Dental Medicaid Contacts

The Nebraska Department of Health and Human Services has signed contracts with Molina Healthcare, Nebraska Total Care, and United Healthcare to provide services (including dental services) for the upcoming contract term. This new contract term for Medicaid's managed care program – Heritage Health – begins January 1, 2024.

New for 2025

Centralized Credentialing for Nebraska Medicaid is coming soon! Nebraska Medicaid approved the Centralized Verification Organization (CVO) selection by the three Nebraska managed care organizations (Nebraska Total Care, Molina Healthcare and United Healthcare Community Plan) of the shared CVO vendor, Verisys.

Beginning January 1, 2025, providers seeking initial credentialing with any managed care organization for Nebraska Medicaid will use the newly implemented centralized credentialing process along with an NCQA certified Centralized Verification Organization (CVO). The CVO, Verisys, will conduct one streamlined verification process for all three Nebraska Managed Care Organizations (MCO). A Centralized Credentialing system eliminates the need to perform a unique credentialing process with each MCO and is in alignment with the State of Nebraska's intent to alleviate the duration and reduce administrative burdens of the MCO specific credentialing processes.

Mark your calendar for upcoming Centralized Credentialing webinars.

The MCO's in partnership with Verisys will be hosting provider webinars for Centralized Credentialing.  All trainings will be one hour virtual sessions and will occur on the following dates and times:

December 10, 2024 at 1 pm CST
Zoom Meeting ID: 929 7073 2218
Passcode: 995317
Phone:  646-931-3860

 

January 15, 2025 at 3 pm CST
Zoom Meeting ID: 974 9633 5119
Passcode: 605416
Phone: 646-931-3860

The information below is provided by the three MCOs regarding information related to dental Medicaid.  If the pages linked to their websites do not answer your question, call the MCO number listed below.

Envolve

Envolve Provider Education Webinars (Dental)
Envolve Dental Nebraska Website
Envolve Dental Procedure Code Look Up Tool (this is where you’ll be able to select the year, Medicaid product and state: NE) and identify the procedure codes auth requirements etc.) that people are interested in.

UnitedHealthCare

Molina Healthcare

Molina | SKYGEN Dental Hub
SKYGEN Dental HUB: Molina | SKYGEN Dental Hub (has links for dental provider bulletins, handbook, non-covered service form, etc)
Molina Provider Rep: Bethany Stech (mdvsproviderservices@molinahealthcare.com or 531-205-2446)
Molina Dental Director: Morgan Horst, DDS (morgan.horst@molinahealthcare.com)
Contracting Questions: denta.visiondevelopment@molinahealthcare.com
SKYGEN Provider Hub Support (technical issues with HUB): 855-609-5156
SKYGEN Provider Services (questions on claims, auths, etc): 855-806-5192
Practice changes, updates and credentialing: mdvspim@molinahealthcare.com
Molina Translation Services: (855) 806-5192 (please allow 3 business days for ASL face-to-face requests)
Molina Member Transportation Services: (888) 889-0421 (please allow 3 business days for requests)
for Providers (has link to provider manual)
Dental (molinahealthcare.com) Link for Webinars and Registration