May 17, 2021. We listened. Once logged in, select Patient Registration | Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry as appropriate. Choose a Primary Care Provider To see if your Primary Care Provider (PCP) participates in one of the Heritage Health plans, go to Find A Provider at www.neheritagehealth. Stop the germs — teach kids to wash hands. https://providers.healthybluela.com. Brand name drug: Uppercase in bold type . GR: WellCare of Nebraska is rebranding as Healthy Blue to … The AP news staff was not involved in its creation. system or otherwise, without the prior written permission of Healthy Blue. View or print your member ID card. Corrected claims submitted on paper by a provider with electronic claim filing capabilities will be returned with instructions to submit the corrected claim electronically. 06/11/2021. You can call Healthy Blue Member Services at 833-388-1405 (TTY 711) Monday through Friday, 8 a.m. to 5 p.m. Central time. Starting on January 1, 2021, WellCare of Nebraska will be operating on Healthy Blue systems, which will require providers to be enrolled with Healthy Blue and submitting claims in accordance with their Nebraska Medicaid enrollment profile. $1* for 6mos. Become a WellCare of Nebraska Provider. Notice of Non-Discrimination. Please enter your User ID and Password. Device and app connection center. 4 HealthyBlue 2.0 Member Handbook Local CareFirst providers mail to: Mail Administrator PO Box 14116 (for claims) Lexington, KY 40512-4116 PO Box 14114 (for correspondence) Lexington, KY 40512-4114 CareFirst BlueChoice, Inc. and CareFirst BlueCross Up to $2500 for covered types of preventive and comprehensive dental services. As the contracted broker for Healthy Blue / Heritage Health, IntelliRide manages NEMT services for members throughout Nebraska. Once you are enrolled in a health plan, call the plan directly to pick or change a Primary Care Provider (PCP). Or feel free to call Healthy Blue Provider Services at 1-844-594-5072 with any suggestions, comments or questions. WellCare Provider Portal Training: How to Submit an Authorization. Starting January 1, 2021, Healthy Blue Nebraska will begin credentialing providers through parent company, Anthem. Notice of Non-Discrimination. DO: Dose Optimization Program . As the contracted broker for Healthy Blue / Heritage Health, IntelliRide manages NEMT services for members throughout Nebraska. Read more. Nebraska Medicaid partners with thousands of health care providers across the state to care for the state's Medicaid members. Virginia Beach, VA 23466-2947. At WellCare, Providers Can Expect More. Generic drug: Lowercase in plain type * : 599 CHIP benefits (Pregnant Women) AL: Age Limit Restrictions . Nebraska Medicaid Fee Schedule. Go to the Healthy Blue website. Box 3248 Omaha, NE 68180 402-982-7000 800-422-2763 (Wheelchair accessible) Lincoln Office In order to align with Anthem standards, all providers contracted under a Tax Identification Number (TIN) which is covered by a delegated credentialing agreement, must be credentialed under that agreement. Healthy Blue Nebraska | 30 followers on LinkedIn. You'll have access to a new Portal that will streamline your work, keep you up-to-date more than ever before and provide critical information. Return to Payer List. New Provider Portal. For over 80 years, Nebraskans have counted on coverage from Blue Cross and Blue Shield of Nebraska and, now with Healthy Blue, Medicaid members in Nebraska can get Blue too. Tips and resources: Enhance preauthorization webinars and training. Behavioral Health Authorizations List. Solicits new business in stated market working through brokers and consultants. In each class, drugs are listed alphabetically by either brand name or generic name. Healthy Blue is here to support providers, pregnant members, and their little ones on the way. With access to your secure account, you can: Change your primary care provider (PCP). If you have an urgent request and need immediate assistance, please call 800-247-1103, option 6, to speak with our team. DO: Dose Optimization Program . The all new Provider Portal is now live! Request a call back from Member Services. This insurance is also known as:Wellcare of Nebraska. Learn about Health Plans available in your area. Quick Reference Guide. We’re a health plan — or insurance company — for Medicaid. In Louisiana, we: Work with over 13,000 doctors. For a complete listing, go to Rules and Regulations and Provider Bulletins. Call 1-844-875-8498. Contact. Healthy Blue is the trade name of Community Care Health Plan of Nebraska, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Find out More. Take the course immediately after enrolling, or you can save it until later by launching it in your ALC Dashboard. The PDL and supplemental drug lists are clinical guides to prescription drug products selected by Nebraska and WellCare's Pharmaceutical and Therapeutics (P&T) Committees, respectively, based on a drug's efficacy, safety, side effects, pharmacokinetics, clinical literature and cost effectiveness. Legend . Visit the Superior Vision member website. Nebraska Department of Health and Human Services Heritage Health Adult Medically Frail Attestation Form MLTC-92 Rev. Recent Posts. Heritage Health is a new health care delivery system that combines Nebraska’s current physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated system for Nebraska’s Medicaid and CHIP clients. Additional providers will be added as they become available. Medical policy and pre-certification guidelines are specific to each member's Blue Plan. As the contracted broker for Healthy Blue / Heritage Health, IntelliRide manages NEMT services for members throughout Nebraska. Manage your IngenioRX Pharmacy prescriptions. Authorization Lookup. Provider Group Registration. P.O. Legend . Please allow time for us to evaluate your request. If you are interested in joining our network call toll free 1-844-385-2192 (Relay 711) or to request a contract use our Contract Request Form or email us at NetworkManagement@NebraskaTotalCare.com. Stop the germs — teach kids to wash hands. We help you get the care you need like doctor visits, medicines, therapy and more. Claims Mailing Address Together, we can make a real difference in the lives of our members — your patients. May 12, 2021. eviCore Healthcare Partnership for Molecular and Genomic Testing Reminders. Personal health record. Provider Agreement (SPA) •Business Associate Agreement (BAA) Vendor . You can also send us an appeal by filling out a Member Appeal Request Form and sending it to us. We work with thousands of doctors, specialists, and hospitals throughout Nebraska, and we … This position is responsible for sales of BCBSNE group health insurance products, targeted to groups based in Nebraska, with 151 plus eligible employees located local and nationally who are not currently BCBSNE customers. Please check back daily for updates. Nebraska Medicaid Provider Handbooks are published here. On the website, enter your Healthy Blue member ID — this will help make sure you find a provider who works with Medicaid. Please Note: This tool is for outpatient services only. (Oct. 5, 2020) – Community Care Health Plan of Nebraska, Inc. (dba WellCare of Nebraska), which is an Anthem Inc. company and leading managed care provider of health benefits for Nebraska’s Heritage Health Medicaid program, along with Blue Cross and Blue Shield of Nebraska (BCBSNE), the largest health insurer in Nebraska, have received approval to enter into an … Our general duties include, transportation provider credentialing, training, education, customer service, reservations and scheduling, dispatch and routing, trip monitoring and quality assurance, and claims. Chat with a live person or send us a secure message. Healthy Blue is our health plan for Medicaid and Children’s Health Insurance Program (CHIP) members in Nebraska. You are welcome to call each Health Plan’s member services number or visit their web site to find more information about what each Health Plan offers. Take your Health Risk Screener (HRS). Since 1939, Blue Cross and Blue Shield of Nebraska (BCBSNE) has helped millions of Nebraskans get and stay healthy. Press release content from Business Wire. Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City. Medicaid. Create Account. Visit the Healthy Blue website for Medicaid and LaCHIP members. Focused on the health of each member. © 2021 Healthy Blue Pharmacy information and tools. Nebraska Medicaid-Approved Preferred Drug List Effective May 1, 2021. Buprenorphine Products Fax Form. As a member of Healthy Blue, you may be eligible to get rides to and from your doctor’s office, pharmacy and other providers of covered services. Missouri 2021 Medicare Advantage plan changes. 1-833-713-1078 (telephone) 1-855-358-1226 (fax) Medicare Complaints, Appeals & Grievances (Medical and Drugs Part C) Attention: Medical Necessity Provider Appeals. If you are ready to join 365,000 providers nationwide who already partner with WellCare, please send us your information by completing our online form. GR: Enter Account #, NPI or Tax ID: Enter Email Address: Enter Username: Enter Email Address: **Please note that the provider directory for each health plan is still under development. In each class, drugs are listed alphabetically by either brand name or generic name. Refer to your Provider Manual for … WellCare Provider Portal - Authorizations and You. WellCare of Nebraska is now Healthy Blue. As a Healthy Blue member, you'll find all of your plan information on your new member website at healthybluene.com. You can access your WellCare plan information for dates of service prior to January 1, 2021 in our Archive. View your contact info. Search our provider directory below or click here to download the full provider directory in English or aquí en Español . Inpatient services and non-participating providers always require prior authorization. We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities. As a Healthy Blue member, you can get rides to and from your doctor’s office, pharmacy and other providers of covered services. ... Blue Cross and Blue Shield of Nebraska is an independent licensee of the Blue Cross and Blue Shield Association. The Nebraska health plan known as WellCare will be rebranded as Healthy Blue on Jan. 1, 2021. If you are interested in participating in the Healthy Blue network, please visit . View the specific manual to learn more. These are plans that meet government requirements per the Affordable Care Act. How to apply for participation . HealthyBlue helps employees know their numbers, what they mean, and how to make improvements toward total well-being. Find A Provider. As a Healthy Blue member, you'll find all of your plan information on your new member website at healthybluene.com. This regional network is available to groups headquartered in Omaha, Lincoln and the surrounding communities in ZIP codes starting with 680, 681, 683, 684 and 685. Create Account if you don't have an account. Enrollment •W9 •Sample Invoice •Enrollwith Paymodeto received direct deposit Credentialing •Insurance •Vehicle •Driver •Service Area. Availity, LLC is an independent company providing administrative support services on behalf of Healthy Blue. Visit HealthyBlueNE.com. The phone number is 1-844-385-2192 (Relay 711). 1-844-521-6942. You can: You’ll need to access the secure portion of the member website. Availity Provider Portal Eligibility and Benefits Verification. Call the Customer Care Center at 866-757-8286. The medications included in the Healthy Blue formulary are reviewed and approved by the Pharmacy and Therapeutics Committee, which includes Practitioners and Pharmacists from the Provider community. The list will be updated as more providers join the program. The broadband providers listed below have elected to participate in the Emergency Broadband Benefit Program (EBB Program). Access forms and answer questions regarding required provider documentation. We created an on-demand course in the Availity Learning Center (ALC) Catalog: Express Entry for Atypical Providers. … Visit our main website to find contact information for the health plan. Please select a drug from the list below to see all coverage details regarding the medication. Healthy Blue works with IngenioRx to provide these benefits. Title. Policies and Procedures. Call Superior Vision at 1-800-787-3157 (TTY 1-800-735-2258) Monday through Friday from 7 a.m. to 7 p.m. Box 62429 Virginia Beach, VA 23466-2429. Call IntelliRide at 844-531-3783 or visit www.iridenow.com to learn about eligibility and to set up your ride. You spoke. Please note that if you file an appeal by phone, you will need to follow up with a written appeal. If you need help understanding these benefits and services call Member Services. This tool does not reflect benefits coverage 1 nor does it include an exhaustive listing of all noncovered services (i.e., experimental procedures, cosmetic surgery, etc.). Healthy Blue — NE P.O. We are excited that you selected our provider network as your network of choice. Healthy Blue will administer pharmacy benefits for enrolled members through IngenioRx, Inc. IngenioRx, Inc. is an independent company providing pharmacy benefit management services on behalf of BlueChoice HealthPlan. Healthy Blue reimbursement policies are developed based on nationally accepted industry standards and coding principles. Choice Counselors are available at 1-888-255-2605 to answer your questions Mon-Fri 7am-7pm CT.. 9370 McKnight Road, Suite 300 Pittsburgh, PA 15237 Fax: 1-800-852-6311 Telephone: 1-888-255-2605 Customer Service Hours: Mon-Fri 7am-7pm CT Healthy Blue is a health plan that serves Nebraska Medicaid members. All other Nebraska providers are out of network. Medicaid also has an approved 1135 Waiver in place in response to the COVID-19 pandemic. You can also speak to a Choice Counselor at 1-888-255-2605. Recover and/or recoup claim payment. If you are interested in participating in the Healthy Blue network, visit How to … To request or check the status of a prior authorization request or decision for a particular plan member, access our Interactive Care Reviewer tool via Availity. Providers and Specialties: Secure Care, Nebraska Medicine, Nebraska Health Network (Nebraska Medicine), Think Whole Person Healthcare and Faith Regional Phone: 402-982-8419 Email: Tawny.Archer@NebraskaBlue.com Learn more about the Emergency Broadband Benefit, including eligibility details, by visiting: fcc.gov/broadbandbenefit 1919 Aksarben Drive P.O. A: If you provide services for Healthy Blue members that are non-medical, and you don’t require a national provider identifier (NPI), you are designated as an atypical provider. Member Services: 1-844-521-6941 (TTY 711) Monday through Friday from 7 a.m. to 7 p.m. Nebraska Total Care only accepts the CMS-1500 (2/12) and CMS-1450 (UB-04) paper claim forms. Nebraska Medicaid-Approved Preferred Drug List Effective May 1, 2021. January 22, 2021. With questions, please contact us at DHHS.MLTCExperience@nebraska.gov. View Plan Details Enroll in Plan (opens modal window) Have questions? committees. Missouri 2021 Medicare Advantage plan changes; Blue Cross NC embraces the mission to improve the health and well-being of members and communities. 2/2021 Purpose: Nebraska DHHS Medicaid and Long Term Care (MLTC) uses this Attestation form to determine if the Heritage Alerts and Updates. Kids bring home germs from school, daycare and friends every day. HURRY! Learn more about ACA insurance options in Nebraska. Title. Failure to correct inaccurate information, or bill utilizing Medicaid enrollment profile data, will result in claim rejections as of January 1, 2021. The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more. Healthy Blue has a Preferred Drug List (PDL).Please refer to the PDL when prescribing for our members. Stay up-to-date with the latest updates for health care professionals. Our Premier Select BlueChoice network features Nebraska Methodist Hospital System and Nebraska Medicine. Utilization Management: Phone: 866-902-1689 Fax: 800-823-5520 Monday through Friday, 8 a.m. to 5 p.m. … Medicaid Provider Rates and Fee Schedules 2 Medicaid Related Assistance Medicaid & Long-Term Care https://service.govdelivery.com ... Lincoln, Nebraska 68509 (402) 471-3121 Contact Us. OMAHA, Neb. Mailstop: OH0205-A537. Telehealth Originating Site Facility Fee: CPT Q3014. Have questions? Office Locations Omaha Headquarters. Other claim form types will be rejected and returned to the provider. Professional providers and medical suppliers complete the CMS-1500 (2/12) form and institutional providers complete the … The Member Appeal Request Form can also be used if someone is submitting the … Healthy Blue is administered by Missouri Care, Inc. in cooperation with Blue Cross and Blue Shield of Kansas City. Please select your line of business and enter a CPT to look up authorization for services. Healthy Blue + Medicare Customer Service. Compare Health Plans. 24-Hour Nurse Help Line 833-388-1405 (TTY 711) 24 hours a … Healthy Blue is the Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve North Carolinians who participate in the state Medicaid program. Have over 160 hospitals to choose from. We help coordinate and manage your health care needs. 866-331-2243, available Monday - Friday from 7:00 am - 6:00 pm CST (6:00 am - 5:00 pm MST) Mailing Address. Before you can choose Healthy Blue as your health plan, you will need to apply for Medicaid benefits with the Nebraska Department of Health and Human Services (DHHS). You can access your WellCare plan information for dates of service prior to January 1, 2021 in our Archive. UnitedHealthcare Community Plan 2717 N 118th Street, Suite 300 Omaha, NE 68164. or call . com. Phone: 866-757-8286 Fax: 912-233-4010 or 912-235-3246 Subscribe to News Updates. Healthy Blue may: Reject or deny the claim. If you have questions about whether or not you are eligible to receive OTC medicines, call Member Services at 833-388-1405 (TTY 711) Monday through Friday from 8 a.m. to 5 p.m. Central time. NEtwork BLUE is our statewide network, made up of 96% of Nebraska’s doctors and 99% of the state’s non-governmental acute care hospitals. * NEtwork Blue provides access to: Hospitals and clinics across Nebraska; Primary and specialty care providers; Heart, cancer and trauma centers; Children’s care; Behavioral health network We comply with applicable Federal civil rights laws & do not discriminate on the basis of race, color, national origin, age, sex, or disability. Our mission is to provide the coverage our members need and ensure they understand how to use and keep their benefits. Buprenorphine Products Informed Consent Form. Our general duties include, transportation provider credentialing, training, education, customer service, reservations and scheduling, dispatch and routing, trip monitoring and quality assurance, and claims. Learn about Medicaid plans. Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. If you would like more information about the OB Care Management program or have a patient who would benefit from care management, please call Provider Services at 844-594-5072. Use the PA tool within the Availity Portal. Contact Healthy Blue Customer Care Center. Forms for authorization, behavioral health, pharmacy services and miscellaneous purposes for WellCare of Forms providers. Contact Us. Thank you for your interest in participating with Nebraska Total Care. Affordable Care Act (ACA) You can purchase individual health insurance through the Health Insurance Marketplace. Nebraska Total Care provides the same benefits as Medicaid, plus more. We comply with applicable Federal civil rights laws & do not discriminate on the basis of race, color, national origin, age, sex, or disability. Healthy Blue is a Medicaid product offered by Missouri Care, Inc., a MO HealthNet Managed Care health plan contracting with the Missouri Department of Social Services. Inpatient services and non-participating providers always require prior authorization. These policies may be superseded by mandates in provider, state, federal or CMS contracts and/or requirements. Need more help? Healthy Blue is our health plan for Medicaid members. Member benefits and services will remain the same. Healthy Blue Nebraska NEMT | June 7, 2021 BLA-PM-0019-21 Box 62947. For questions and issues regarding the new preauthorization tool, please contact: ProviderPortalAuthQuestions@NebraskaBlue.com . COVID-19. Need to submit transactions to this insurance carrier? Behavioral health provider. Healthy Blue is the trade name of Community Care Health Plan of Nebraska, Inc., an independent licensee of the Blue Cross and Blue Shield Association. Availity, LLC is an independent company providing administrative support services on behalf of Healthy Blue. Protect them and your family from the flu, colds, and more — teach them how to wash hands the right way. Growth Hormone (GH) … The Heritage Health health plans provided are available statewide. WellCare of Nebraska to become Healthy Blue in January. Log In. To request authorizations, visit the Availity Portal and select Patient Registration from the top navigation pane. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. Optional biometric screenings. Phone: Call Member Services at 833-388-1405 (TTY 711). In Louisiana, the overall Medicaid program is called Healthy Louisiana. We can help. Prior Authorization Forms. In this section, you can learn about the Nebraska Medicaid health benefits, pharmacy services and value added services Nebraska Total Care offers. May 18, 2021. Find out which health plans offer services that are important to you and your family. This tool does not reflect benefits coverage 1 nor does it include an exhaustive listing of all noncovered services (i.e., experimental procedures, cosmetic surgery, etc.). Log In. With questions, please contact us at DHHS.MLTCExperience@nebraska.gov. Healthy Blue Formulary . Prior authorization requirements. WellCare of Nebraska is rebranding as Healthy Blue to reflect a new partnership with Blue Cross Blue Shield of Nebraska. Provider news. Health assessment. Access eligibility and benefits information via the Availity Portal. Nebraska Medicaid partners with thousands of health care providers across the state to care for the state's Medicaid members. Each handbook includes the Medicaid regulations, appendices (forms, reports, and instructions) and provider bulletins applicable to each type of Medicaid provider. Refer to your Provider Manual for coverage/limitations. Learn more at HealthCare.gov. Call IntelliRide at 844-531-3783 (TTY 402-401-6998) or visit www.iridenow.com to set up your ride. Medicaid also has an approved 1135 Waiver in place in response to the COVID-19 pandemic. Our general duties include, transportation provider credentialing, training, education, customer service, reservations and scheduling, dispatch and routing, trip monitoring and quality assurance, and claims. We will contact you as soon as possible. Do you have questions? Brand name drug: Uppercase in bold type . Provider Call Center. HealthyBlue personal health data. ends June 20th! August 11, 2020. We are a managed care plan providing access to quality, low-cost health care. The in-network policies and procedures manuals provide important information for physician and health care professionals, facilities, psychiatric, and dental providers. Documentation of Medical Necessity. Documentation of Medical Necessity for Quantity Limit or High Dose Override. 8 a.m. – 8 p.m. local time, 7 days a week 1-844-812-5967 TTY 711. Generic drug: Lowercase in plain type * : 599 CHIP benefits (Pregnant Women) AL: Age Limit Restrictions . About Healthy Blue. View All News.