Next month Humana will change its billing procedures under the Commonwealth Coordinated Care (CCC) Program for dates of service on and after January 1, 2017.  Humana will process all CCC claims on the Humana claims processing platform.

As you are aware, current Humana Medicaid claims are processed by ILS; this will cease for dates of service beginning January 1.  As such, Humana has issued the following guidance:

• If you submit your claims online through the Availity Web Portal, you must select “Humana LTC” as the payer after you login at www.availity.com. You must register to use Availity if you are not already registered.
• If you are submitting claims through your clearinghouse, please use payer ID 61115. If a different payer ID is used, your claims will be rejected or denied.
• If you submit paper claims, please send them to the following address:

Humana LTSS Claims
P.O. Box 14732
Lexington, KY  40512-4732

Humana has further clarified that “current authorizations for already approved services will be migrated to the new systems automatically, and will require no additional action on your part. You will receive a fax notification of the migrated authorization, as the authorization number will change. Any new or amended requests for dates of service after January 1, 2017 will be set up in the new system.”

Humana has also reminded providers that “for covered services with date of service prior to Jan. 1, 2017, please continue to bill as you do currently.”

Again, this is effective for claims with dates of service on or after January 1, 2017.  More information, including a new provider billing guide, is also available online.   If you have questions about this change, please call Humana at 1-855-280-4002, Monday through Friday, 9 a.m. to 9 p.m. Eastern Time.