Humana Healthy Horizons® in Kentucky is more than a health plan. We are committed to providing what you need to give our enrollees the best care possible. Humana Healthy Horizons features great medical benefits and more, including our Go365 for Humana Healthy Horizons® rewards program, expanded vision services, childcare assistance, and helpful digital tools to help enrollees better manage their health.
Humana contracts with the Kentucky Cabinet for Health and Family Services to provide services to Medicaid enrollees through Humana Healthy Horizons. Medicaid provides healthcare coverage for income-eligible children, seniors, disabled adults, pregnant women, and other eligible adults. It is funded by both the state and federal governments.
Humana uses nationally recognized medical necessity guidelines (e.g., Milliman Care Guidelines [MCG] and American Society of Addiction Medicine® criteria). Criteria are readily available for review by Kentucky Department for Medicaid Services (Kentucky DMS), practitioners, the public, or enrollees on request and at no cost. MCG guidelines are available either verbally or in writing on request. For providers and practitioners, the process to obtain criteria is communicated annually in the provider newsletter and provider manual.