Contracted Provider (doctors and clinic) Listing
Medicaid Expansion: Heritage Health Adult expands Medicaid to lower income adults (age 19 to 64) who earn up to 138% of the federal poverty level. Nebraska Medicaid will begin accepting applications for HHA starting August 1, 2020. Benefits will begin on October 1, 2020. For more information or to see if your patients are eligible please visit the Medicaid Expansion web site. Medicaid Expansion Toolkit: Heritage Health Adult (HHA) Resource Toolkit
Nebraska Tobacco Quitline Adds Continuing Education Opportunity for Healthcare ProvidersAccredited courses are now available online, through the Nebraska Tobacco Quitline, for providers looking to receive CME, CNE, or CPE credits. To access tools, resources, and education modules, plus the web and fax referrals for providers ready to help patients quit, go to: QuitNow.ne.gov/providers
Women's and Men's Health Provider Participation Manual (EFFECTIVE: November 1, 2023)Women's and Men's Health Fee Schedule (2023-2024 (EFFECTIVE: July 1, 2023)Women's and Men's Health Fee Schedule (2022-2023)Income Eligibility Guidelines (EFFECTIVE: November 1, 2023)
Cholesterol RecommendationsHypertension Recommendations
Provider Materials Re-Order Form
Inflatable Colon Rental Information
Diagnostic Presumptive Eligibility ChecklistDiagnostic Reference Quick GuideBreast Diagnostic Enrollment/Follow-Up Treatment English Spanish Breast Diagnostic Instructions
Cervical Diagnostic Enrollment/Follow-Up Treatment English Spanish Cervical Diagnostic Instructions
Timely Submission of Claims and Documentation PolicyClaims for services provided during a previous Fiscal Year (July 1- June 30) must be received by EWM/NCP with primary Explanation of Benefits and documentation by December 31st following the end of the Fiscal Year. Claims received after the filing deadline will be entered into the EWM/NCP Billing System and denied for Timely Filing. Claims denied for Timely Filing may not be billed to the client(s).
Nebraska Colon Cancer Program Lab Data Entry InstructionsNebraska Colon Cancer Program Endoscopy Form (fillable)FIT Fax Form Med-It User Profile Form
Every Woman Matters offers free or reduced cost Healthy Behavior Support Services to help clients reach their weight, fitness, and nutrition goals. Healthy Behavior Support Services may include the following:
Health Coaching - clients can be connected to a health coach that is located in their area and a part of a Community Health Hub. Health coaches help support clients and connect them to Healthy Behavior Support Services. More information can be found in the Health Coaching Flyer.
Check.Change.Control® - More information can be found at the American Heart Association's Check.Change.Control. website. DHHS does have a free online Blood Pressure Tracker Monitoring System (only available in English)
National Diabetes Prevention Program - 16-session program that helps people reduce their risk for type 2 diabetes and improve there overall health. Sessions are taught by trained lifestyle coaches. More information can be found at the Centers for Disease Control and Prevention's National Diabetes Prevention Program website.
Living Well - 6 session workshop that helps people who have on-going health conditions learn real-life skills for living a full, healthy life. Workshops are interactive with 8-15 individuals who share experiences and provide support to each other. More information can be found in the Living Well Flyer.
Tobacco Cessation - Tobacco Free Nebraska has resources available to help your clients quit tobacco use. More information can be found by going to the Tobacco Free Nebraska website.
Screening Enrollment LessonEverything you need to know about qualifying factors and enrollment in the Every Woman Matters and Nebraska Colon Cancer Screening ProgramsScreening Card LessonWhat to do with the Screening Cards patients bring to their appointments
Referring EWM Clients to the Nebraska Tobacco QuitlineHow to refer your Every Woman Matters patients to the Nebraska Tobacco Quitline
Trainings and Continuing Education ResourcesHospital & Healthcare Guide 2019
Health Equity and Prevention Primer - web-based training series for public health practitioners and advocates interested in achieving health, safety and health equity through policy advocacy, community change, and multi-sector engagement.CANCERcare.org - dedicated to providing free, professional support services including counseling, support groups, educational workshops, publications and financial assistance. PeerView Institute - dedicated to improving clinical competence and performance, patient outcomes and ultimately public health through the provision of continuing education (CME and professional development activities. Credits are available FREE of charge for physicians and nurses. Many classifications of topics are available. American Academy of CME, Inc. - recognizes the importance of continuing education for professional development for healthcare professionals and the need to address clinical practice gaps that impact patient care. The Academy provides certified continuing education to physicians, nurses, nurse practitioners, physician assistants, pharmacists, dieticians, social workers/case managers, transplant coordinators and other healthcare professionals. Agency for Healthcare Research and Quality - clinical practice guidelines and resources are housed on this site.
In order to participate as a provider, a 6-page Provider Participation Enrollment Form is required. Information about the Women's and Men's Health programs are included in the Women's and Men's Health Provider Participation Manual. Please call the office at (800) 532-2227 for more information.
Women's and Men's Health Provider Participation Manual (EFFECTIVE: July 1, 2022)Women's and Men's Health Fee Schedule (2022-2023) (EFFECTIVE: July 1, 2022)