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Heritage Health 

Resources
This page provides additional information about the new Medicaid Managed Care program, Heritage Health, which combines Nebraska’s physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated system for Nebraska’s Medicaid and Children’s Health Insurance Program (CHIP) enrollees. 
 
The program began January 1, 2017.
 

 
 
 News Releases
Fact Sheets and Documents
Provider Bulletin 17-20 - Enrollment of Peer Support Professionals
Provider Bulletin 17-19 - Interpretation Services
Provider Bulletin 17-18 - Medicare Crossover Payment Change
Provider Bulletin 17-17 - Preferred Drug List Changes
Provider Bulletin 17-15 - Provider Calls
Provider Bulletin 17-12 - Medicare Crossover Claims-Coordination of Benefits with Heritage Health Plans
Provider Bulletin 17-11 - Post Continuity of Care Calls
Provider Bulletin 17-08 - Removal of Third Party Liability Edits
Provider Bulletin 17-06 - Final Phase of Implementation Calls
Provider Bulletin 17-05 -Telehealth Changes
Provider Bulletin 17-04 - Additional Implementation Calls
Provider Bulletin 17-03 - Additional Rapid Response Calls
Provider Bulletin 17-01 - MCO Coverage of prior authorized nursing facility per diem services 
Provider Bulletin 16-35 - Pharmacy Continuity of Care
Provider Bulletin 16-32 - Rapid Response
Provider Bulletin 16-31 - Retroactive Enrollment
Provider Bulletin 16-28 - Nursing Facility Level of Care Process
Provider Bulletin 16-26 - Medical & Behavioral Health Continuity of Care
Provider Bulletin 16-25 - Provider Orientation
Provider Bulletin 16-14 - Provider Credentialing & Contracting Information
Provider Bulletin 15-58 - Heritage Health Managed Care Program
 
Member Choice
A key principle of Heritage Health is member choice. Members were all given the opportunity to select their new health plan during open enrollment, September through December, 2016. In addition to the initial open enrollment period all members have 90 days from the start date of their coverage to change their health plan. Copies of the outreach materials are included below and additional information for members can be found on the enrollment webpage: www.neheritagehealth.com
Provider Manuals
Provider Orientation - Hosted by the three Managed Care Organizations
Video Archives

YouTube Video IconVideo  Nebraska Medicaid Provider Orientation, October 31, 2016

YouTube Video IconVideo  State Tour Town Hall Meeting, Lincoln, September 14, 2016

YouTube Video IconVideo Heritage Health Nursing Facilities Webinar Recording August 8, 2016

YouTube Video IconVideo Heritage Health Behavioral Health Provider Webinar Recording - July 29, 2016

YouTube Video IconVideo Heritage Health Pharmacy Provider Webinar Recording - July 22, 2016

YouTube Video IconVideo Heritage Health Provider Webinar Recording - July 14, 2016

YouTube Video IconVideo Heritage Health Provider Webinar Recording - June 29, 2016

YouTube Video IconVideo Heritage Health Provider Webinar Recording - June 6, 2016

 
Presentation Materials 
 
Templates
 
Contracts (Large files. Slow downloads can be expected.)
Contract Compliance
 
 
 
Member Information
 
 
     Link to Nebraska Total Care       Link to United Health Care Community Plan of Nebraska     Link to WellCare of Nebraska
 
 
 
 
Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.
  
 
Good Life. Great Mission.