(September 11, 2016)
NPA
is currently participating with the Heritage Health Behavioral Health
Integration Advisory Committee. Heritage Health (HH) 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. Beginning
January 1, 2017, HH will provide Medicaid clients the opportunity to
choose a health plan with an integrated package of health services and
benefits, and Magellan will no longer be managing mental health services
after 2016. Psychologists interested in learning more about the
transition from Magellan to the HH Managed Care Organizations (MCOs) may
consider subscribing to the HH website - http://dhhs.ne.gov/medicaid/Pages/med_medcontracts.aspxTo pursue enrollment in any of the MCOs, providers must be enrolled as Medicaid providers through Maximus, as has been the case historically. Subsequently, providers can contact any or all of the 3 MCOs to consider contracting agreements:
• Nebraska Total Care/CenteneIf interested in pursuing any of the contracts, psychologists must complete separate contracts with each of the MCOs. All of the MCOs reportedly participate with CAQH which helps ease some of the administrative burden. Note that our current understanding is that the MCOs are not obligated to follow the Nebraska Medicaid fee schedule. See HH common provider questions at: http://dhhs.ne.gov/medicaid/Pages/med_medcontracts.aspx
networkmanagement@nebraskatotalcare.com
Tele: 855-688-6589
• United Health Care Community Plan
neherhlth@optum.com
Tele: 877-614-0484
• Wellcare of Nebraska
networkexpansion@wellcare.com
Tele: 855-599-3814
The most recent HH advisory meeting on 09.06.2016 involved review of some of the Service Definitions which HH staff indicated they aspire to make reasonably consistent across MCOs. Refer to detailed descriptions of the proposed service definitions (e.g., Annual Supervision by LI or Psychologist 09.06.16 through Smoking Cessation 09.06.16). Watch the site for future additions of service definitions, as any changes will likely occur by December of 2016. http://dhhs.ne.gov/medicaid/Pages/medHHBHIntegrationAdvisory.aspx
Please consider reviewing these proposed service definitions and providing written feedback via email regarding your questions and proposed changes. Email written comments regarding the proposed service definitions to: dhhs.medicaidmhsu@nebraska.gov
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The Nebraska Psychological Association is the only statewide organization dedicated solely to represent the interests of psychologists and psychology across Nebraska. NPA membership includes 40% of the licensed psychologists in Nebraska, and is an affiliate of the American Psychological Association. NPA promotes the independent practice of clinical and consulting psychology; the highest standards of ethical & effective practice; the dissemination of evidenced based practices; the application of psychological resources to address social problems; and the education of government entities, elected representatives and the public on the practice and science of psychology. NPA holds scientific and professional meetings, conducts continuing education programs, and advocates on behalf of psychology in the Nebraska Legislature. NPA’s Central Office is located in Lincoln, NE.