Member Materials & Forms

Here you can find important documents about your Molina Healthcare of Nebraska plan. Click the links below for more information.

New Members

We want to help get you the most out of your health plan. To get started, review your new member Quick Start Guide we sent you in the mail:

Molina Healthcare of Nebraska Quick Start Guide 2024 (English)

Member Handbook

Your member handbook will help you understand your benefits and how you can best get help from Molina. It explains your health care, prescription drug, transportation, and benefits coverage with Medicaid. It tells you how best to make your health plan work for you.

Feel free to share this handbook with a family member or someone who knows your health care needs.

When you have a question, check this handbook, contact Member Services, or your care manager if you have one.

benefitandservices

 

 Molina Medicaid Member Handbook (English)

 

Printed copies of the Member Handbook are available in braille and other preferred languages free of charge upon request.

Provider and pharmacy directories

A provider directory is a list of the doctors and pharmacies in your area that accept Molina Healthcare of Nebraska coverage. Our directory is updated monthly.
  

Directory reference

 icon_pdf Medicaid (printable PDF copy)
 Online Provider and Pharmacy Look Up Tool 

 

 

Covered Drugs

Molina Healthcare of Nebraska covers all drugs listed on the Nebraska Medicaid Preferred Drug List (PDL). These are drugs we prefer your Primary Care Provider to prescribe. 

 

Preferred Drug List

 

 

 

Member forms

Click on the links below to access important member forms.

Appeal and Grievance Request Form 

 

 

 

Member Newsletters

Our newsletters give you answers to your health questions.

Guide to Getting Quality Health Care

English Version  

 

Notice of privacy practices

This notice describes how medical information about you may be used and DISCLOSED and how you can get access to this information. PLEASE READ THIS NOTICE CAREFULLY. Or you can download and print the information:

icon_pdf Notice of Privacy Practices