Nebraska Medicaid program

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

September 2020

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through September 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

August 2020

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through August 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

July 2020

May 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, July 16, 2020. 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 July 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

June 2020

May 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, July 16, 2020. 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 June 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

May 2020

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through May 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

April 2020

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through April 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

March 2020

Preferred Drug List (PDL)/Claim Limitations Document Updates

The Preferred Drug List (PDL) and Claim Limitations Document have been updated with changes through March 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

February 2020

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, 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

January 2020

November 2019 P&T 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 16, 2020. 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 16, 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