Welcome Nebraska Behavioral Health Providers
Outpatient Care Engagement
Schedule an online HIPAA-compliant appointment with a member of our Outpatient Care Engagement team.
Coordination of Care Checklist
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.
General Information
Provider Relations Team
Training
Announcements
Member Eligibility
Provider Resources
Authorization Information
Medica
General Information
- Immediate follow-up appointments available
- Information and resources for working with Medica Behavioral Health
Psychological Testing Request Forms
- Medica Psych Testing Request Form - (PDF download)
Other Authorization Request Forms
UnitedHealthcare Community Plan of Nebraska (Medicaid)
UnitedHealthcare Community Plan of Nebraska
- Prior Authorization Code List
- Peer Support Services - Billing CPT Code H0038
- Peer Support Services - Goals and Treatment Guide
- Medicaid-Medicare DSNP Billing Guidance
Orientation and Trainings
- Coming soon
Clinical Criteria Guidelines
Medicaid Quick Reference Guides
Medicaid Authorization Information
- Certification for need for services
- Crisis stabilzation admission notification
- GT Modifier Alert
- LAI buy and bill authorization request
- Medicaid ABA treatment request form
- Medicaid critical incident report
- MRO authorization request
- Medicaid rehabilitation option and peer support services, treatment review and authorzation request
- Community health service request form
- Community-based outpatient prior authorization training
- Nebraska prior authorization FAQs
- Prior authorization requirements for UnitedHealthcare Community Plan of Nebraska