How To Enroll in the Nebraska Medicaid Program
If you have been approached by an individual who is a recipient of Aged and Disabled Waiver services, Personal Assistance Service, and/or Developmental Disabilities services, the individual or their representative will need to contact their Service Coordinator or Social Services Worker requesting your enrollment as a provider. Once contact has been made, you will receive a referral packet advising you of the steps to follow in the enrollment process.
If you are a non-emergency transportation services provider, contact IntelliRide, a non-emergency transportation services brokerage, at (844) 531-3783 to enroll.
Provider Bulletin 15-51 Web Portal Implementation
Provider Bulletin 15-52 Group Member Registration
Provider Bulletin 15-53 Revalidation
Provider Bulletin 15-54 Maximus Information
Provider Bulletin 15-15 Provider Screening and Enrollment with Maximus
Provider Bulletin 15-48 Updated Provider Screening and Enrollment Materials
Provider Screening Risk Levels.
The Maximus provider enrollment web portal will be implemented on December 1, 2015. Service Provider Agreements (MC-19) submitted on or after that date must be submitted to Maximus. Any service provider agreements received by Medicaid & Long-Term Care (MLTC) on or after that date will be forwarded to Maximus.
Providers are encouraged to enroll electronically in the Maximus web portal as described above. Providers may still opt to enroll using the paper enrollment forms. Please, see the instructions and list of available forms below.
New Provider Enrollment Paper Enrollment forms