Credentialing in Nebraska

None. Behavioral health is fully carved IN to Heritage Health, with no separate BHO/ASO layer. A BH clinician enrolls with Nebraska Medicaid and then credentials separately with all three Heritage Health plans; missing one plan forfeits that share of the panel.

NE DHHS, Heritage Health · checked Jul 2026

Nebraska Medicaid is run by the Nebraska DHHS Division of Medicaid & Long-Term Care (MLTC). Provider screening and enrollment run through the Maximus-operated "Nebraska Provider Data Management System" at nebraskamedicaidproviderenrollment.com (Maximus Nebraska Medicaid Provider Enrollment, Lincoln NE, (844) 374-5022).

Maximus, Nebraska Provider Data Management System · checked Jul 2026

Nebraska's Medicaid managed care program, Heritage Health, "combines Nebraska Medicaid's physical health, behavioral health, dental, and pharmacy programs into a single comprehensive and coordinated program," and members enroll in one of three statewide health plans: Molina Healthcare of Nebraska, Nebraska Total Care (Centene), and UnitedHealthcare Community Plan. Member open enrollment runs Oct 15 to Dec 7 annually.

NE DHHS, Heritage Health · checked Jul 2026

"Current providers will be required to revalidate their agreements every five years." The application fee (2024) is $709 and applies to institutional/group/agency enrollments only. It is waived if already paid to Medicare or another state.

NE DHHS, Medicaid Provider Screening and Enrollment Requirements · checked Jul 2026

None. Neb. Rev. Stat. §44-7006 (Credentialing Verification Act) sets carrier credentialing-policy and committee requirements but contains no decision deadline and no retro-pay, and §44-4109.01 gives providers an annual right to apply to a PPO with no clock. No Nebraska statute forces a credentialing decision within a set number of days.

Neb. Rev. Stat. § 44-7006 (Credentialing Verification Act) · checked Jul 2026

Nebraska recognizes the PLMHP (provisionally licensed mental health practitioner) as an enrolled, separately-rated Medicaid practitioner type under mandatory supervision. Under 471 NAC 20 (edition effective 2026-06-28), all psychiatric services "must be provided under the supervision and direction of a supervising practitioner" (a physician enrolled with primary specialty psychiatry, a licensed psychologist, a licensed APRN with psychiatric/mental-health certification, or an LIMHP); psychotherapy by allied health therapists, a list that includes provisionally licensed mental health practitioners, must be "prescribed by the supervising practitioner and provided under their supervision," and "Supervision is not billable by either the therapist or the supervising practitioner."

471 NAC 20, Psychiatric Services for Individuals Age 21 and Older (effective 2026-06-28) · checked Jul 2026

Nebraska has passed the Counseling Compact language (it appears on the counselingcompact.gov compact-jurisdictions list) but was not issuing or receiving compact privileges as of July 2026.

Counseling Compact, Compact Jurisdictions · checked Jul 2026

Nebraska licenses BH practitioners through DHHS public-health licensure (172 NAC 94) on a unified mental-health-practice ladder, not separate counselor/MFT/SW clinical boards: LIMHP ("diagnosis and treatment of major mental illness/disorders, without supervision or consultation"), LMHP (may not diagnose major mental illness "except in consultation with a licensed independent mental health practitioner, qualified physician or licensed clinical psychologist"), and PLMHP ("a person who needs to obtain 3,000 hours of supervised experience in mental health practice in Nebraska"). CPC/CMFT/CMSW are title-protected certifications layered on top with the same scope.

NE DHHS licensure, Mental Health and Social Work Practice · checked Jul 2026

"A provider who has recently established services within this chapter or who is new to Nebraska Medicaid will be enrolled with a provisional status," held at least one year before ongoing status. This is a provider-ENROLLMENT status under 471 NAC 20 011.02(A), completely unrelated to PLMHP provisional licensure; every new provider, including LIMHPs, starts provisional.

471 NAC 20, Psychiatric Services for Individuals Age 21 and Older (effective 2026-06-28) · checked Jul 2026

The Nebraska Medicaid Mental Health and Substance Use fee schedule carries a dedicated "Provisional License Mental Health Practitioner/Masters Level Equivalent (PLMHP)" practitioner rate column, distinct from the LMHP and LIMHP columns. The pay rule: "Claims from PLMHPs and PPHDs will pay at the lesser of the Medicare locality or Nebraska Medicaid fee schedule rate."

NE DHHS, Medicaid Provider Rates and Fee Schedules · checked Jul 2026