NE MEDICAID MARKET
Nebraska
monitoring
No current verified market signal.
Last verified: unavailable
Last verified: unavailable · no state-specific item
No current verified signal
Precapture is monitoring this market. No state-specific public intelligence item is currently published.
Plans in this market
Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.
Plans in this market 21
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| Centene | Nebraska Total Care | not reported | 127,781 (2022) | 34.2% calculated | not reported |
| Centene | Nebraska Total Care | not reported | 118,214 (2024) | 33.8% calculated | 928 appeals resolved |
| Centene | WellCare of Nebraska | not reported | 87,365 (2020) | 33.4% calculated | not reported |
| Centene | WellCare of Nebraska | not reported | 83,793 (2018) | 33.7% calculated | not reported |
| Elevance | Healthy Blue | not reported | 117,352 (2022) | 31.4% calculated | not reported |
show all 21
| Parent | Plan | Programs | Latest CMS enrollment | Share | MCPAR operations |
|---|---|---|---|---|---|
| Elevance | Healthy Blue Nebraska | not reported | 132,506 (2023) | 33.3% calculated | not reported |
| not reported | Immanuel Pathways | not reported | 190 (2018) | 100.0% calculated | not reported |
| not reported | Immanuel Pathways | not reported | 214 (2024) | 100.0% calculated | not reported |
| not reported | MCNA Nebraska | not reported | 396,953 (2023) | 100.0% calculated | 2 sanctions, 164 appeals resolved |
| not reported | MCNA Nebraska | not reported | 260,100 (2020) | 100.0% calculated | not reported |
| not reported | MCNA Nebraska | not reported | 247,580 (2018) | 100.0% calculated | not reported |
| Molina | Molina Healthcare of Nebraska | not reported | 116,309 (2024) | 33.2% calculated | not reported |
| not reported | Nebraska Total Care | not reported | 82,821 (2018) | 33.3% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan of Nebraska | not reported | 81,334 (2017) | 33.0% calculated | not reported |
| UnitedHealth | UnitedHealthcare Community Plan of Nebraska | not reported | 115,714 (2024) | 33.0% calculated | 3,905 appeals resolved |
| UnitedHealth | UnitedHealthcare Community Plan of Nebraska | not reported | 132,319 (2023) | 33.3% calculated | not reported |
| not reported | Amerihealth Caritas (D.B.A. Arbor Health Plan) | not reported | 25,887 (2016) | 13.5% calculated | not reported |
| not reported | Coventry Health Care of Nebraska (D.B.A. Aetna) | not reported | 104,571 (2016) | 54.7% calculated | not reported |
| not reported | Immanuel Pathways | not reported | 133 (2016) | 100.0% calculated | not reported |
| not reported | Magellan Health | not reported | 232,507 (2016) | 100.0% calculated | not reported |
| not reported | United Health Care of Nebraska | not reported | 60,888 (2016) | 31.8% calculated | not reported |
CMS reported enrollment
CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.
Dental Benefit Manager (Dental only (PAHP))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| MCNA Nebraska | MCNA Health Care Holdings, Inc. | MCNA Health Care Holdings, LLC | Statewide | not reported | not reported | not reported | not reported | 2017: 0; 2018: 247,580; 2019: 246,055; 2020: 260,100; 2021: 296,127; 2023: 396,953 |
Dental Benefit Manager (Dental only PAHP)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| MCNA Nebraska | MCNA Health Care Holdings, Inc. | MCNA Health Care Holdings, LLC | Statewide | not reported | not reported | not reported | not reported | 2022: 372,705 |
Heritage Health (Comprehensive MCO)
Heritage Health (Comprehensive MCO) 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Healthy Blue Nebraska | Elevance Health | Elevance | Statewide | not reported | not reported | not reported | not reported | 2023: 132,506 |
| Healthy Blue | Elevance Health | Elevance | Statewide | not reported | not reported | not reported | not reported | 2021: 107,971; 2022: 117,352 |
| Molina Healthcare of Nebraska | Molina Healthcare, Inc. | Molina | Statewide | CMS reported 116,309 (2024) | 33.2% | not reported | not reported | 2024: 116,309 |
| Nebraska Total Care | Centene Corporation | Centene | Statewide | CMS reported 118,214 (2024) | 33.8% | -14,379 (-10.8%) | +0.4 pts | 2017: 82,010; 2018: 82,821; 2019: 82,375; 2020: 87,004; 2021: 113,510; 2022: 127,781; 2023: 132,593; 2024: 118,214 |
| UnitedHealthcare Community Plan of Nebraska | UnitedHealthcare | UnitedHealth | Statewide | CMS reported 115,714 (2024) | 33.0% | -16,605 (-12.5%) | -0.3 pts | 2017: 81,334; 2018: 82,218; 2019: 81,886; 2020: 86,853; 2021: 113,237; 2022: 128,153; 2023: 132,319; 2024: 115,714 |
show all 6
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| WellCare of Nebraska | WellCare Health Plans, Inc | Centene | Statewide | not reported | not reported | not reported | not reported | 2017: 83,128; 2018: 83,793; 2019: 83,024; 2020: 87,365 |
Nebraska Behavioral Health Managed Care (Behavioral Health Organization (BHO) only (PIHP and/or PAHP))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Magellan Health | not reported | unmatched | Statewide | not reported | not reported | not reported | not reported | 2016: 232,507 |
Nebraska Physical Health Managed Care (Comprehensive MCO)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Amerihealth Caritas (D.B.A. Arbor Health Plan) | not reported | unmatched | Adams, Antelope, Arthur, Banner, Blaine, Boone, Box Butte, Boyd, Brown, Buffalo, Burt, Butler, Cedar, Chase, Cherry, Cheyenne, Clay, Colfax, Cuming, Custer, Dakota, Dawes, Dawson, Deuel, Dixon, Dundy, Fillmore, Franklin, Frontier, Furnas, Garden, Garfield, Gosper, Grant, Greeley, Gall, Hamilton, Harlan, Hayes, Hitchcock, Holt, Hooker, Howard, Jefferson, Johnson, Kearney, Keith, Keya Paha, Kimball, Knox, Lincoln, Logan, Loup, Madison, McPherson, Merrick, Morrill, Nance, Nemaha, Nuckolls, Pawnee, Perkins, Phelps, Pierce, Platte, Polk, Red Willow, Richardson, Rock, Saline, Scotts Bluff, Sheridan, Sherman, Sioux, Stanton, Thayer, Thomas, Thurston, Valley, Wayne, Webster, Wheeler, York counties (Service Area 2) | not reported | not reported | not reported | not reported | 2016: 25,887 |
| Coventry Health Care of Nebraska (D.B.A. Aetna) | not reported | unmatched | Cass, Dodge, Douglas, Gage, Lancaster, Otoe, Sarpy, Saunders, Seward, Washington counties (Service Area 1) and Adams, Antelope, Arthur, Banner, Blaine, Boone, Box Butte, Boyd, Brown, Buffalo, Burt, Butler, Cedar, Chase, Cherry, Cheyenne, Clay, Colfax, Cuming, Custer, Dakota, Dawes, Dawson, Deuel, Dixon, Dundy, Fillmore, Franklin, Frontier, Furnas, Garden, Garfield, Gosper, Grant, Greeley, Gall, Hamilton, Harlan, Hayes, Hitchcock, Holt, Hooker, Howard, Jefferson, Johnson, Kearney, Keith, Keya Paha, Kimball, Knox, Lincoln, Logan, Loup, Madison, McPherson, Merrick, Morrill, Nance, Nemaha, Nuckolls, Pawnee, Perkins, Phelps, Pierce, Platte, Polk, Red Willow, Richardson, Rock, Saline, Scotts Bluff, Sheridan, Sherman, Sioux, Stanton, Thayer, Thomas, Thurston, Valley, Wayne, Webster, Wheeler, York counties (Service Area 2) | not reported | not reported | not reported | not reported | 2016: 104,571 |
| United Health Care of Nebraska | not reported | unmatched | Cass, Dodge, Douglas, Gage, Lancaster, Otoe, Sarpy, Saunders, Seward, Washington counties (Service Area 1) | not reported | not reported | not reported | not reported | 2016: 60,888 |
Program of All-Inclusive Care for the Elderly (PACE)
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Immanuel Pathways | Immanuel Pathways | Immanuel Pathways | 68037, 68048, 68025, 68007, 68010, 68022, 68064, 68102, 68104, 68105, 68106, 68107, 68127, 68110, 68111, 68112, 68114, 68116, 68117, 68118, 68122, 68124, 68127, 68130, 68131, 68132, 68134, 68135, 68137, 68142, 68144, 68152, 68154, 68157, 68164, 68182, 68005, 68028, 68046, 68059, 68069, 68113, 68123, 68128, 68133, 68136, 68138, 68147, 68073, 68002, 68008, 68009, 68023, 68029, 68034, 68044, 68068 | CMS reported 214 (2024) | 100.0% | +6 (+2.9%) | 0.0 pts | 2022: 206; 2023: 208; 2024: 214 |
Program of All-Inclusive Care for the Elderly (PACE) (Program of All-inclusive Care for the Elderly (PACE))
| Plan | CMS parent | Parent | Region | 2024 enrollment | 2024 share | Change from prior reporting year, calculated | Share change, calculated | Trend |
|---|---|---|---|---|---|---|---|---|
| Immanuel Pathways | Immanuel Pathways | Immanuel Pathways | 68037, 68048, 68025, 68007, 68010, 68022, 68064, 68102, 68104, 68105, 68106, 68107, 68127, 68110, 68111, 68112, 68114, 68116, 68117, 68118, 68122, 68124, 68127, 68130, 68131, 68132, 68134, 68135, 68137, 68142, 68144, 68152, 68154, 68157, 68164, 68182, 68005, 68028, 68046, 68059, 68069, 68113, 68123, 68128, 68133, 68136, 68138, 68147, 68073, 68002, 68008, 68009, 68023, 68029, 68034, 68044, 68068 | not reported | not reported | not reported | not reported | 2017: 161; 2018: 190; 2019: 205; 2020: 216 |
| Immanuel Pathways | Immanuel Pathways | Immanuel Pathways | Nebraska Zip Codes: 68037, 68048, 68025, 68007, 68010, 68022, 68064, 68102, 68104, 68105, 68106, 68107, 68127, 68110, 68111, 68112, 68114, 68116, 68117, 68118, 68122, 68124, 68127, 68130, 68131, 68132, 68134, 68135, 68137, 68142, 68144, 68152, 68154, 68157, 68164, 68182, 68005, 68028, 68046, 68059, 68069, 68113, 68123, 68128, 68133, 68136, 68138, 68147, 68073, 68002, 68008, 68009, 68023, 68029, 68034, 68044, 68068 | not reported | not reported | not reported | not reported | 2016: 133; 2021: 213 |
Plan operations (CMS MCPAR)
Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.
National plan operations · Federal compliance deadlines
Sanctions (2024)
not reported.
Award history
- Heritage Health Medicaid Managed Care Services RFP 112209 O3: upheld. Heritage Health Medicaid Managed Care Services (RFP 112209 O3). Status recorded from the retrieved documents: upheld. Named awardees in confirmed excerpts: UnitedHealthcare of the Midlands, Inc., Nebraska Total Care, Inc., Molina Healthcare of Nebraska, Inc.. Notice date 2022-09-23.
Retrieved 2026-11-03. Sources and scores
Early procurement signals
No official early-procurement document has been retrieved for this state. This is not a finding that no signal exists. Early signals
Contract amendments
No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments
Medicaid policy
Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.
Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.
Coverage not_collected.
No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy
Federal Register SPA disapproval hearing notices (2015 or later): 0
Plan financials
No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.
Federal compliance deadlines
Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.