Nebraska Medicaid Program

Minimum Data Set and Case Mix Information

NCIS Web Access Process

Thank you for your interest in the Nebraska Casemix Internet System Web (NCIS Web) Access information though the internet. The NCIS website was developed in conjunction with MDS 3.0, the Nebraska Case Mix system and as an easy on-line service to facilitate providers with completing care level reports, weighted days reports, viewing past due assessments and errors that caused the assessments to be rejected by the Nebraska Case Mix system.  This replaces paper documents and related costs and will allow providers and state staff to communicate on line to resolve assessment issues.

As we continue to work towards a user friendly, functional system, provider comments are encouraged.


Initial enrollment requires the completion of the DHHS IT Confidentiality Statement and External Access Statement.  In addition, please note:

Question 9 on the Confidentiality Agreement requires that each facility submit their policy(ies) outlining the review and reporting of HIPAA/security violations.

The following completed forms can be submitted via email, e-fax or mail:

​Name of Form ​Version
Confidentiality Agreement & Application to Request Access to DHS Information Technology (IT) Assets ​11-30-09
State of Nebraska, Department of Health & Human Services (DHHS) External Access Confidentiality Statement ​Rev 4-17-08
Confidentiality Agreement and External Access Confidentiality Statement Instructions

If desired, mail the completed original forms to:

Nebraska DHHS Medicaid and LTC
Attention:  Danny Vanourney
PO Box 95026
Lincoln, NE 68509-5026

DHHS Email address: 


To access the Website, click on the following link:

Separate login IDs and passwords are required for each person accessing the site. It is a violation of your agreement to share login IDs and passwords. Contact Danny Vanourney  at 402.471.9678 or  to register staff changes (new staff or staff terminations). Each new member must sign a DHHS External Access Confidentiality Statement.
Passwords are valid for 90 calendar days. When your password expires, you will not be able to access the NCIS site. Passwords may also be revoked when 3 consecutive attempts to log on are unsuccessful
To establish a new password or change a current password:

  1. Enter your assigned UserID and current password.
  2. Select “Reset” and follow prompts.
  3. Confirm new password.
  4. Log off website.
  5. Log back on to access NCIS Web

If your password change is not successful, please contact the DHHS Help Desk (402-471-9069) for assistance.

Documents in PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.