The Centers for Medicare & Medicaid Services (CMS) and state Medicaid contracts mandate that all Humana-contracted physicians and other health care professionals complete compliance program requirements. This may include special needs plan (SNP) training and Medicaid-specific trainings if the Humana-participating Medicare health care professional serves members in one or more of the following locations: Alabama, Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Missouri, Mississippi, Montana, North Carolina, Nevada, New York, Ohio, Puerto Rico, South Carolina, Tennessee, Texas, Virginia or Washington.
SNP training pertains to health care professionals who participate in a Humana Medicare HMO network. If an organization does not have physicians or other health care professionals who participate in a Humana Medicare HMO network, SNP training is not required.
Humana’s SNP training covers important plan information, such as the history of SNPs, how to identify Humana SNP members, the SNP enrollment process, Humana’s available SNPs, cost-sharing, physician involvement and the SNP model of care.
For information on how to complete the compliance attestation or for additional guidance on this requirement, refer to these frequently asked questions and answers. Other questions about compliance program requirements may be directed to Humana provider relations Monday through Friday at 1-800-626-2741 from 8 a.m. to 5 p.m. Central time.