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Nebraska Medicaid

For the Public

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 NDA does not keep track which of its members accepts Medicaid patients.  Click here to find a Medicaid provider.

For Providers

MCNA will be the managed care organization for Medicaid, scheduled to launch October 1, 2017.  

After the initial release of MCNA’s Provider Agreement in June, we received many calls expressing concerns with a few of the contract clauses.  My further review raised additional concerns with a few contract clauses.  In late June, contacted DHHS and MCNA, indicating that the NDA could not tell our members to sign an agreement, or not sign an agreement, but we could pass along concerns of our members who were considering their continued participation in Medicaid.

I  met personally with MCNA attorney Shannon Boggs-Turner on August 10th to review the concerns raised.  I am happy to report that all of the concerns raised were addressed positively by MCNA and approved by DHHS.  You can see the edited version of the Provider Agreement and Product Attachment.

The one area where contract language was not changed appears in paragraph 6. Acceptance of New Patients.  If an office would like to see existing Medicaid patients, but not new, they would indicate that on page 2 of the paper Credentialing Application as shown on the image below. 
MCNA Patient Panel Credentialling
 
Here are the 2017 MCNA Provider Agreement Review comments.

NDA letter to Senator Merv Riepe regarding concerns with the MCNA Managed Care launch.

The Regulations governing Medicaid were revised on June 24, 2017 and can be found here.

Contacts:
Julie Swenson 
Program Specialist
Dental & Vision Nebraska Department of Health & Human Services
Division of Medicaid and Long-Term Care
P.O. Box 95026 Lincoln, Nebraska 68509
Office: (402) 471-6287
Fax: (402) 742-8342 
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