Newsroom > DHHS News Release

For Immediate Release
July 14, 2017

CONTACT
Julie Naughton, Public Information Officer, Communications and Legislative Services, (office) 402-471-1695 or (cell) 402-405-7202, julie.naughton@nebraska.gov

Heritage Health Plans More than Meet Payment Requirements

LINCOLN— Nebraska’s three Heritage Health Medicaid Managed Care plans are more than meeting state requirements to pay provider claims in a timely manner.

UnitedHealthcare Community Plan, WellCare and Nebraska Total Care paid more than 97 percent of clean claims within 15 days in May. Their contracts with the Department of Health and Human Services’ Medicaid program requires them to process and pay a minimum of 90 percent of all clean claims for medical services within 15 business days of receipt.  Nebraska Total Care, which had lagged in payments, has improved to 98.4 percent of clean claims paid within 15 days.

Claims paid within 10 days 

Heritage Health, Nebraska’s Medicaid Managed Care program, combines Medicaid’s physical, behavioral, and pharmacy services into one coordinated system.  For members, having one health plan responsible for a more complete range of services encourages investment in more cost-effective services that ultimately better address the health care needs of the whole person.

Since January, the three plans have processed over 3.3 million total claims. These plans have paid Medicaid providers nearly $362 million since January, including over $168 million to hospitals and over $30 million to behavioral health providers. 

-30-

Note:  A clean claim is one that is complete when submitted, without complications or errors that might cause a delay in payment. A claim may have been denied and resubmitted as a clean claim.  To download a PDF of the chart, click here.