Adult Daycare PAS Provider Handbook

 
2
Medicaid Related Assistance
Medicaid & Long-Term Care
 
No
No

What would you like to do?

What you need to know

​This handbook is your primary resource on the Nebraska Medicaid program, including program regulations and service coverage requirements, as well as limitations, forms, billing requirements, and payment information.

Please review this handbook before providing services and requesting payment from Nebraska Medicaid, and share the handbook with personnel who perform referrals, authorization, coding, and claims submission for your office.

If you have questions or comments about this information, contact the Medicaid program specialist for this service type: Medicaid Contacts

Regulations
Table of Contents
Chapter 1 Administration
Chapter 2 Provider Participation
Chapter 3 Payment for Medical Services
Chapter 15 Personal Assistance Services


 

Appendices (Forms, Reports and Instructions)
​471-000-69​Instructions for Completing Form MS-82, "Adult Day Care Assessment/ Authorization"
471-000-75

​Nebraska Medicaid Billing Instructions for Completing Form MC-82-AD,

“Adult Day Care Nursing/Aide Services Claim Form" for Private Duty Nursing or Personal Assistance Services in Adult Day Care Centers

471-000-85 Explanation of Remittance Advice and Refund Requests Report
471-000-90 Form MC-19, "Medical Assistance Provider Agreement" and Completion Instructions
471-000-99 Medicaid Claim Adjustment and Refund Procedures
471-000-123 Explanation of Nebraska Medicaid Eligibility Documents
471-000-124 Instructions for Using the Nebraska Medicaid Eligibility System (NMES)
471-000-127 Explanation of Deleted Medicaid Claims Weekly Report (MCP564-D)
471-000-128 Explanation of Medicaid Claims in Process Over 30 Days Report (MCP564-S)