Latest Updates Title 471

Update      Effective Date
471-000-536 ​Updates the Nebraska Medicaid Hospice Fee Schedule (effective October 1, 2012)
471-000-532 ​Revises the Nebraska Medicaid Practitioner Fee Schedule for Mental Health and Substance Abuse Services. (effective July 1, 2012)
471-000-409 ​Revises the Ambulatory Surgery Center Rates (effective July 1, 2012)
471-000-504 Revises the Nebraska Medicad Practitioner Fee Schedule for Ambulance Services (effective July 1, 2012)
471-000-505 Revises the Nebraska Medicad Practitioner Fee Schedule for Chiropractic Services(effective July 1, 2012)
471-000-506 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Dental Services(effective July 1, 2012)
471-000-507 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Durable Medical Equioment, Medical Supplies & Orthotic and Prosthetics Services (effective July 1, 2012)
471-000-508 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Hearing Aid Services(effective July 1, 2012)
471-000-509 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Home Health Agency Services(effective July 1, 2012)
471-000-513 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Nursing Services(effective July 1, 2012)
471-000-515 Revises the Nebraska Medicad Practitioner Fee Schedule for Personal Assistance Services(effective July 1, 2012)
471-000-517 Revises the Nebraska Medicad Practitioner Fee Schedule for Physical Therapy & Occupational Therapy Services(effective July 1, 2012)
471-000-518 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Physician Services(effective July 1, 2012)
471-000-519 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Podiatry Services(effective July 1, 2012)
471-000-520 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Clinical Lab Services(effective July 1, 2012)
471-000-521 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Anesthesia Services(effective July 1, 2012)
471-000-523 Revises the Nebraska Medicad Practitioner Fee Schedule for Speech Pathology & Audiology Services(effective July 1, 2012)
471-000-524 ​Revises the Nebraska Medicad Practitioner Fee Schedule for Visual Services(effective July 1, 2012)
471-000-533 ​Revises the Nebraska Medicad Practitioner Fee Schedule for HEALTH CHECK Services(effective July 1, 2012)
471 NAC 12 ​Update revisions that provide for Medicaid payment for concurrent treatment servicse and hospice services for Children (effective May 1, 2012)
471 NAC 36 ​​Update revisions that provide for Medicaid payment for concurrent treatment servicse and hospice services for Children (effective May 1, 2012)
​​471 NAC 12 ​Update revisions that provide for Medicaid payment for bedhold payments at the assisted living rate established under the Home and Community-Based Waiver (effective May 9, 2012)
471-000-87​​​​ ​Updates Form MC-32, "electronic Attachment Control Number Form" and Completion Instructions (effective March 1, 2012)
471-000-111​​​ ​New Form MS-44 "Hospice Prior Authorization Request" (effective March 1, 2012)
471-000-205​​ ​Updates Form MC-9S,  "Prior Authorization for Hearing Aids" and Completion Instructions (effective March 1, 2012)
471-000-203​​​ ​Updates Form MC-9NF,  "Authorization for Facility Care" and Completion Instructions (effective March 1, 2012)
471-000-201​​​ ​Updates Form MC-9,  "Dental Treatment and Prior Authorization" and Completion Instructions (effective March 1, 2012)
471-000-206​​ ​Updates Form MS-77,  "Request for Prior Authorization" and Complete Instructions (effective March 1, 2012)
471-000-59​​ ​Revises Nebraska Medicaid Billing Instructions for Private Duty Nursing Services (effective January 1, 2012)
471-000-83 ​Revises Nebraska Medicaid Billing Instructions for Hospital Services (effective January 1, 2012)
471-000-55 Revises Nebraska Medicaid Billing Instructions for Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics (DEMPOS) Services (effective January 1, 2012)
471-000-56 ​Revises Nebraska Medicaid Billing Instructions for Hearing Aid Services (effective January 1, 2012)
471-000-57 ​Revises Nebraska Medicaid Billing Instructions for Home Health Agency Services (effective January 1, 2012)
471-000-61 ​Revises Nebraska Medicaid Billing Instructions for Therapies Services (effective January 1, 2012)
471-000-63 Revises Nebraska Medicaid Billing Instructions for Podiatry Services (effective January 1, 2012)
471-000-81 ​​Revises Nebraska Medicaid Billing Instructions for Hospice Services (effective January 1, 2012)
471-000-53 ​Revises Nebraska Medicaid Billing Instructions for Ambulance Services (effective January 1, 2012)
471-000-54 ​Revises Nebraska Medicaid Billing Instructions for Chiropractic Services (effective January 1, 2012)
471-000-65 ​Revises Nebraska Medicaid Billing Instructions for Visual Services (effective January 1, 2012)
471-000-76 ​Revises Nebraska Medicaid Billing Instructions for Federally Qualified Health Center Services(effective January 1, 2012)
471-000-77 ​Revises Nebraska Medicaid Billing Instructions for Rural Health Clince Services (effective January 1, 2012)
471-000-520 ​Revises the Clinical Lab Fee Schedule (effective January 1, 2012)
471-000-62 ​Revises Nebraska Medicaid Billing Instructions for Physician, Laboratory and Ambulatory Surgical Center (ASC) Services (effective January 1, 2012)
471-000-64 ​​Revises Nebraska Medicaid Billing Instructions for Mental Health and Substance Abuse Services (effective January 1, 2012)
471-000-88 Revises Nebraska Medicaid Billing Instructions for Dental Services (effective December 1, 2011)
471-000-71 Revises Nebraska Medicaid Long-Term Care UB-04 Billing Instructions for Nursing Facility, ICF/MR (ICF/ID), Assisted Living-Waiver, Hospital Swing Bed and Hospice in Nursing Facility or ICF/MR (ICF/ID) Providers (effective December 1, 2011)

471-000-507

​Revises the Nebraska Medicaid Practitioner Fee Schedule for Durable Medical Equipment, Medical Supplies, Orthotics, and Prosthetics to indicate which products are subject to copayment (effective October 24, 2011)
471-000-74 Instructions for Completing Form MC-39, "Personal Assistance Services Provider Time Sheet" (effective November 1, 2011)
471-000-536 Updates the Nebraska Medicaid Hospice Fee Schedule (effective October 1, 2011)
471-000-90 Revises Form Mc-19 "Medical Assistance Provider Agreement" and Complete Instructions (effective July 15, 2011)
471-000-532 Revises the Nebraska Medicaid Practitioner Fee Schedule for Mental Health and Substance Abuse Services. (effective July 1, 2011)
471 NAC 10-014.04 and     471 NAC 12-009.08B Corrects the swing bed payment methodology description to comply with the method described in Nebraska’s approved Medicaid State Plan and the method currently and historically used. (Effective June 27, 2011)
Updates the methodology to implement use of a new data grouper. (Effective June 27, 2011)
Adds a definition and payment methodology for Indian Health Services nursing facilities. (Effective June 27, 2011)
Updates rate period references. (Effective June 27, 2011)
471 NAC 12-011.06K Updates administrator maximums. (Effective June 27, 2011)
471 NAC 12-011.10A Revises the fee charges for a copy of a cost report to comply with Department policy. (Effective June 27, 2011)
471 NAC 12-011.08D4 Revises the inflation factor language to describe the methodology but no longer specify the exact percentage. (Effective June 27, 2011)
471 NAC 35-004; 35-017 Incorporates Community Support Services Regulations. (Effective June 6, 2011)
471 NAC 10-010.06D, F & G Reduces the outpatient hospital rates to 75% of the cost-to-charge ratio. (Effective July 2, 2011)
 
Clarifies that the date of payment for orthodontic treatment must occur after the orthodontist receives an approved prior authorization and after the initial appliances have been placed; (Effective June 28, 2011)
471 NAC 6-006.01 Requires that, if a Medicaid client who is receiving orthodontic treatment, transfers to another dentist, the authorized dentist refund the portion of the amount paid by Medicaid that applies to the treatment not completed to Medicaid. (Effective June 28, 2011)
471 NAC 18-004.51 Incorporates Pediatric Feeding Disorder Regulations (Effective June 25, 2011)
471-000-409 Revises the Ambulatory Surgery Center Rates (effective July 1, 2011)
471-000-504 Revises the Nebraska Medicaid Practitioner Fee Schedule for Ambulance Services (effective July 1, 2011)
471-000-505 Revises the Nebraska Medicaid Practitioner Fee Schedule for Chiropractic Services (effective July 1, 2011)
471-000-506 Revises the Nebraska Medicaid Practitioner Fee Schedule for Dental Services (effective July 1, 2011)
471-000-507 Revises the Nebraska Medicaid Practitioner Fee Schedule for durable medical equipment and supplies to be more comparable with other services provided to Nebraska Medicaid recipients (effective July 1, 2011)
471-000-508 Revises the Nebraska Medicaid Practitioner Fee Schedule for Hearing Aid Services  (effective July 1, 2011)
471-000-517 Revises the Nebraska Medicaid Practitioner Fee Schedule for Physical Therapy and Occupational Therapy (effective July 1, 2011)
471-000-518 Revises the Nebraska Medicaid Practitioner Fee Schedule for Physician Services (effective July 1, 2011)
471-000-519 Revises Nebraska Medicaid Practitioner Fee Schedule for Podiatry Services (effective July 1, 2011)
471-000-520 Revises the Clinical Lab Fee Schedule (effective July 1, 2011)
471-000-521 Anesthesia Fee Schedule Explanation (effective July 1, 2011)
471-000-523 Revises the Nebraska Medicaid Practitioner Fee Schedule for Visual Care Services (effective July 1, 2011)
471-000-524 Revises the Nebraska Medicaid Practitioner Fee Schedule for Visual Care Services (effective July 1, 2011)
471-000-533 Revises the Nebraska Medicaid Practitioner Fee Schedule for HEALTH CHECK Services (effective July 1, 2011)
471-000-201 Revises the Dental Treatment and Prior Authorization (effective July 1, 2011)
471-000-509 Revises the Nebraska Medicaid Practitioner Fee Schedule for Home Health Agency Services (effective July 1, 2011)
471-000-513 Revises the Nebraska Medicaid Practitioner Fee Schedule for RN/LPN Private Duty Nursing Services (effective July 1, 2011)
471-000-515 Revises the Nebraska Medicaid Personal Assistance Services Rate Listing (effective July 1, 2011)

471 NAC 35-004; 35-017

Incorporates Community Support Services Regulations. (Effective June 6, 2011)
471-000-98 Nebraska Ownership/Controlling Interest and Conviction Disclosure” and Completion Instructions (effective May 1, 2011)
471-000-532 Revises the rate for Secure Psychiatric Residential Rehabilitation Services on the Nebraska Medicaid Practitioner Fee Schedule. The rate change is effective on date of service (effective June 1, 2011)
471-000-71 Nebraska Medicaid Long-Term Care UB-04 Billing Instructions for Nursing Facility, ICF/MR (ICF/ID), Assisted Living-Waiver, Hospital Swing Bed and Hospice in Nursing Facility or ICF/MR (ICF/ID) Providers (effective May 1, 2011)
471-000-503 Nebraska Medicaid Fee Schedule for Non-Emergency Transportation (NET) Services (effective May 1, 2011)
 

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