Nebraska managed care company faces sanctions for ‘serious deficiencies’

Nebraska Total Care, a managed care organization, is facing sanctions from the state’s Medicaid office unless it can fix problems that include failure to promptly pay providers, according to Live Well Nebraska.

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Nebraska Total Care is one of three companies contracted by the state of Nebraska to authorize and pay for Medicaid care under a plan called Heritage Health. The company has until Friday to submit a plan for dealing with its late payments or it will face sanctions from the state.

According to Jessica Thoene, spokesperson for a group of Heritage Health providers, $27 million in claims have not been paid by Nebraska Total Care in over 60 days, leaving some providers to take out loans and pay staff out of their own pockets.

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