Pre-Authorization Check Tool and Authorization Submission

Date: 11/20/18

Heritage Health (Medicaid):

Nebraska Total Care continues to work to keep our Pre-Authorization Check Tool up to date with pre-authorization requirement info.  Please utilize this online tool to verify if an authorization for a service is needed.  Please ensure you select the appropriate service domain for authorization verification (Radiology, Physical Health, Behavioral Health or PT/OT/ST) and fill out the questions in the tool completely in order to identify if authorization is required.

Nebraska Total Care also offers the ability for many services to have authorization requests submitted through fax or the provider portal to support administrative relief and encourages all providers who have services that can be authorized through one of those mechanisms to take advantage of those options.

If you have questions, please contact Provider Relations.