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.
Obstetric Needs Assessment Form
A key principle of Heritage Health is member choice. Members are all given the opportunity to switch to a different health plan during open enrollment, November 1 through December 15. Copies of the outreach materials are included below and additional information for members can be found on the enrollment webpage: www.neheritagehealth.com
Non-Emergency Medical Transportation
To schedule a trip please contact your Health Plan or click on the link below to schedule a trip online:
Nebraska Total Care
MTM
1-844-385-2192 TTY: 711
http://memberportal.net/?planCode=CTC
Unitedhealthcare Community Plan
Modivcare
1-833-583-5683 TTY: 1-833-587-6527
https://www.mymodivcare.com/
Molina Healthcare
1-888-889-0421 TTY: 711
https://memberportal.net/
If you have questions or concerns about non-emergency medical transportation, please contact the relevant Managed Care plan:
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:
Aggregated External Quality Reviews
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) .