Medicaid plans › Nebraska
Nebraska Medicaid Managed-Care Plans for Providers
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
Nebraska Medicaid (Heritage Health) is run by the Nebraska Department of Health and Human Services. 350,237 people were enrolled in its 3 managed-care plans in 2024. To see their patients, a provider enrolls with Nebraska Medicaid (Heritage Health) through the Nebraska Medicaid provider screening and enrollment portal (Maximus), then applies to each plan separately.
| Plan | Members (2024) | Share | Parent |
|---|---|---|---|
| Nebraska Total Care | 118,214 | 33.8% | Centene |
| Molina Healthcare of Nebraska | 116,309 | 33.2% | Molina Healthcare |
| UnitedHealthcare Community Plan of Nebraska | 115,714 | 33% | UnitedHealth Group |
How Joining Works in Nebraska
First the state: Nebraska Medicaid (Heritage Health) enrollment through the Nebraska Medicaid provider screening and enrollment portal (Maximus), which gives you the Medicaid ID every plan asks for. Then the plans: each takes its own participation request and credentials you from your CAQH ProView (DataSpring) profile. 3 parent companies run plans here, and plans owned by the same company still contract state by state.
How to Join Each Nebraska Plan
Nebraska Total Care (Centene): Centene runs this plan alongside its Ambetter and Wellcare products. Each Centene plan takes its own contract request on the plan's provider website, credentials from your CAQH ProView (DataSpring) profile, and will not load a provider without the state Medicaid ID.
Molina Healthcare of Nebraska (Molina Healthcare): Molina credentials each state separately. The contract request goes through the state's Molina provider site and requires an active state Medicaid enrollment; credentialing uses your CAQH ProView (DataSpring) profile.
UnitedHealthcare Community Plan of Nebraska (UnitedHealth Group): UnitedHealthcare Community Plans use UnitedHealthcare's provider onboarding: a participation request on the UnitedHealthcare provider site, credentialing from your CAQH ProView (DataSpring) profile, then a state-specific Community Plan agreement.
Also in Nebraska: Medicare, Nebraska Medicaid (Heritage Health) and commercial credentialing.
Questions
Which Nebraska Medicaid plan is the largest?
Nebraska Total Care, with 118,214 members in 2024, 33.8% of the 350,237 people enrolled in Nebraska's Medicaid managed-care plans.
Do I have to join every Nebraska Medicaid plan?
No. Each plan is a separate contract. Practices usually start with the two or three largest plans in their county, then add others as patients ask for them. All of them require Nebraska Medicaid (Heritage Health) enrollment first.
Membership from KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Plans change when the state rebids its contracts; we confirm the current list on every file.