Nebraska Medicaid Enrollment Broker

The State of Nebraska Department of Health and Human Services is seeking a qualified firm to serve as the Medicaid Enrollment Broker for the state’s Medicaid Managed Care program. The contractor will provide unbiased choice counseling, process enrollment and disenrollment, operate a multilingual call‑center, maintain an up‑to‑date provider directory, and deliver a secure, HIPAA‑compliant web‑portal for members to select Managed Care Organizations and primary care providers. The scope also includes extensive reporting, quality‑assurance monitoring, compliance with CMS certification, and a five‑year contract term with an optional three‑year renewal. • Provide enrollment assistance, auto‑assignment algorithms, and timely disenrollment notices for approximately 350,000 Medicaid members. • Operate a 7 a.m.–7 p.m. CT call‑center, develop outreach materials, and maintain a 99 %+ uptime web portal meeting Section 508 standards. • Deliver monthly, quarterly, and ad‑hoc performance reports, adhere to strict performance‑measure penalties, and achieve/maintain CMS Streamlined Modular Certification.