Behavioral Health

Nebraska Total Care covers all behavioral health services that are included in the Heritage Health plan. A complete list of services, CPT codes, and authorization requirements can be found on the Pre-Auth Check page.

Heritage Health - Nebraska Total Care 

Attention All Outpatient Behavioral Health Providers: The provider portal enhancements are complete. 

BH Providers are able to submit electronic authorization requests for the following services:

  1. Community Based Service
  2. Day Treatment
  3. ECT (Electroconvulsive Therapy)
  4. IOP (Intensive Outpatient Therapy)
  5. Psychological Testing
  6. Psychiatric Evaluation

*All other higher levels of care require prior authorizations to be submitted via fax.

All BH providers are able to see their authorizations on the provider portal. 

Fax to 866-535-6974

  • Certificate of Need
  • Discharge Summaries
  • Inpatient Clinical Documentation

Fax to 866-593-1955

  • Outpatient Treatment Requests
  • Outpatient Clinical Documentation

Fax to 866-714-7991

  • Appeals Information
  • Retro-Authorization Requests

Behavioral Health Forms

 

Maximus Provider Enrollment Portal