Humana Inc. Implementation Resources

 

myNEXUS is proud to announce its partnership with Humana, Inc. to provide utilization management for home health services.

Program Announcements 

myNEXUS is currently partnered with Humana to provide utilization management services in GA, OK, SC, and TX. To view program announcements for each state, please click here.

 

Program Materials

myNEXUS utilizes Interqual to facilitate appropriate evaluation of medical necessity by including assessment of the member throughout the continuum of care. A synopsis of the criteria is available to Providers and Members on request and free of charge by calling myNEXUS at 1-833-845-8684.

Humana In-Scope Plans

Initial Authorization Request Form
Re-Authorization Request Form
Episodic Authorization Request Form

Provider Authorization Portal

myNEXUS Portal
For information on how to register for the portal, please click this link.

Contact Us

Phone: 1-833-845-8684
Fax: 1-844-438-6791

Please contact the myNEXUS provider network team with any questions at provider_network@myNEXUScare.com.