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

June 2022

May 2022 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 Friday, July 22, 2022. 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

Upcoming Pertinent Changes to Provider Web Portal

Magellan is implementing pertinent changes to our web portals and web-based applications and tools. We will implement Okta with multifactor authentication for our provider web-based applications accessed via the web portal. Current users of Web Claims Submission (WCS) will need to complete a short migration process to verify their access credentials and move all existing application permissions to the new Okta platform. A migration step-by-step job aid will be posted to the web portal prior to implementation. If a new pharmacy provider would like to register for WCS, they can still do so by clicking the UAC link to access our User Administration Console (UAC).

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, 2022. 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