complaince requirements

Compliance Requirements for Health Care Providers

The Centers for Medicare & Medicaid Services (CMS) and Humana’s Medicaid contracts mandate that compliance program requirements must be completed by all those contracted with Humana or Humana subsidiaries to provide health care services to patients covered by Humana’s Medicare, Medicaid and/or dual Medicare-Medicaid offerings.

Refer to Humana.com/providercompliance and the information below to help you complete these requirements:

Frequently Asked Questions and Answers

This document provides additional information regarding the compliance requirements and related online resources.

Frequently Asked Questions and Answers (164 KB)

Availity Web Portal Instructions

This document covers how to complete the compliance requirements on the Availity Web Portal, how to register on the Availity Web Portal, how to create a new user, how to assign the compliance business function to another user and how to update an organization's TIN.

How to complete the required compliance information on the Availity Web Portal (120 KB)

If your organization is unable to register on Availity.com, refer to this document.

Compliance Requirements for Health Care Providers Who Are Unable to Register (97 KB)