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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.Preventative Care: Earn rewards for completing preventative screenings.
For additional information, see member handbook or contact Member Services.Well Child Visit <15 months$10 Gift card per Well-child Visit: <15 months*Complete up to six well-child visits on time within a 15-month period.Members up to 15 months oldWell-Child Visit 15-30 months$25 Gift card for Well-child Visits: 15–30 months*Complete two or more well-child visits when the child is between 15 and 30 months old.Members aged 15–30 monthsWell Child Visit >3 years$25 Gift card for Well-Child Visits: >3 Years Old*Members between 3 and 17 years old must complete an annual well-child visit.Members between ages 3 and 17 years oldAdult Preventative Screening$25 Gift card for Adult Preventive Screening*Complete annual adult preventive screening (wellness) visit (limited to one per year)Members aged 18 and olderHealth Risk Screening$25 Gift card for Health Risk Screening Completion*Complete initial and annual health risk screenings, limited to one per enrollment year))All MembersHospital F/U: BH$50 Gift card for BH Inpatient Follow-up Visit*Complete a follow-up visit with a BH Provider within seven days of inpatient hospitalization for mental illness (includes telehealth)All MembersHospital F/U: PCP$50 Gift card for PCP Follow-Up Visit*Complete a follow-up PCP visit within seven days of an inpatient hospitalization or BH stay, unlimited (includes telehealth)All MembersDiabetes: Vision Screening$50 Gift card for Diabetes Eye Exam ($100 max annually)
$50 Molina Gift card for HbA1c Lab Work*Receive yearly diabetic retinal eye exam and complete HbA1c lab workMembers ages 18–75, diagnosed with diabetesPostpartum Visit - Care Connections in Home$25 Gift card for a timely postpartum visit*For new moms that complete post-partum exams within 7-84 days (12 weeks).New MomsScreening: Mammogram$25 Gift card for Mammogram*Complete an annual mammogram screening.Female Members ages 40–74Screening: Cervical Cancer$25 Gift card for Cervical Cancer Screening*Complete an office visit for cervical cancer screening (pap test).Female Members ages 16–64Screening: Chlamydia$25 Gift card for Chlamydia Screening*Complete an annual chlamydia screening.Female Members ages 16–64Value Adds
As a Molina member you may be eligible for additional benefits to keep you healthy!
For additional information, see member handbook or contact Member Services.Smoking CessationSmoking Cessation ProductsThis benefit provides up to $185 gift card for qualified members to be used for over-the-counter tobacco cessation products.Eligible Members ages 18 or older, or pregnant women of any ageWeight Watchers$45 Value for /WW® (formerly Weight Watchers)Eligible Members can receive up to 13 weeks of WW services; can be referred by Providers, internal departments (care managers, etc.), or self-referral.All MembersOver The Counter Benefit$30 per Member household, per quarter*Member household receives a $30 gift card per quarter for commonly used over-the-counter items not covered through the Medicaid pharmacy benefit.All MembersPregnancy: Text4BabyHealthy Baby Text Education ProgramTEXT4BABY helps prepare Members for motherhood by sending appointment reminders and useful information for new moms.Pregnant Members and Members with children under one year of agePregnancy: Baby ShowerPack-n-play or a month's supply of diapers for attending membersA fun and educational event for pregnant members and new moms. Participants will learn about keeping themselves and the baby healthy during and after pregnancy..Pregnant membersPregnancy: Doula ServicesTotal of 8 Visits for Doula Assistance Services (prenatal, postpartum, and delivery assistance)Eligible members (members who are at high risk and members of a group experiencing health disparities) can request doula assistance during labor and delivery to provide emotional and physical support to the mother and her familyMembers meeting high-risk criteriaPregnancy: Car SeatsCar or Booster Seat for Completing Prenatal VisitsComplete a prenatal visit during their first trimester or within 42 days of enrollment.Pregnant MembersPregnancy: MealsHome-delivered Meals for Pregnant & Post-Partum MembersMembers may request home-delivered meals that can support their nutritional needs during pregnancy and when breastfeeding.Members who are pregnant or in the first year of postpartumPacify Sign upGift box for mom and babyMembers who sign up for Pacify, our online pregnancy and postpartum support tool, are eligible to receive a gift box that includes fun items for mom and baby.Pregnant MembersMembership FeesYMCA, local Boys & Girls Club, Salvation Army Kroc CenterTo assist young members in developing social and leadership skillsMembers ages 6-18 years old.
TransportationAdditional TransportationMembers can receive transportation to certain non-medical locations and SDOH resources like the pharmacy, WIC appointments, grocery store, etc. 20 one-way or 10 roundtrip rides each year.Members participating in case managementTruConnectFree Phone with Molina AppsQualifying low-income individuals will receive free or discounted wireless devices and service plans.Members who qualify for Medicaid, Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI), Veterans Pension Benefit/Survivors Pension Benefit, Federal Public Housing Assistance, or if household income is at or below 135 percent of the poverty level.Meals: High-RiskHome-delivered Meals for High-Risk Transitions of CareMolina will provide a box of healthy foods to members with high-risk conditions such as diabetes or high-risk pregnancy and are experiencing food insecurity.High-risk members with chronic conditions, including members with high-risk pregnanciesGED Test SupportGED test and test prep supportMolina Gift card to pay GED test fees at authorized testing centers ($134 value), and test prep materials.Members ages 18 years and olderCommunity ResourcesMolina Findhelp accessCommunity Resource Referral Support Platform that provides Members on-demand, 24/7 access to thousands of community resources across the State.All MembersMy Molina AppMy Molina AppThe My Molina app provides Members with a variety of resources like information about their benefits, access to their Member ID card, a list of their medications, and so much more.All Members24-hour Nurse Advise Line & BH Crisis LineToll-free Nurse LineAccess to a Toll-free Nurse Advice Line and BH Crisis Line available 24/7/365.All MembersDental Exams - Problem Focused2 Additional Problem-focused Oral ExamsTwo additional problem-focused oral exams to supplement existing Medicaid dental benefitsAll membersPregnancy: Electric Breast PumpBreast PumpNew mothers with an infant who wish to receive an electric breast pump at no cost.Pregnant or new momsDental Services for Pregnant Members1 additional cleaning for pregnant moms.Pregnant women can receive an additional cleaning during pregnancy.Pregnant MembersClient Assistance Program (CAP)5 sessions of brief solutions-focused behavioral health therapy.All MembersSports PhysicalAnnual Sports PhysicalQualifying members can receive 1 free annual sports physical.Members between ages 3 and 17 yearsHealthy Minds, Healthy KidsArts and literacy support for school-aged members$50 gift card for books or art supplies to encourage fun activities and less screen time.Ages Kindergarten - 12th Grade