Documents and forms
Stay organized and find in one place all of the documents and forms you need for Humana Healthy Horizons® in Kentucky.
Find the forms you need
Find your Enrollee Handbook, provider directories, and other Medicaid documents and forms to manage your plan.
You will need
Enrollee materials
Have questions about your plan?
Please read your Enrollee Handbook when you become a Humana Healthy Horizons in Kentucky enrollee and then at least once at the start of each plan year. Your Enrollee Handbook also includes key information about the benefits, services, and rewards you get.
We include below links to English and Spanish-language versions of our current Enrollee Handbook:
2024
2023
Notice of Privacy Practices
Learn how medical information about you may be used and disclosed and how you can access to this information.
2022
2021
Looking for a doctor or healthcare facility in your area?
Provider directories
Region 1 – The Lakes
Counties: Ballard, Caldwell, Calloway, Carlisle, Christian, Crittenden, Fulton, Graves, Hickman, Hopkins, Livingston, Lyon, Marshall, McCracken, Muhlenberg, Trigg, Todd
Provider Directory – English and Spanish (Part 1 of 2), PDF Provider Directory – English and Spanish (Part 2 of 2), PDF
Region 2 – Two Rivers
Counties: Allen, Barren, Butler, Daviess, Edmonson, Hancock, Hart, Henderson, Logan, McLean, Metcalfe, Monroe, Ohio, Simpson, Union, Warren, Webster
Provider Directory – English and Spanish (Part 1 of 2), PDF Provider Directory – English and Spanish (Part 2 of 2), PDF
Region 3 – Salt River Trail
Counties: Anderson, Breckinridge, Bullitt, Franklin, Grayson, Hardin, Henry, Larue, Marion, Meade, Nelson, Oldham, Shelby, Spencer, Trimble, Washington, Woodford
Provider Directory – English and Spanish (Part 1 of 3), PDF Provider Directory – English and Spanish (Part 2 of 3), PDF Provider Directory – English and Spanish (Part 3 of 3), PDF
Region 4 – Cumberland
Counties: Adair, Bell, Casey, Clay, Clinton, Cumberland, Green, Harlan, Jackson, Knox, Laurel, McCreary, Pulaski, Rockcastle, Russell, Taylor, Wayne, Whitley
Provider Directory – English and Spanish (Part 1 of 3), PDF Provider Directory – English and Spanish (Part 2 of 3), PDF Provider Directory – English and Spanish (Part 3 of 3), PDF
Region 5 – Southern Bluegrass
Counties: Boyle, Clark, Estill, Fayette, Garrard, Jessamine, Lincoln, Madison, Mercer, Powell
Provider Directory – English and Spanish (Part 1 of 3), PDF Provider Directory – English and Spanish (Part 2 of 3), PDF Provider Directory – English and Spanish (Part 3 of 3), PDF
Region 6 – Northern Bluegrass
Counties: Boone, Bourbon, Campbell, Carroll, Gallatin, Grant, Harrison, Kenton, Nicholas, Owen, Pendleton, Scott
Provider Directory – English and Spanish (Part 1 of 3), PDF Provider Directory – English and Spanish (Part 2 of 3), PDF Provider Directory – English and Spanish (Part 3 of 3), PDF
Region 7 – Northeastern
Counties: Bath, Bracken, Boyd, Carter, Elliott, Fleming, Greenup, Lawrence, Lewis, Mason, Menifee, Montgomery, Morgan, Robertson, Rowan
Provider Directory – English and Spanish (Part 1 of 3), PDF Provider Directory – English and Spanish (Part 2 of 3), PDF Provider Directory – English and Spanish (Part 3 of 3), PDF
Region 8 – Eastern Mountain
Counties: Breathitt, Floyd, Johnson, Knott, Lee, Leslie, Letcher, Magoffin, Martin, Owsley, Perry, Pike, Wolfe
Provider Directory – English and Spanish (Part 1 of 2), PDF Provider Directory – English and Spanish (Part 2 of 2), PDF
Region 9 – Jefferson
County: Jefferson
Pharmacy resources
MedImpact administers pharmacy benefits for all Medicaid enrollees in Kentucky, including Humana Healthy Horizons in Kentucky enrollees.
Grievances and appeals
If you have a grievance or appeal related to Humana Healthy Horizons in Kentucky or any aspect of your care, we want to hear about it and see how we can help. To file a grievance or appeal, you can submit a grievance or appeal form to tell us what happened. Please provide as much information as you can so we can help resolve your issue.
If you are filing a grievance or appeal on behalf of a Humana Healthy Horizons in Kentucky enrollee, you must submit a completed Appointment of Representative (AOR) Form, or other type of representative form (e.g., power of attorney), along with the other information listed above.
You can send a completed Grievance/Appeal Request Form, and/or the AOR Form, to us by:
Fax: 800-949-2961
Mail:
Humana Inc.
P.O. Box 14546
Lexington, KY 40512-4546
Attn: Grievance & Appeal Department
Help accessing groceries and essentials
Medical
We can provide better care when we know more about you. You can help by filling out a:
- Health Risk Assessment: Tell us about your health history and how we can best help you. You should fill out and return this to us as soon as possible after becoming a new member.
- Consent for release of medical records: If you change doctors, this form will allow us to send your medical records to your new doctor.
After printing and completing one or more of the above forms, please send them to:
Humana Healthy Horizons in Kentucky
P.O. Box 14823
Lexington, KY 40512-4823
Performance measurement surveys
Let us know how we’re doing. We want to make sure we give you the best care and services to manage your health. Download performance measurement reports and take our member satisfaction survey.
Smartphone benefit information
Humana and
Expanded Benefits Reimbursement Form
We hope you don’t have to pay out of pocket for the benefits you get as a Humana Healthy Horizons in Kentucky enrollee. If you do, let us know by filling out a reimbursement claim form, and you may get a refund.
Fill out the form below to send a reimbursement claim.