Heritage Health Resources

 
2
Medicaid Related Assistance
Medicaid & Long-Term Care
https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NESTATE_694
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What you need to know

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​   Heritage Health logo

This page provides information on Heritage Health, Nebraska's Medicaid managed care program that combines the majority of Nebraska's Medicaid services into a single comprehensive system for Nebraska's Medicaid and CHIP members.


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Managed Care Organization Contracts

Managed Care Organization Accreditation

Managed Care Organization Provider Manuals

Managed Care Organization Member Handbooks

Managed Care Organization Provider Directory

Managed Care Organization Non-Emergency Transportation

Molina

Nebraska Total Care

UnitedHealthcare Community Plan

Managed Care Organization Fact Sheets

Managed Care Organization Enhanced Ambulatory Patient Groups (EAPGs)

Managed Care Organization Forms

Nebraska Medicaid Health Plan Financial Audits

Nebraska Medicaid Provider Network Standards

Nebraska Medicaid External Quality Reviews 

No Managed Care Organizations (MCOs) are exempt from the external quality review by the State. The following Highly Integrated Dual Special Needs plans (HIDE DSNP) are exempt from the external quality review by the State for the reporting cycle of 2023-2024: 

  • UnitedHealthCare
  • Nebraska Total Care

Aggregated External Quality Reviews

Nebraska Medicaid Managed Care Program Annual Reports

In June 2021, the Centers for Medicare and Medicaid Services (CMS) released a Medicaid Information Bulletin (CIB)  notifying states of a new reporting requirement on their managed care programs and operations. The Managed Care Program Annual Report (MCPAR) required in 42 CFR § 438.66(e) , consists of the Medical Loss Ratio (MLR) Summary Report required in 42 CFR § 438.74(a), as well as the Access Standards Report required in 42 CFR § 438.207(d) and (e). 

Managed Care Organization Preferred Drug Lists (PDLs)

Managed Care Organization Parity