Telligen's Medicaid Services for Nebraska

Telligen works with Nebraska Medicaid providers to assure patients receive the right care at the right time and as efficiently as possible. We have programs covering inpatient hospital and rehabilitation facilities, ambulatory surgery centers, and outpatient services. It is Telligen's mission to optimize the quality of medical care and health through collaborative relationships, education and health information management.


ATTENTION:  eQHealth Solutions has been contracted to replace Telligen and perform existing and additional Utilization and Quality review activities for Nebraska Medicaid Fee-For-Service clients.

Effective October 1, 2020, eQHealth Solutions will begin performing:

  • Inpatient Acute Care Hospitals Retrospective Reviews
  • Outpatient Acute Care Hospitals Retrospective Reviews
  • Inpatient Acute Care Hospitals certified as Critical Access Hospitals Retrospective Reviews
  • Outpatient Acute Care Hospitals certified as Critical Access Hospitals Retrospective Reviews
  • Acute Inpatient Hospital Rehabilitation Service Prior Authorization for Admission Reviews
  • Acute Inpatient Hospital Rehabilitation Service Concurrent Reviews
  • Skilled Nursing Facility Prior Authorization for Admission Reviews
    • Excluding Special Needs Reviews
  • Skilled Nursing Facility Concurrent Reviews
    • Excluding Special Needs Reviews
  • Home Health & Private Duty Nursing Services Prior Authorization for Admission Reviews
  • Home Health & Private Duty Nursing Services Concurrent Reviews
  • DME & Hearing Devices Prior Authorization
  • Inpatient and Home Hospice Prior Authorization for Admission
  • Inpatient and Home Hospice Recertification Review
  • Cost Outlier Reviews
  • Ambulatory Surgical Centers Retrospective Reviews
  • Subacute Inpatient Psychiatric Prior Authorizations for Admission Reviews
  • Subacute Inpatient Psychiatric Concurrent Reviews
  • Residential Rehabilitation Service Prior Authorizations for Admission Reviews
  • Residential Rehabilitation Concurrent Reviews
  • Outpatient Substance Abuse Treatment Service Prior Authorization for Admission Reviews
  • Outpatient Substance Abuse Treatment Concurrent Reviews
  • High-cost radiology procedure and Service Prior Authorizations to include, but not limited to, CTs, MRIs, CTAs, MRAs, PETs, and cardiac stress testing (nuclear medicine)
  • Solid-organ, blood/stem cell Transplant Prior Authorizations
  • Peer-to-Peer/Reconsideration Reviews
  • First Level Appeals

Current Authorizations

Authorization for services approved prior to October 1, 2020 will continue to be valid. If it is necessary to make authorization changes, the provider must make the change with eQHealth Solutions.

Authorizations and requests in progress with Telligen prior to October 1, 2020 will be followed through with Telligen until March 31st, 2021 or the conclusion of a determination or appeal, whichever is sooner.

Toll Free Number: 888-498-0939
Fax Number: 1-800-316-0021
Provider Portal: https://eqsuite.eqhs.com/

Address: 1431 Greenway Dr.
                Suite #500
                Irving, TX 75038