Heritage Health Plan Advisories

 
2
Medicaid Related Assistance
Medicaid & Long-Term Care
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​​​​​​​​​​​​​​​​​​​​Below are Health Plan Advisories that apply to the Heritage Health Managed Care Organizations.

Last Updated: November ​26​​,​ 2024​

  
  
  
Description
Health Plan Advisory 24-20.pdfHealth Plan Advisory 24-2011/27/2024 10:51 AM
Prenatal Plus Program (Revised November 26, 2024)
Health Plan Advisory 24-19.pdfHealth Plan Advisory 24-1911/19/2024 9:20 AM
Coverage of Interpretation Services
Health Plan Advisory 24-18.pdfHealth Plan Advisory 24-189/23/2024 12:56 PM
Clarification of Medicare Change Impacts Billing of Select Services for Dual Eligible Medicaid Members
Health Plan Advisory 24-17.pdfHealth Plan Advisory 24-178/26/2024 10:55 AM
Provider Enrollment and Behavioral Health Services
Health Plan Advisory 24-16.pdfHealth Plan Advisory 24-168/26/2024 10:55 AM
Changes to Medicaid Eligibility through the Katie Beckett Program
Health Plan Advisory 24-15.pdfHealth Plan Advisory 24-157/17/2024 3:33 PM
Update to Continuous Glucose Monitor Policy for Fee-for-Service Members
Health Plan Advisory 24-14.pdfHealth Plan Advisory 24-147/1/2024 2:11 PM
Nursing Facility Quality Assurance Assessment Increase Effective July 1, 2024
Health Plan Advisory 24-13.pdfHealth Plan Advisory 24-137/1/2024 2:11 PM
Changes to the Pharmacy Professional Dispensing Fee
Health Plan Advisory 24-12.pdfHealth Plan Advisory 24-127/1/2024 2:11 PM
Expansion of Tobacco Cessation Coverage
Health Plan Advisory 24-11.pdfHealth Plan Advisory 24-117/1/2024 2:11 PM
Medicare Change Impacts Billing of Select Services for Dual Eligible Medicaid Members
Health Plan Advisory 24-10.pdfHealth Plan Advisory 24-106/27/2024 9:40 AM
Long-Term Acute Care Hospital (LTACH) Service Implementation
Health Plan Advisory 24-09.pdfHealth Plan Advisory 24-096/17/2024 12:44 PM
Updates to COVID-19 Vaccines, Vaccine Administration, and Testing
Health Plan Advisory 24-08.pdfHealth Plan Advisory 24-084/4/2024 11:04 AM
Crisis Support Services - Therapeutic Family Care (TFC)
Health Plan Advisory 24-07.pdfHealth Plan Advisory 24-072/29/2024 3:51 PM
Prior Authorization will be Required for Attended Sleep Studies
Health Plan Advisory 24-06.pdfHealth Plan Advisory 24-062/29/2024 3:51 PM
Home Health and Private Duty Nursing Billing Appendix Update
Health Plan Advisory 24-05.pdfHealth Plan Advisory 24-052/7/2024 10:56 AM
Hospital Inpatient Nursing Facility Level of Care (Hospital IP NF LOC) Per Diem Rate
Health Plan Advisory 24-04.pdfHealth Plan Advisory 24-041/19/2024 11:30 AM
Medicaid Insurance for Workers with Disabilities (MIWD) Premium Resumption
Health Plan Advisory 24-03.pdfHealth Plan Advisory 24-031/11/2024 9:35 AM
90-day Requirement on Previous Authorizations
Health Plan Advisory 24-02.pdfHealth Plan Advisory 24-021/5/2024 3:13 PM
Clarification of Therapeutic Group Homes (ThGH) code H2020
Health Plan Advisory 24-01.pdfHealth Plan Advisory 24-011/5/2024 9:15 AM
Guidance on Telehealth after December 31, 2023
Health Plan Advisory 23-11.pdfHealth Plan Advisory 23-1112/26/2023 2:44 PM
Extension of Continuous Eligibility for Postpartum Mothers and Children
Health Plan Advisory 23-10.pdfHealth Plan Advisory 23-1012/11/2023 2:27 PM
Occupational, Physical, and Speech Therapy Services (OT/PT/ST)
Health Plan Advisory 23-09.pdfHealth Plan Advisory 23-0912/7/2023 3:34 PM
Durable Medical Equipment (DME)
Health Plan Advisory 23-08.pdfHealth Plan Advisory 23-0812/7/2023 3:34 PM
Changes to the Coverage and Payment of Adult Vaccines
Health Plan Advisory 23-07.pdfHealth Plan Advisory 23-078/29/2023 9:51 AM
Full Restoration of Medicaid Member Benefits
Health Plan Advisory 23-06.pdfHealth Plan Advisory 23-067/20/2023 10:15 AM
Eligibility and Benefit Appeal Timeframe
Health Plan Advisory 23-05.pdfHealth Plan Advisory 23-056/6/2023 1:15 PM
Nebraska Medicaid to Cease Coverage for Makena Immediately
Health Plan Advisory 23-04.pdfHealth Plan Advisory 23-046/6/2023 1:15 PM
Suspension of Cost Sharing
Health Plan Advisory 23-03.pdfHealth Plan Advisory 23-034/17/2023 1:55 PM
Pandemic Flexibilities That End After June 30, 2023
Health Plan Advisory 23-02.pdfHealth Plan Advisory 23-024/17/2023 1:55 PM
Pandemic Flexibilities That End After May 11, 2023
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