Sign in to Provider Portal

Not Registered?
Register and start using time-saving online tools today

Council for Affordable Quality Health Care (CAQH®) Application Process

Humana Behavioral Health, as a subsidiary of Humana, participates in CAQH's Universal Credentialing DataSource initiative, an online service that helps physicians and other health care providers with the credentialing process. To apply as a Humana Behavioral Health provider, you must grant Humana Behavioral Health access to your CAQH application.

Three-Step Process for Applying

Please review the step-by-step directions below.

Review the Required Qualifications Before Applying

Minimum Requirements for Applying

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.

Not in CAQH?
If you are not registered with CAQH, contact Provider Services at 1-800-890-8288.

To learn more, visit the About CAQH page

Step 2: Update Your CAQH File

Confirm that your CAQH file is complete.

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 (link opens in new window) ).

Step 3: Submit Your Provider Interest Form

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

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

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

PDFProvider Interest Form(link opens in new window) 

Humana Behavioral Health Candidate Review Process

Humana Behavioral Health notifies candidates via mail once the credentialing review process is completed, which may take up to 120 days. (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.) As part of the review process, Humana Behavioral Health must verify your license, malpractice insurance, educational degrees and (for physicians) hospital privileges. We also query the National Practitioner Data Bank for malpractice settlements, license suspensions and Medicare sanctions. The final step is review by Humana Behavioral Health's Credentialing Committee.

Practitioners have the right to review information submitted to support their credentialing application, correct erroneous information and receive information about the status of their application. These rights may be exercised by calling our Provider Relations Department at 1-800-890-8288.

Questions?

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