482 Neb. Admin. Code, ch. 3, § 004

Current through September 17, 2024
Section 482-3-004 - MEMBER WEBSITE

The enrollment broker website must include general and up-to date information about Heritage Health, the enrollment broker, and health plans. The enrollment broker website will remain compliant with applicable privacy and security requirements, including but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), when providing member eligibility or identification information on its website. The enrollment broker website must include the following:

(A) Current version of the enrollment broker outreach packet, notice of anniversary letter, provider directory, health plan matrix, and all other mailings provided by the enrollment broker;
(B) Telephone contact information for the enrollment broker;
(C) Real time, searchable provider directory for each health plan; to include open and closed panels;
(D) Links to health plan websites and toll-free numbers;
(E) A link to the Medicaid eligibility website;
(F) Information on how to select a health plan and primary care provider, report family and demographic changes, and file grievances and appeals; and
(G) Secure online portal to facilitate member health plan enrollment and primary care provider selection.

482 Neb. Admin. Code, ch. 3, § 004