Nebraska Health Insurance

Nebraska Medicaid Program

The terms Medicaid and Medicare are often used interchangeably however they are two separate programs. DHHS administers the Medicaid Program which provides health care services to eligible elderly and disabled individuals and eligible low-income pregnant women, children and parents

The Nebraska Medicaid Program pays for covered medical services for those persons who are unable to afford to pay for medically necessary services and who meet certain eligibility requirements. Nebraska Medicaid is funded jointly by the State and federal government

Eligibility

For most purposes we can talk about four categories of Medicaid eligibility in Nebraska:

Children through age 18. This includes the children’s health insurance program, which is an expansion of Medicaid; it also includes women who are covered by Medicaid solely because they are pregnant. They are covered basically to protect their unborn child.
Low income adults (Aid to Dependent Children adults, parents or caretakers of children).

Blind and Disabled population.
Aged, persons 65 and over

Nebraska Medicaid Program

Contacts

Medicaid Program Contacts

For questions about Medicaid coverage, billing requirements and rates:
Program Policy Staff and Telephone Numbers

For questions about claim status: 877-255-3092 (Medicaid Inquiry)

For question about electronic data interchange: 866-498-4357 (Medicaid EDI Help Desk)

To verify Medicaid client eligibility: 800-642-6092 (Nebraska Medicaid Eligibility System)

To reach Magellan Behavioral Health for MHSA Authorizations Contact them at: 800-424-0333.




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