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Nebraska Department of Health and Human Services. NEW Nebraska Medicaid Identification Card. To view the presentation press the arrow key. Introducing the New Nebraska Medicaid Identification Card. The Department of Health and Human Services is pleased to

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Presentation Transcript
nebraska department of health and human services
Nebraska Department of Health and Human Services

NEW

Nebraska Medicaid

Identification Card

To view the presentation

press the arrow key

slide2

Introducing

the

New

Nebraska Medicaid Identification Card

The Department of Health and Human Services is pleased to

show you the new Medicaid Identification Card.This brief slide

presentation will explain this initiative in more detail.

why the change
Why the change?
  • Easier for clients to carry in their billfold
  • Appearance similar to insurance ID cards
  • Reduces printing and mailing costs
what has changed
What has changed?
  • Smaller, now wallet-sized
  • Issued one time, not monthly
  • Card has no detailed eligibility information
  • Generic card for regular Medicaid and Medicaid Managed Care
and will now look like this front side
… and will now look like this – front side…

Pharmacy claim routing information

Date the card is issued

List of each household member, the Medicaid ID number, and date of birth

and back side
…and back side.

Information for the client

Emphasizes no guarantee of eligibility

Information for the provider

General cautionary information

what has not changed
What has not changed?
  • All household members will be listed on the card
  • Continued provider access to Medicaid Eligibility Inquiry telephone line
  • Continued provider access to the automated Nebraska Medicaid Eligibility System (NMES) telephone line
  • Continued provider access to the web based eligibility verification database
questions answers
Questions & Answers

Clients will receive their household cards at the end of July 2009 and they will be effective August 1, 2009. This is a one-time issuance unless special circumstances require reissuance of a card.

1. When will the new card be issued and

effective?

questions answers10
Questions & Answers

2. Does this mean that eligibility rules have changed?

At each health care appointment, the client

shows the ID card to the provider. The provider then verifies Medicaid eligibility via the telephone or their computer.

No, the eligibility rules have not changed.

3. How does the client use the card?

questions answers11
Questions & Answers

4. How does the provider check for

eligibility now that the new Medicaid ID card doesn’t show the current eligibility information on it?

Just like they do now with private insurance ID cards. They can get the information by telephone or their computer. All Medicaid providers have three ways to check on eligibility: the Medicaid Inquiry and NMES telephone lines and through the Internet. This information is on the Medicaid ID card.

questions answers12
Questions & Answers

To sign up for access:

a) call 866-498-4357 (toll free),

(in Lincoln) 471-9461, or

b) e-mail [email protected]

5. How do providers get access to the web-based client eligibility database?

questions answers13
Questions & Answers

As always, if eligibility for Medicaid

is going to change, they receive the

information through a notice in the

mail. If they want to check eligibility

any time of any day, there is a toll-

free number they can call (800-383-

4278).

6. How will clients know if they are

eligible?

questions answers14
Questions & Answers

7. What happens if the client loses

their Medicaid ID card?

They call their caseworker to

request another card. A duplicate

will be sent in a couple of days. In

the interim, the provider can

determine eligibility based on the

client’s name, Medicaid ID number

and date of birth.

questions about the new card
Questions about the New Card?

Call 877-255-3092(Mon.-Fri. 8-5 central)

NMES-Nebraska Medicaid Eligibility System

(automated) 800-642-6092

Medicaid Inquiry Line 877-255-3092

www.dhhs.ne.gov/med/internetaccess.htm

To access Client Eligibility Verification information:

this concludes the presentation
This concludes the presentation.

Thank you for your interest!

Click to Exit

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