Medicaid

How to Get Credentialed with Heritage Health in Nebraska

Network: Open
30-60 Days

Quick Overview

Timeline

30 - 60 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Nebraska-Specific Requirements

Nebraska Medicaid (Heritage Health) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Nebraska DHHS (Department of Health and Human Services) NFOCUS provider enrollment portal. (3) Submit application with NE state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Nebraska operates managed care through Heritage Health with 3 MCOs covering physical health, behavioral health, and pharmacy benefits. Behavioral health providers accepted include LMHP (Licensed Mental Health Practitioner), LIMHP (Licensed Independent Mental Health Practitioner), and LCSW with active Nebraska licensure. Revalidation is required every 5 years.

Medicaid Information — Nebraska

Agency: Nebraska DHHS

Program: Heritage Health

Portal: https://dhhs.ne.gov/Pages/Medicaid-Providers.aspx

Phone: 1-800-383-4278

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Nebraska.

2

Prepare Your Application

Complete Heritage Health's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Heritage Health.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Background Check

Federal/state background check required for Medicaid enrollment

CV/Resume

Work history required

Malpractice Insurance

Conditional

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Nebraska Medicaid Provider Enrollment

Required
Online Open →

Contact Information

Provider Enrollment

National

1-800-383-4278

General Provider Inquiries

National

1-800-383-4278

Quick Links

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