nebraska.fhsc.comNebraska Medicaid program | Home

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nebraska.fhsc.com

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Home | UAC | Reference | Site Map Nebraska Medicaid program Home Providers Archived Web Announcements Documents Claim Limitations Correspondence Cough & Cold Covered Products List Forms Manuals Drug LookUp Email Notifications Nebraska State Regulations - Title 471 Web Claim Submission Web PA -- Prior Authorization Clinical Criteria Documentation of Medical Necessity Prior Authorization Forms Prior Authorization Process Tobacco Cessation Form Preferred Drug List PDL Guidelines Preferred Drug Lists Documentation of Medical Necessity / PDL Exception Request P & T Committee MAC Pricing MAC Information Quick Links DHHS Bulletins DHHS Medical Necessity DHHS Pharmacy DHHS Provider Handbooks DHHS Drug Utilization Review (DUR) Contact Us Welcome Welcome to the website for the Nebraska Medicaid Pharmacy Program - Point of Sale System (POS). The Nebraska Department of Health and Human Services , Medicaid and Long Term Care division has contracted with Magellan Medicaid Administration, Inc. as the Nebraska Pharmacy Benefits Administrator. Nebraska Medicaid provides for health care services to eligible elderly and disabled individuals and eligible low-income pregnant women, children and parents. Medicaid provides health care for more than one in every ten Nebraskans. Magellan Medicaid Administration, Inc. is responsible for: Operations Support of the Point of Sale System Call Center Operations for Providers Clinical Consultation Services Education and outreach activities for Providers View All Web Announcements February 2021 Preferred Drug List (PDL)/Claim Limitations Document Updates The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through February 1, 2021. The updated lists can be found at: https://nebraska.fhsc.com/downloads/NEClaimLimitations.pdf https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 January 2021 November 2020 P&T Changes Within the Preferred Drug List (PDL) Now Available The Preferred Drug List (PDL) decided by the Nebraska Pharmaceutics & Therapeutics (P&T) Committee and approved by the NE DHHS, is now available. The changes are highlighted in red and will go into effect on Thursday, January 21, 2021 . The updated list can be found at: https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 Preferred Drug List (PDL)/Claim Limitations Document Updates The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through January 21, 2021. The updated lists can be found at: https://nebraska.fhsc.com/downloads/NEClaimLimitations.pdf https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 December 2020 November 2020 P&T Changes Within the Preferred Drug List (PDL) Now Available The Preferred Drug List (PDL) decided by the Nebraska Pharmaceutics & Therapeutics (P&T) Committee and approved by the NE DHHS, is now available. The changes are highlighted in red and will go into effect on Thursday, January 21, 2021 . The updated list can be found at: https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 Preferred Drug List (PDL)/Claim Limitations Document Updates The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through December 1, 2020. The updated lists can be found at: https://nebraska.fhsc.com/downloads/NEClaimLimitations.pdf https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 November 2020 Preferred Drug List (PDL)/Claim Limitations Document Updates The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through November 3, 2020. The updated lists can be found at: https://nebraska.fhsc.com/downloads/NEClaimLimitations.pdf https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 October 2020 Preferred Drug List (PDL)/Claim Limitations Document Updates The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through October 1, 2020. The updated lists can be found at: https://nebraska.fhsc.com/downloads/NEClaimLimitations.pdf https://nebraska.fhsc.com/PDL/PDLlistings.asp Providers of Fee-for-Service (FFS) members may contact Magellan Medicaid Administration via phone or fax to document patient specific clinical considerations requiring exception to these limits. Magellan Medicaid Administration, Inc: Fax 1-866-759-4115 Tel 1-800-241-8335 Information Disclaimer © 1999-2021 Magellan Health, Inc. All Rights Reserved. Privacy Policy | Terms of Use | Disclaimer...

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