio, Puerto Rico, South Carolina, Tennessee, Texas, Virginia or Washington)
  5. Medicaid-specific trainings (if the physician’s or practitioner’s organization is supporting a Humana-Medicaid plan): Humana Orientation Training; Medicaid Provider Training; Health, Safety and Welfare Training; and Cultural Competency Training

Health care providers can complete this information online via Humana's secure compliance website. To access the website, health care providers must be registered on or Detailed instructions and additional information on completing these requirements, including registration, are available here.

Important notes:

  • The review and confirmation (via attestation form) of these materials help meet health care providers’ contractual obligation to comply with state and federal law and Humana's policies and procedures.
  • This attestation requirement is intended to be completed at the contract level. That is, if every practitioner in an organization has a direct contract with Humana, then each practitioner must complete the required attestation. However, if a practitioner is contracted with Humana through a group contract, then each practitioner must complete the training and coordinate within the organization to have the person responsible for compliance complete the required attestation.
  • Please note that if an organization provides multiple functions for Humana, its compliance contact may receive an additional notification from Humana. The organization only needs to complete this requirement once.
  • More information is available in the frequently asked questions and answers document located here.

Questions about these requirements may be directed to Humana Provider Relations at 1-800-626-2741.

If a physician or practitioner suspects or becomes aware of potential noncompliance and/or fraud, waste and abuse, he or she may report it immediately utilizing the Ethics Help Line at 1-877-5 THE KEY (1-877-584-3539) or the Ethics Help Line online reporting site at