Skip to the secondary navigation Skip to the content
Humana Behavioral Health offers web-based wellness tools, health coaching, and behavioral healthcare. Spacer
Group of physicians study Humana Behavioral Health application

Submit Your Group

Humana Behavioral Health routinely assesses its network needs. Beginning Oct. 1, 2015, except in select states*, Humana Behavioral Health will only accept applications from behavioral health providers during the following two open enrollment periods:

March 1 through March 31 (spring enrollment)
Sept. 1 through Sept. 30 (fall enrollment)

Due to network adequacy needs, applications from physicians and prescription-writing registered nurses will continue to be accepted year-round. Humana Behavioral Health also may selectively offer enrollment opportunities to specific types of behavioral health providers as required for network adequacy. Established groups will continue to work directly with their assigned contractors and submit requests to them.

* States where behavioral health providers may submit applications at any time are Arizona, Florida (advanced registered nurse practitioners only), Georgia, Idaho, Kentucky, Louisiana, Michigan, Montana, New Mexico, Vermont, West Virginia, Wisconsin and Wyoming.

As the administrator of your office, you may submit group information to Humana Behavioral Health by filling out and providing the form provided below. A group is one or more providers filing under the same tax ID number..

Please note: An individual CAQH® application is also required for each provider in the group

Three-Step Process for Applying

Please review the step-by-step directions below.

Step 1: Allow Access to Your CAQH Information

Allow access to your CAQH file. In order for Humana Behavioral Health to access your CAQH application, please allow Humana or “all health plans” authorization on the CAQH website. CAQH applications must be current and must have been verified/attested with CAQH within the past six months.

Step 2: Update Your CAQH File

Update your CAQH file.

Special Note: Providers whose CAQH files are incomplete, have expiring insurance (within 60 days) or are missing any data element will have their Humana Behavioral Health applications immediately declined and will have to reapply.

IRS W-9 Form (submit to CAQH file only) (Complete a W-9 form for each tax ID you use for filing claims.)

Step 3: Submit Your Provider Interest Form

Once you have completed steps 1 and 2, download and complete the Provider Interest Form. Email your completed interested form to LSletterofinterest@humana.com.

Our intent is to keep this process as streamlined and paperless as possible.

Please Note: To be considered for inclusion into Humana Behavioral Health, a completed CAQH application is a requirement.

Provider Interest Form

Next Step: Humana Behavioral Health Reviews Your Information

You will be contacted by a Humana Behavioral Health representative to confirm receipt of your application and to begin the contracting process. If you don’t receive notification within 15 business days, please contact Provider Services at 1-800-890-8288. Where permitted by state law, Humana Behavioral Health is currently assessing its network and is recruiting shortage specialties while other specialties are being evaluated for necessity.

For Missouri providers, we will review your information and make a decision to approve or deny your completed credentialing application within 60 business days of the date we receive it. For all others, we will require up to 120 business days for processing. In any event, we will send you a letter notifying you of our determination.

Until you receive a countersigned contract with an effective date determined solely by Humana Behavioral Health, you are considered to be out-of-network and cannot see patients as an in-network provider prior to your established effective date. Any adds to an existing contracted group would still require an effective date established by Humana Behavioral Health. Retroactive effective dates will not be approved.

Questions?

Contact Provider Services at 1-800-890-8288 between 8 a.m. and 5 p.m., Central Time, Monday through Friday.

Printable Health Insurance Page From Humana