stethoscope

Únase a nuestra red y encuentre información de acreditación.

Ingrese a Availity Essentials™ para acceder a los beneficios de los pacientes, información de reclamaciones y más.

Encuentre herramientas y materiales para ayudarle a trabajar con nosotros.

Conozca más acerca de las investigaciones y tendencias que tienen un impacto en su consultorio.

Encuentre información de autoservicio y números de teléfono, y actualice los datos de su proveedor.

Ver todos los recursos para trabajar con nosotros

Revise las listas de autorizaciones previas para obtener orientación sobre los servicios, medicamentos y envíos.

Información sobre el envío de autorizaciones previas

Autorización previa de medicamentos administrados por profesionales

Herramienta de búsqueda de autorización previa

Información sobre autorizaciones previas

Encuentre pautas sobre apelaciones e información sobre las políticas de pago.

Conozca cómo enviar reclamaciones y encontrar orientación sobre la codificación.

Pautas para la codificación de reclamaciones

Encuentre políticas sobre procedimientos, dispositivos y medicamentos.

Ver todos los recursos de cobertura y reclamaciones

Revise las pautas y programas de salud para ayudar a sus pacientes y su consultorio.

Ver todos los recursos de atención de pacientes

Encuentre beneficios, herramientas y recursos dentales.

Encuentre herramientas y recursos de farmacia.

Autorización previa para medicamentos recetados por profesionales 

Encuentre recursos específicos de cada estado para Humana Healthy Horizons® (Medicaid).

compass

Vea planes, conozca acerca de Medicare y explore recursos para afiliados.

Busque proveedores médicos, de la vista, dentales y de farmacia en la red.

Los afiliados deben ingresar para administrar su plan.

Indiana PathWays for Aging con Humana Healthy Horizons in Indiana

Una profesional de cuidado de la salud hablando con un grupo de personas mayores

We are committed to developing strong relationships with home and community-based services (HCBS) providers and behavioral health and physical health providers, empowering Hoosiers to age in the setting of their choice.

Enroll with Indiana Health Coverage Programs

To join the Humana Healthy Horizons network, all providers must be actively enrolled with Indiana Health Coverage Programs (IHCP). If you haven&rsquo;t already done so, please complete the IHCP enrollment process at the Indiana Medicaid for Providers (IHCP) Provider enrollment page to obtain your Indiana Medicaid provider ID. OMPP credentialing must be complete prior to enrolling in IHCP.

Council for Affordable Quality Healthcare (CAQH) application

For individual providers, Humana partners with the CAQH to streamline the credentialing process. For individual providers, prior to submitting your request to join Humana&rsquo;s network, you&rsquo;ll need to make sure we can access your CAQH credentialing application. We&rsquo;ll need an up-to-date CAQH application and access to view that application granted to Humana/ChoiceCare&reg; to proceed with your enrollment with Humana Healthy Horizons.

Once you&rsquo;ve obtained your Indiana Medicaid provider ID, you can submit your enrollment request to Humana. Enrollment requirements vary according to your provider type; find details on requirements for each provider type in the provider network resource guide.

To grant Humana access:

Sign in to the CAQH website

Select the authorization tab

Confirm that Humana is listed as an authorized health plan; if not, check the box to grant us the access we need to verify your credentials.



Complete your enrollment application with Humana

After you&rsquo;ve confirmed your enrollment with IHCP and have granted access for Humana to view your CAQH credentialing application, you can complete and submit your enrollment application to verify eligibility for participation in Humana&rsquo;s network.

A complete provider or group enrollment application must include:

A completed provider or group enrollment roster

A completed behavioral health profiling form for those providers offering behavioral health services

A disclosure of ownership form

A W-9 tax form



A complete facility or ancillary provider enrollment application must include:

Organizational Provider Assessment form

A completed behavioral health profiling form for those providers offering behavioral health services

A W-9 tax form



Submitting an incomplete application will result in a delay in credentialing. You&rsquo;ll be notified via email within 5 days of Humana receiving your application if additional information is needed to complete your enrollment application.

Submit your application and documentation

You can submit your enrollment application and supporting forms and documents two ways:

By emailMedical providers should send forms and applications to: INProviderUpdates@humana.com

Behavioral Health providers should send forms and applications to: INBHMedicaid@humana.com



Through our secure enrollment portalFor medical and behavioral health providers (non-LTSS/HCBS): Request to join portal (non-LTSS)

For LTSS and HCBS providers: LTSS/HCBS Provider Request to Join Portal





After you apply

Once you submit your application, you will receive an email from Humana confirming receipt. Humana will review your application for completeness within 5 days of submission. If any document is missing or incomplete, we will email you to obtain the updated documentation.

If your application is approved, Humana will begin the credentialing process to review your qualifications, using guidelines established by the National Committee for Quality Assurance (NCQA). You also will receive information from your contracting representative related to reviewing and signing your provider agreement. The enrollment process can take up to 30 days to complete.

Effective date policy

The effective date policy is as follows:

A brand-new provider that is not part of an existing contract with Humana is effective the first of the month following the contract execution date.

The effective date is no sooner than the IHCP effective date.

A provider added to an existing contract is effective the first of the month following receipt of the network participation request from the provider.



Join the Humana Healthy Horizons provider network: HCBS providers

To join the Humana Healthy Horizons network, HCBS providers also must be actively enrolled with IHCP. If your organization hasn&rsquo;t already done so, please complete the IHCP enrollment process at the Indiana Medicaid for Providers enrollment page to obtain your organization&rsquo;s Indiana Medicaid provider ID.

A complete HCBS/LTSS provider enrollment form, including documentation, is required to join Humana&rsquo;s network. A completed application will include:

A signed HCBS/LTSS provider assessment form

An active IHCP Medicaid provider ID

A W-9 tax form

HCBS certification from the Division of Aging or other applicable state division



Submitting an incomplete application will result in a delay in credentialing. You&rsquo;ll be notified via email within 5 days of Humana receiving your application if additional information is needed to complete your enrollment application.

Submit your application and documentation

You can submit your HCBS/LTSS enrollment application and supporting forms and documents multiple ways:

By email: LTSSContracting@humana.com



Through our secure enrollment portalFor LTSS and HCBS providers: LTSS/HCBS provider request to join portal





Once you submit your application, you will receive an email from Humana confirming receipt. Humana will review your application for completeness within 5 days of submission. If any document is missing or incomplete, we will email you within 24 hours to obtain the updated documentation. For questions about the status of your application, you can call us at 866-274-5888 or send us an email.

Other enrollment options

If you&rsquo;re unable to complete your application online or through email, call us at 866-274-5888. Our contracting team can assist you in submitting your enrollment application by mail or fax.

After you enroll

Humana will evaluate and certify your HCBS enrollment application. We&rsquo;ll review the following during this certification process:

Indiana Division of Aging certification (prior to 7/1/ 24)

OMPP credentialing (after 7/1/24) for new HCBS providers or providers wanting to add services, or additional service counties

Medicaid eligibility requirements

Sanctions, exclusions or debarment issues

IHCP Medicaid provider ID verification



Effective date policy

The effective date policy is as follows:

A brand-new provider that is not part of an existing contract with Humana is effective the first of the month following the contract execution date.

The effective date is no sooner than the IHCP effective date.

A provider added to an existing contract is effective the first of the month following receipt of the network participation request from the provider.



If you have questions or need additional information

For more information about the contract process, you can reach us by phone or email.

HCBS providers

Email LTSSContracting@humana.com

Call 866-274-5888, Monday &ndash; Friday, 8 a.m. &ndash; 8 p.m., Eastern time.



Physical health network requests

Email INProviderUpdates@humana.com



Behavioral health network requests

Email INBHMedicaid@humana.com



Vision health network requests

EyeMed Provider Services

844-961-2057 Monday &ndash; Friday, 7 a.m. &ndash; 8 p.m. Eastern time



Pharmacy health network requests

Email Pharmacycontractingrequests@humana.com



Home and/or Vehicle Modification requests

Email netdev@evolve-emod.com

Call 844-438-7577 (option 3), Monday &ndash; Friday, 9 a.m. &ndash; 5 p.m., Eastern time



Transportation network requests

Visit LCP Transportation



DentaQuest network requests

Visit



Humana presta servicio a los Hoosiers desde hace casi 40 años y actualmente ofrecemos cobertura a más de 350,000 personas en el estado a través de nuestros planes Medicare Advantage, planes para necesidades especiales con doble elegibilidad, planes de medicamentos recetados Medicare Advantage, TRICARE y planes de salud comerciales. Humana ofrece un valor único a las comunidades basándose en un sólido modelo operativo que integra el cuidado de la salud física y conductual, además de realizar grandes inversiones para abordar los determinantes sociales que afectan a la salud de las personas. Nos complace asociarnos con proveedores para ofrecer servicios de atención administrada de alta calidad a los residentes de Indiana con cobertura de Medicaid, aprovechando nuestra plataforma de cuidado de la salud innovadora e integrada, nuestra larga presencia en la comunidad, nuestras sólidas asociaciones con proveedores y nuestro firme compromiso de mejorar la salud de las poblaciones a las que prestamos servicio. Nos alegra trabajar con proveedores de Indiana para garantizar que los beneficiarios de Medicaid en el estado puedan acceder a una atención excelente y centrada en las personas para alcanzar los importantes objetivos y resultados de Pathway for Aging. Humana Healthy Horizons in Indiana es un producto de Medicaid de Arcadian Health Plan, Inc.

Políticas de cobertura clínica conductual y física

Únase a la red de proveedores de Humana Healthy Horizons: proveedores de salud conductual y física

Acerca de Humana

Indiana Medicaid