Newsroom > DHHS News Release
FOR IMMEDIATE RELEASE
May 7, 2012
Nebraska Medicaid Physical Health Managed Care to Expand Statewide in July
Lincoln – Nebraska Medicaid, through the Nebraska Department of Health and Human Services, is expanding the physical health managed care program statewide effective July 1, 2012.
Currently, Nebraska Medicaid provides physical health managed care in ten counties: Cass, Dodge, Douglas, Gage, Lancaster, Otoe, Sarpy, Saunders, Seward, and Washington counties through health plans with Coventry Healthcare of Nebraska, Inc. (CoventryCares) and United Healthcare (United Healthcare Community Plan). The additional 83 counties will be covered by AmeriHealth Nebraska, Inc. (Arbor Health) and Coventry Healthcare of Nebraska, Inc. (CoventryCares).
Nearly 100,000 Medicaid clients are currently enrolled in Managed Care. The expansion will add about 65,000 people.
Last week, Medicaid clients affected by this expansion were mailed information about the change advising them they will need to enroll in Managed Care by July 1, 2012. Clients will receive a Client Guidebook with all of the information necessary to choose a health plan and complete the enrollment. All information contains contact information for the Medicaid Enrollment Center that will facilitate the enrollment process and the individual health plans.
Managed Care means each client will have a primary care provider. It also emphasizes preventive care and encourages the appropriate utilization of services in the most cost-effective settings. The Managed Care health plans authorize, arrange, provide and pay for the delivery of most Medicaid services to enrolled Medicaid clients. Services that are not included in Medicaid physical health Managed Care are dental, pharmacy, hospice, long term care facilities, mental health/substance abuse, personal assistance services, and Home & Community Based Waiver services.
Medicaid Managed Care for mental health services has been statewide since July 1, 1995.
is a Frequently Asked Questions document for clients that provides additional information.