Nebraska Department of Health and Human Services NEW Nebraska Medicaid Identification Card To view the presentation press the arrow key
ing uc d tro he In t ewedicairdd N a M Ca ask ation ebr ific N nt Ide 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? • Easier for clients to carry in their billfold • Appearance similar to insurance ID cards • Reduces printing and mailing costs
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
It used to look like this…
… and will now look like this – front side… Pharmacy claim routing information List of each household member, the Medicaid ID number, and date of birth Date the card is issued
…and back side. Information for the client Emphasizes no guarantee of eligibility Informatio n for the provider General cautionary information
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 1. When will the new card be issued and effective? Clients will receive their household cards at the end of July 2009 and they will be effective August 1, 2009. This is a onetime issuance unless special circumstances require reissuance of a card.
Questions & Answers 2. Does this mean that eligibility rules have changed? No, the eligibility rules have not changed. 3. How does the client use the card? 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.
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 & Answers 5. How do providers get access to the web-based client eligibility database? To sign up for access: a) call 866 -498 -4357 (toll free), (in Lincoln) 471 -9461, or b) e-mail medicaid. edi@dhhs. ne. gov
Questions & Answers 6. How will clients know if they are eligible? 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 tollfree number they can call (800 -3834278).
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? Call 877 -255 -3092 (Mon. -Fri. 8 -5 central) To access Client Eligibility Verification information: NMES-Nebraska Medicaid Eligibility System (automated) 800 -642 -6092 Medicaid Inquiry Line 877 -255 -3092 www. dhhs. ne. gov/med/internetaccess. htm
This concludes the presentation. Thank you for your interest! Click to Exit
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