NOTICE - Notice to Applicants for PLHSO License to Bid on HHS Medicaid Contract

PREPAID LIMITED HEALTH SERVICE ORGANIZATIONS LICENSED ONLY TO SERVE MEDICAID THROUGH HHS CONTRACT

NOTICE TO APPLICANTS

This notice only applies to applicants that seek a Prepaid Limited Health Service Organization (PLHSO) Certificate of Authority strictly for the purpose of contracting with HHS to serve Medicaid.

There is no application document for a PLHSO. The Department of Insurance simply requires a cover letter and description of the materials submitted to meet the application requirements at Neb. Rev. Stat. § 44-4704(1)-(17). The set of application materials required at § 44-4704(1)-(17) lists several items that, by nature of the Medicaid program, will not be reviewed as part of the Certificate of Authority application process.

• An application only needs to include a cover letter and a list of the materials at § 44- 4704(1), (2), (3), (4), (9), (10), (15) and (16), with enclosed materials clearly marked to correspond with each required subsection of § 44-4704.
• Applicants do not need to include the materials described at § 44-4704(5), (6), (7), (8), (11), (12), (13) and (14).

Please pay attention to the equity requirements at § 44-4718, demonstrate the required net equity, calculate and arrange for the deposit required at § 44-4718(4), and arrange for the fidelity bond or deposit required at § 44-4719 to avoid delay in the issuance of your Certificate of Authority