Nebraska Department of Health and Human Services, Division of Medicaid and Long Term Care

Qualis Health provides a broad range of services to the State of Nebraska, Department of Health and Human Services, Division of Medicaid and Long Term Care (Nebraska Medicaid). Our regional office in Lincoln is staffed by Nebraskans, whose work helps improve and advance the efficiency, economy, effectiveness and quality of healthcare services provided to enrolled Medicaid clients.

Services We Provide to Nebraska Medicaid

• Utilization management
  • Prior-authorization review
  • Retrospective review
  • Pre-admission and concurrent review of acute inpatient rehabilitation
  • Home health and private duty review
  • Reconsiderations
  • Appeals
• Focused case review
• External quality review of managed care organizations
• Special projects

Announcements

• A new streamlined review process for home health agencies begins February 15, 2012. Read Provider Bulletin 12-06 for more information. Qualis Health will offer both Gold Card Provider and Long Term Care Client Review training webinars.
  
  Gold Card Provider Webinar Training will be held Tuesday, January 31, 2012, 2:00 pm–3:00 pm CST, and Tuesday, February 7, 2012, 2:00 pm–3:00 pm CST.
  View the webinar flyer
  View the Gold Card Provider presentation slides
  
  Long Term Care Client Review Webinar Training will be held Wednesday, February 1, 2012, 2:00 pm–3:00 pm CST, and Wednesday, February 8, 2012, 2:00 pm–3:00 pm CST.
  View the webinar flyer
  View the Long Term Care Client Review presentation slides

• Home Health and Private Duty Nursing Update - January 2012
• Qualis Health Quarterly - December 2011
• New forms on the Provider Resources page: Home Health Nursing Services Questionnaire and Home Health Extended Nursing Services Questionnaire
• New form on the Provider Resources page: Bariatric Surgery Checklist
• Qualis Health Quarterly - September 2011
• Qualis Health Quarterly - June 2011
• New iEXCHANGE training video: Nebraska Medicaid Overview
• Qualis Health Quarterly - April 2011
• Home Health and Private Duty Nursing Update - January 2011

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