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When you have Medicaid, you receive important medical services including:
- Preventive services
- Office Visits
- Inpatient Hospital services
- Outpatient Hospital Services
- Emergency Care
- Transportation Services
- Outpatient Therapy Services
- Radiology Services
- Laboratory Services
- Durable Medical Equipment (DME)
- Hospice
- Home Health
- Vision
For a full list of benefits, please read the “Medical Benefits” section in your Member Handbook or contact Member Services.
We cover your behavioral health care. It is an important part of your overall health and wellness.
We can help you:- Deal with feelings of sadness or worries, substance use disorder, or stress.
- Get an appointment with a doctor
- Get the information you need about behavioral health services
- Talk with your doctors about how you are feeling
Available behavioral health services include:
- Substance use disorder (SUD) treatment
- Outpatient services such as counseling
- Help with medicines
- Day treatment
- Care management
- Inpatient treatment (if you and your doctor feel that you cannot be safely treated in an outpatient setting)
- Certified Peer Support for mental health and substance use disorder.
You do not need a referral from your PCP to get behavioral health services. But we encourage you to talk to your PCP about your behavioral health. They can help make sure you are getting the help, care, and support you need.
If you or someone in the home is in the act of harming themselves or harming someone else, please call 911 immediately. If you are having behavioral health distress or have thoughts about harming yourself or someone else:
- Call (844)-782-2721 (TTY: 711). Molina operates a Behavioral Health crisis line. Trained behavioral health clinicians are available to assist you 24 hours a day, 7 days a week.
- You can also get help right away by calling the National Suicide Lifeline by dialing 988
- - 988 is the National Suicide Lifeline. Anyone in need of suicide or mental health crisis support (or anyone worried about someone else), can get free and confidential support 24 hours a day, 7 days a week, 365 days a year by dialing 988 from any phone.
- Go to the closest hospital for emergency care
- For other resources and support contact the Nebraska Family Helpline:
- - dhhs.ne.gov
- - (888) 866-8660 (TTY: 711) (available 24 hours a day, 7 days a week)
Your Molina Healthcare of Nebraska dental benefits include important services like:
- Preventive Services like exams and topical fluoride
- Diagnostic Services like Oral Evaluations & X-rays
- Restorative Services like Crowns & Root canals
- Orthodontic Services
- Emergency service
For a full list of benefits, please read the “Dental Benefits” section in your Member Handbook or contact Member Services.
Covered Drugs
You get prescription drugs at no cost to you. We cover your medically necessary medicines when filled at a network pharmacy. We also cover some over-the-counter (OTC) medicines with a prescription from your provider.
Generic drugs are drugs that have the same dosage, safety, strength and intended use as a brand-name drug. They usually cost less than brand-name drugs.
We cover all drugs covered by Nebraska Medicaid. Nebraska Medicaid uses a Preferred Drug List (PDL). Our PDL includes both generic and brand-name drugs. It also gives you facts about a drug and lists any restrictions on them. To fill your prescriptions, you must use a network pharmacy. Be sure to take your member ID card with you. Be sure to fill your prescriptions before you travel out of state.To find a network pharmacy, see our Provider Directory. You can also contact Member Services.
Find our PDL at Nebraska Medicaid program | PDL | PDL Listings (fhsc.com)You can get free rides to and from your medical, behavioral health, and dental appointments. Just contact Medical Transportation Management (MTM) at 1-888-889-0421 (TTY:711) from Monday through Friday, 8 a.m. to 7 p.m., CT. Please call at least three (3) business days before your health care appointment to make sure you get the ride you need.
When you contact MTM to schedule a trip, have these things ready:
- Your Medicaid ID number
- Your first and last name
- Your home address including ZIP code for the pick-up
- The name, address, and ZIP code for the health care provider you’ll see
- The date and time of your healthcare appointment
For more information about scheduling transportation check out the
MTM member portal and MTM Link Member app on your smart device.Value-added benefits
Molina also offers value-added benefits to support your health and wellness. Exclusions and limitations may apply.Value-added benefit Description Eligible populations Weight Watchers® Members can get up to 13 weeks of online WeightWatchers® services. Members can be referred by providers, internal departments (e.g., Case Management), or sign up on their own in the My Molina member portal. All members 19 years old and older Personal care and household items Each household can receive $30 per quarter for commonly used personal care and household items. All member households Pregnancy: Text4Baby TEXT4BABY helps members get ready for motherhood by sending them reminders and helpful information. Pregnant members and members with children under 1 year old Pregnancy: Baby Shower A fun event for pregnant members and new moms to learn how to stay healthy. Members who attend can get a Healthy Rewards card to buy diapers, wipes and other newborn items. Members who are currently pregnant or who gave birth in the last 12 weeks Pregnancy: Doula Services Pregnant members can get online help from a doula before and after their baby is born. Members in case management who are at high risk for serious health problems or who are part of a group with more health challenges Pregnancy: Meals Members can get meals sent to their homes during pregnancy and while breastfeeding after birth. Members in case management with pregnancies that have higher health risks or who are in the first year of postpartum Pregnancy: Pacify Members who sign up for Pacify, our online tool to help with pregnancy and new babies, can get a gift for mom and baby. Pregnant and postpartum members Pregnancy: Dental services Pregnant members can get one extra cleaning. Pregnant members Transportation Members can get rides to places like the grocery store, food pantries, pharmacy, and Women, Infants, and Children (WIC) appointments. Members in case management TruConnect Members can get a SIM card for their phone with 4.5GB of data and unlimited talk and text. Members who qualify for the federal Lifeline program Home-delivered meals Members can get meals sent to their homes. Members with serious health problems who are in case management and need help getting food in the 30 days after they leave the hospital GED test support Members can get support to cover the cost of the GED test fees and study materials. Members 16 years old and older Molina Help Finder Members can get on-demand, 24/7 access to thousands of community resources across the state. All members My Molina mobile app Members can access resources like their benefit information, member ID card, a list of their medicines and more. All members 24-hour Nurse Advise Line & Behavioral Health Crisis Line Members can call our 24-hour Nurse Advice Line and Behavioral Health Crisis Line, 24 hours a day, 7 days a week, 365 days a year All members Dental exams: Problem-focused Members can get two extra dental checkups for specific problems. All members Client Assistance Program (CAP) Members can get five short therapy sessions focused on solving problems. All members Sports Physical Members can get a sports physical once a year. Members between 3–17 years Healthy Minds, Healthy Kids Members can get a $30 gift card for books or art supplies. Members between 3–18 years Get Fit, Stay Fit Each household can get a $50 Healthy Rewards card once a year to use for gym membership and fitness equipment. All member households Family Fun Time Each household with children can get a permit for unlimited visits to Nebraska’s state parks for one year. All member households with children College support Members can get a $75 Healthy Rewards card to buy home goods and transportation vouchers. Members leaving foster care Healthy Rewards program
Molina offers a Healthy Rewards program to support your health and wellness. Exclusions and limitations may apply.Preventive Care Reward Description Eligible populations Well-child visit $10 Healthy Rewards card per visit Have up to six well-child visits when the baby is 0-15 months old. Members up to 15 months old Well-child visit $25 Healthy Rewards card Have at least two well-child visits when the child is between 16-30 months old. Members aged 16–30 months Well-child visit $25 Healthy Rewards card per annual visit Have one well-child visit a year. Members between 3–18 years old Adult checkup $25 Healthy Rewards card per annual visit Have one checkup a year. Members 19 years old and older Health Risk Screener $25 Healthy Rewards card Have a Health Risk Screener within the first 90 days of joining Molina. New members Hospital follow-up: Behavioral health $50 Healthy Rewards card Visit a behavioral health provider within seven days of leaving the hospital for a mental health stay. The follow-up visit may be virtual. All Members Hospital follow-up: Primary care $50 Healthy Rewards card Visit a primary care provider (PCP) within seven days of leaving the hospital for an overnight stay for medical or mental health care. The follow-up visit may be virtual. All Members Diabetes: Eye test $50 Healthy Rewards card Have one diabetic eye test a year. Members 18–75 years old with diabetes Diabetes: HbA1c blood test $50 Healthy Rewards card Have a HbA1c blood test done once a year. Members 18–75 years old with diabetes Prenatal visit $85 Healthy Rewards card
Note: To be used for a car seatHave a prenatal visit during the first trimester of pregnancy or within 42 days of joining Molina. Pregnant members Postpartum visit $50 Healthy Rewards card Have a postpartum visit 84 days after the birth of your baby. Postpartum members Mammogram screening $25 Healthy Rewards card Have one mammogram (breast cancer) screening a year. Female* members 40–74 years old Cervical cancer screening $25 Healthy Rewards card Have a cervical cancer screening (pap test). Female* members 21–64 years old Chlamydia screening $25 Healthy Rewards card Have one chlamydia screening a year. Female* members16–24 years old *Assigned female at birth