Publications

2026 Provider manual for physicians, hospitals and healthcare providers – effective March 1, 2026

2026 Provider manual for physicians, hospitals and healthcare providers – delegation – effective March 1, 2026

Additional Medicare materials

Medicare Advantage PFFS plan model terms and conditions of payment

MA Rules of Participation

State-specific provider appendices (supplements to Medicare and commercial manuals)

California independent practice association (IPA) administrator handbook

Texas appendix to the Humana provider manual, effective July 1, 2020

Tennessee appendix to the Humana provider manual, effective June 1, 2023

Washington appendix to the Humana provider manual, effective Jan. 1, 2025

Washington appendix to the Humana provider manual, effective Jan. 1, 2026

Humana Medicaid/Humana Integrated Dual Eligible Special Needs Plans (DNSPs) Provider Manuals 

2026 Humana Dual Integrated (HMO D-SNP) in Michigan  – effective July 1, 2026

2026 Illinois Humana Dual Fully Integrated (HMO D-SNP) Provider manual – effective January 1, 2026

2026 South Carolina Humana Healthy Horizons and Humana Dual Integrated Provider Manual – effective November 1, 2026

2026 South Carolina Humana Healthy Horizons and Humana Dual Integrated Provider Manual – effective July 1, 2026

2026 Virginia Medicaid's Cardinal Care Program and FIDE SNP Provider Manual - effective April 15, 2026

Humana Healthy Horizons provider manuals

2026 Florida Provider Handbook – effective September 15, 2026

Humana Healthy Horizons in Indiana provider manual

2025 Humana Healthy Horizons in Kentucky provider manual

2026 Humana Healthy Horizons in Louisiana provider manual – effective March 15, 2026

2026 Humana Healthy Horizons in Ohio provider manual – effective June 15, 2026

2026 Humana Healthy Horizons in Ohio Provider Manual – effective Dec. 29, 2026

2026 Humana Healthy Horizons in Oklahoma provider manual – effective May 1, 2026

2026 Humana Healthy Horizons in Oklahoma provider manual – effective Dec. 23, 2026

Appointment of representative forms

Appointment of representative form - English

Appointment of representative form - Spanish

Archived provider manuals and appendices

List of archived provider manuals and state-specific appendices

Other publications

Accessing American Society of Addiction Medicine clinical criteria via InterQual Transparency

Claim payment inquiry resolution process guide
Find detailed information about Humana’s claim payment inquiry resolution processes.

HIPAA companion guides
Technical guidance documents for healthcare providers

Resource sheet for healthcare providers

A guide that includes key phone numbers, claims and preauthorization contacts and information about working with us online.

Noticias para Médicos de Humana

Manuales para proveedores de Medicare

Noticias para Médicos de Humana​​ ​

Manuales para proveedores de Medicare​​ ​

Noticias para Médicos de Humana

Manuales para proveedores de Medicare