Vendor Training

Nebraska Total Care's commitment to compliance includes ensuring that our contracted vendors are in compliance with applicable state and federal regulations for providing services to our members on our behalf.

State and Federal regulations require that all persons who provide administrative or healthcare services to Medicaid enrollees to complete initial and annual training. Nebraska Total Care is ultimately responsible for fulfilling the terms of our contract with the Nebraska Department of Health and Human Services (DHHS) and the Center for Medicare & Medicaid services (CMS) and meeting the State and Federal Medicaid program requirements.

Nebraska Total Care has developed a process to assist each of our contracted vendors with meeting the Medicaid program mandatory training requirements. Each vendor must complete the below training within 90 days of initial contracting and annually thereafter.

Instructions

Review each training item listed below. Upon review of all training items, please complete the attestation form. The attestation form must be completed by an authorized representative within your organization (i.e., Owner, Compliance Officer, Organization Manager/Administrator or an Executive Officer) to attest to compliance with Medicaid program training requirements. if you have concerns, our Vendor Management team can be contacted at 1-844-385-2192, Nebraska Relay Service 711.

Step One: Document Review

Click each of the links below and review each training item. Review disseminate to any individuals or entities you employ or contract to perform administrative health services on behalf of Nebraska Total Care. The annual training reviews required are:

• Centene Social Determinants of Health (PDF)
• Centene Whistleblower Policy (PDF)
• Centene Fraud, Waste and Abuse Plan (PDF)
• Centene Business Ethics and Code of Conduct Policy (PDF)
• CMS Medicare and Medicaid Fraud, Waste and Abuse Prevention (ppt)
• Nebraska Geography (PDF)
• Grievances, Appeals and State Fair Hearings information:
  • Nebraska Total Care Authorized Representative Designation Form (PDF)
  • Member Grievance and Appeals System Description (PDF)
  • Nebraska Total Care Policy Addendum to Member Grievance and Appeals System Description (PDF)

Step Two: Exclusion Screenings

Each individual you employ as well as each associate of the entities you contract to perform administrative health services on behalf of Nebraska Total Care are screened against the OIG (LEIE) and GSA exclusion lists prior to hire and monthly thereafter.  

Please use the links below to complete exclusion screenings.

• Inspector General (OIG) List of Excluded Individuals/Entities (LEIE)
• General Services Administration System (GSA)

Step Three: Training Attestation

Complete the Attestation Form. The attestation form must be completed by an authorized representative within your organization (i.e., Owner, Compliance Officer, Organization Manager/Administrator or an Executive Officer) to attest to compliance with Medicaid program training requirements.