Nebraska Medicaid Program
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Number Subject Date
​14-44 2015 Aged and Disabled Medicaid Waiver Assisted Living Rates ​12/18/14
​14-43 Medicaid Electronic Health Record (EHR) Incentive Program - CMS 2014 Certified Electronic Health Record Technology (CEHRT) Flexibility Rule ​12/04/14
​14-41 Payment Suspensions Due to Credible Allegations of Fraud ​11/06/14
​14-40 Diagnosis Codes and Procedure Codes Payable for Chiropractic Services ​10/30/14
​14-39 Medicaid Respiratory Syncytial Virus (RSV) Infection Prophylaxis Update ​10/30/14
​14-38 Preferred Drug List (PDL) Changes ​12/05/14
​14-37 Credit Balance Audits ​10/23/14
​14-36 Affordable Care Act Administrative Simplification (AS) Requirements for HIPAA Electronic Transactions:  Eligibility for a Health Plan (270/271) and Health Care Claim Status (276/277) ​10/27/14
​14-35 Change to the Pre-Treatment Assessment Requirement and Behavioral Health Fee Schedule ​10/20/14
​14-34 FFY 2015 Medicaid Hospice Rates ​09/23/14
​14-33 Medicaid Electronic Health Record (EHR) Incentive Payment Program Portal and 2014 CEHRT Rules ​09/18/14
​14-32 Use Of ACH/EFT Enrollment Form MS-84 Effective October 1, 2014 ​09/08/14
​14-31 Outpatient Hospital Billing of CPT and HCPCS Codes for Physician-Administered Drugs ​09/02/14
​14-30 Use Of EDI Enrollment Forms Effective October 1, 2014 ​08/19/14
​14-29 ​Medicaid Electronic Health Record (EHR) Incentive Payment Program ​08/04/14
​14-28 Affordable Care Act Administrative Simplification (AS) Requirements for HIPAA Electronic Transactions:  Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA - 835) ​07/01/14
​14-27 Medicaid ICD-10 Implementation Project June 2014 Update – Revised Test Plan ​06/23/14
​14-26 ​Nebraska Medicaid Fee Schedule Update for SFY 2015 ​06/24/14
​14-25 Preferred Drug List (PDL) Changes (Amended) ​06/17/14
​14-24 Affordable Care Act Administrative Simplification (AS) Requirements for HIPAA Electronic Transactions:  Electronic Funds Transfer (EFT) and Electronic Remittance Advice (835). ​06/06/14
​14-23 Affordable Care Act Administrative Simplification (AS)
Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA)  Reassociation (CCD+) Rule
​05/27/14
​14-22 Nebraska Medicaid Recovery Audit Contract (RAC) Program ​04/29/14
​14-21 Provider Enrollment Process Changes 0​4/02/14
​14-20 Medicaid ICD-10 Implementation Project April 2014 Update ​04/24/14
​14-18 Coverage of Hydroxyprogesterone Caproate ​04/09/14
​14-17 CMS Calendar Year 2014 Rates Update for Enhanced Primary Care Providers ​05/27/14
​14-16 Medicaid ICD-10 Implementation Project February 2014 Update ​02/28/14
​14-15 ​Non-Emergency Transportation Brokerage Service ​04/09/14
​14-14 Utilization Review Organization ​05/07/14
​14-12 Billing Instructions Updated – CMS 1500 and CMS 1450 (UB04) ​03/05/14
​14-10 Utilization and Review Organization ​02/14/14
​14-09 ​Billing for Durable Medical Equipment in Nursing Facilities and Intermediate Care Facilities ​02/14/14
​14-08 Non-Emergency Transportation Brokerage Service ​02/06/14
14-07 Behavioral Health CPT Code 90838 Pricing Adjustment ​01/31/14

​14-06

Vaccines for Children (VFC) ​01/24/14
​14-05 Telephone Number Change for Dental Consultants ​01/31/14
​14-04 Immediate enrollment into Managed Care ​01/14/14
​14-03 National Correct Coding Initiative (NCCI) regarding conformity evaluations ​03/06/14
​14-02 Medicaid ICD-10 Implementation Project January 2014 Update ​01/23/14
​14-01 2014 Medicaid Swing Bed Per Diem Rate ​02/14/14
​13-82 Medicaid ICD-10 Implementation Project December 2013 Update ​12/20/13
13-80 Preferred Drug List (PDL) Changes ​12/12/13
​13-79 January 1 through December 31, 2014 Base Rates for Levels 101 through 105 ​12/11/13
​13-78 ​2014 Aged & Disabled Medicaid Waiver Assisted Living Rates ​12/11/13
​13-77 Medicaid ICD-10 Implementation Project November 2013 Update ​11/26/13
​13-75 Implementation of Revised CMS 1500 Claim Form / Version 02/12 ​11/14/13
​13-74 Coverage of Treatment by Chiropractors ​11/07/13
​13-73 Non-Emergency Ambulance Services ​11/05/13
​13-72 Self-Administered Drugs for Dually Eligible Clients ​11/22/13
​13-71 Medicaid ICD-10 Implementation Project October 2013 Update ​10/21/13
​13-68 New National Correct Coding Initiative (NCCI) Edits Regarding Evaluation-and-Management Services on the Day of Surgery, Effective October 2013 ​10/08/13
​13-67 Medicaid ICD-10 Implementation Project September 2013 Update ​09/25/13
​13-66 Mental Health and Substance Use Copay Deductions ​10/09/13
​13-65 ​FFY 2014 Medicaid Hospice Rates ​09/09/13
​13-64 Seasonal Influenza Vaccine 2013/2014 Update ​09/24/13
​13-63 Medicaid Drug Rebate Program - National Drug Code (NDC) Reporting Requirement for Physician Administered Drugs New Quantity Limits ​09/05/13
13-62 Discontinuation of Home Health Type of Bill 33X ​09/03/13
​13-61 Enrollment in Behavioral Health Managed Care (BHMC) ​10/03/13
​13-60 Enhanced Payments to Primary Care Providers ​09/17/13
​13-59 Provider Enrollment ​08/30/13
​13-58 Medicaid ICD-10 Implementation Project August 2013 Update ​08/30/13
​13-57 2013/2014 Medicaid Respiratory Syncytial Virus (RSV) Infection Prophylaxis Update ​10/01/13
​13-56 Reimbursement for Select Behavioral Health Therapy CPT Codes ​08/15/13
​13-55 Behavioral Health Managed Care ​08/28/13
13-54 Child Care for Children with Disabilities (CCCD) ​08/21/13
​13-52 Medicaid ICD-10 Implementation Project July 2013 Update ​08/05/13
​13-51 ​07/19/13
​13-50 Timely Filing Requirement for all Medicaid Claims ​07/15/13
​13-49 Managed Care Enrollment Verification ​06/28/13
​13-48 Medicaid ICD-10 Implementation Project June 2013 Update ​06/28/13
​13-47 American Dental Association (ADA) Claim Form 2012 ​07/18/13
13-46 Copayments for Hearing Aids ​09/03/13
​13-45 Breast Pump Policy Update ​08/05/13
​13-43 Laboratory Genetic Testing Codes ​07/03/13
​13-42 Preferred Drug List (PDL) ​06/17/13
​​13-41 Level of Care Determinations by League of Human Dignity ​06/19/13
​13-40 Change in Billing Code for Assisted Living UB-04 Claims ​06/11/13
​13-39 Medicaid Practitioner Fee Schedules for SFY 2013-2014 ​06/11/13
​13-38 Behavioral Health Evaluation & Management (E/M) Services in a Nursing Facility or Psychiatric Residential Treatment Center ​07/30/13
​13-37 Level of Care Assessments for Clients 64 Years of Age and Under ​05/30/13
​13-36 Medicaid ICD-10 Implementation Project May 2013 Update ​05/28/13
​13-35 Payment Error Rate Measurement (PERM) Review ​05/22/13
​13-34 Durable Medical Equipment in Nursing and Intermediate Care Facilities ​05/15/13
​13-33 Prior authorization for root canals ​06/06/13
​13-32 Behavioral Health is Expanding September 1, 2013 ​07/08/13
​13-31 Coverage of Makena ​4/30/13
​13-30 ​Alert - New Date for Enhanced Primary Care Rates ​04/22/13
​13-29 ​Medicaid Electronic Health Record (EHR) Incentive Payment Program ​04/19/13
​13-28 Implementation of Program of All-Inclusive Care for the Elderly (PACE) ​04/08/13
​13-27 ​Nebraska Medicaid Minimum Data Set (MDS) Requirements ​03/22/13
​13-26 Revised implementation date for the Elimination of Prior Authorization Process for Nursing Facility Services ​03/21/13
​13-24 ​Coverage of Makena ​03/19/13
​13-23 Medicaid ICD-10 Implementation Project April 2013 Update ​04/17/13
​13-22 Clarification regarding billing Current Procedural Terminology (CPT) service codes 90791/90792 and Evaluation/Management services on the same day ​04/03/13
​13-21 Alert - Enhanced Primary Care Rates ​03/18/13
​13-20 ​​Update to Medicaid Injectable Medication Fee Schedule ​03/08/13
​13-19 Award of Behavioral Health Substance and Substance Use Disorder – Managed Care Organization (MCO) Contract ​03/18/13
​13-18 Medicaid ICD-10 Implementation Project March 2013 Update ​03/08/13
​13-17 Update for use of Rho(D) Immune Globulin ​03/01/13
​13-16 ​Addition of Parent Child Interaction Therapy (PCIT) and Child-Parent Psychotherapy (CPP) Services ​03/13/13
​13-15 International Classification of Diseases, 10th Revision (ICD-10) Medicaid ICD-10 Implementation Project ​03/01/13
​13-12 LB 599 ​03/21/13
​13-10 Update on Attestation of Primary Care Providers ​02/08/13
​13-09 Health Care-Acquired Conditions and Provider-Preventable Conditions Inpatient hospital settings ​03/01/13
​13-08 Provider-Preventable Conditions (PPC) Outpatient healthcare settings ​03/01/13
​13-07 ​Elimination of Prior Authorization Process for Nursing Facility Services ​01/25/13
​13-06 Mental Health and Substance Use January 1, 2013 CPT Code Changes (Update to Provider Bulletins 12-68 and 12-73) ​02/06/13
​13-05 2013 Medicaid Swing Bed Per Diem Rate ​01/11/13
​13-04 Nebraska Medicaid State Maximum Allowable Cost (SMAC) Program Administration ​01/15/13
​13-03 Update and Clarification to Enhanced Primary Care Rates ​01/07/13
​13-02 National Correct Coding Initiative (NCCI), New HCPCS Modifiers established on January 1, 2013 ​01/15/13
​13-01 Intent to Eliminate Paper Claim Submissions ​01/11/13
​12-73 Mental Health and Substance Abuse (MHSA) January 1, 2013 CPT Code Changes Update to Provider Bulletin 12-68 ​12/21/12
​12-70 Affordable Care Act Requirements for HIPAA Electronic
Transactions:  Eligibility for a Health Plan (270/271) and
Health Care Claim Status (276/277)
​12/20/12
​12-69 Medicare Improvement for Patients and Providers Act of 2008 (MIPPA) ​12/18/12
​12-68 ​Mental Health and Substance Abuse (MHSA) January 1, 2013 CPT code changes ​12/18/12
​12-67 ​Retroactive Enrollment of Providers ​12/10/12
​12-65 Preferred Drug List (PDL) ​12/10/12
​12-64 January 1 through December 31, 2013 Base Rates for Levels 101 through 105 ​12/10/12
​12-63 Enhanced Primary Care Rates ​12/14/12
​12-62 New Dental Procedure Code ​12/06/12
​12-60 ACCESSNebraska Alternate Living arrangement process ​11/29/12
​12-59 2013 Aged & Disabled Medicaid Waiver Assisted Living Rates ​12/01/12
​12-58 Provider Enrollment-Ordering and Referring Providers ​11/14/12
​12-57 United States Citizenship Attestation Form ​11/14/12
​12-56 Paper Claim Processing ​11/7/12
​12-55 National Correct Coding Initiative (NCCI) Retrospective Claims Editing ​11/05/12
​12-54 Injectable Medication Fee Schedule ​10/25/12
​12-53 SEASONAL INFLUENZA VACCINE 2012/2013 UPDATE ​10/03/12
​12-52 Provider Screening and Enrollment ​10/12/12
​12-51 FFY 2013 Medicaid Hospice Rates ​10/31/12
​12-50 Durable Medical Equipment in Nursing and Intermediate Care Facilities ​10/10/12
​12-49 Implementation of APR-DRGs ​09/06/12
​12-48 Closure of Provider Validation Customer Support Unit on August 31, 2012 ​08/17/12
​12-47 2012/2013 Medicaid RSV Infection Prophylaxis Update ​09/25/12
​12-45 Website to Identify Medicaid Necessity ​08/08/12
​12-44 599 CHIP sample Medicaid card ​08/08/12
​12-43 Date Change in Timely Filing Requirements for All Medicaid Claims ​11/7/12
​12-38 LB 599 ​07/17/12
​12-37 Pharmacy Dispensing Fees ​07/30/12
​12-36 Retroactive Enrollment of Providers ​08/17/12
​12-35 180 Days Timely Filing for All Medicaid Claims ​07/02/12
​12-34 Physical Health Managed Care Authorizations ​06/27/12
​12-33 HIPAA 5010 Compliance Required by June 30, 2012 – FINAL NOTICE ​06/15/12
​12-32 LB 599 ​06/13/12
​12-31 Submitting Correct Diagnosis Codes on Claims ​12/18/12
​12-30 Physician Signed Review of the Total Plan of Care ​12/18/12
​12-29 Maintaining and Providing Complete Medical Records ​12/18/12
​12-28 Non-Emergency Transportation (NET) Services ​06/06/12
​12-27 Preferred Drug List (PDL) ​06/13/12
​12-26 HIPAA 5010 Compliance Plans Required by June 30, 2012 – 2nd NOTICE ​05/22/12
​12-25 Paper Claim Changes Effective 05/21/2012 ​05/14/12
​12-24 Physical Health Managed Care-Assignment of Mid-Level Practitioners ​05/09/12
​12-23 Reduction in Payment of Nursing Facility Leave (With Bedhold) Days ​05/15/12
​12-22 Medicaid Practitioner Fee Schedules for SFY 2012-2013 ​05/05/12
​12-21 Billing for Immune Globulin (RHIG) ​05/10/12
​12-19 Changes to non-emergency transportation services for Physical Health Managed Care ​04/23/12
​12-18 Acceptance of 4010 Electronic Claim Transactions Ends June 30, 2012 ​04/02/12
​12-17 NE Medicaid’s Agreement with Group Health Incorporated (CMS Coordination of Benefits Contractor) for Crossover Claims ​03/29/12
​12-16 ​Pharmacy Regulations ​03/30/12
​12-15 Statewide Expansion of Physical Health Managed Care ​04/02/12
​12-14 Coverage of Essure and Adiana Sterilizations ​06/01/12
​12-13 Statewide Expansion of Physical Health Managed Care ​03/01/12
​12-12 ​Prior Authorization Changes Related to NPI Effective March 1, 2012 ​02/24/12
​12-11 Appropriate Revenue Code for Billing Radiopharmaceuticals ​02/22/12
​12-10 Pharmacy Claims Pricing Issues ​02/22/12
​12-09 Initial ICD-10 Awareness ​02/07/12
​12-08 Medicaid Electronic Health Record (EHR) Incentive Payment Program ​03/23/12
​12-06 NEW Streamlined Review Process for Home Health Agencies Beginning February 15, 2012 ​01/30/12
​12-05 2012 Medicaid Swing Bed Per Diem Rate ​01/06/12
​12-04 Posting of the Intent to Award for Statewide Expansion of Physical Health Managed Care ​01/12/12
​12-02 REUSABLE PROTECTIVE UNDERPADS: T-4537 NU, T-4540 ​01/04/12
​12-01 ​January 1 through December 31, 2012 Level 101, 102, 103 and 104 Rates ​01/06/12
​11-83 MMIS HIPAA 5010 Project - System Implementation Schedule ​12/21/11
​11-81 January 1, 2012 Deadline for 5010 835 Enrollment ​12/16/11
​11-80 ​Preferred Drug List (PDL) ​12/16/11
​11-79 ​Implementation of NCPDP Version D.0 Pharmacy Claims Effective 01/01/2012 ​12/16/11
11-78 Paper Claim Completion Changes Effective 01/01/2012 Claim Field Quick Reference ​12/16/11
​11-77 January 1, 2012 Deadline for 5010 and NPI Implementation ​11/30/11
​11-76 2012 Aged & Disabled Medicaid Waiver Assisted Living Rates ​12/09/11
​11-74 NE Bedhold Rate Change ​11/03/11
​11-73 Medicaid Transaction Submission Changes Effective January 1, 2012 ​10/14/11
​11-71 NF Authorization Changes ​11/01/11
11-70 Release for Proposal for Statewide Expansion of Physical Health Managed Care 10/03/11
​11-69 Medicaid Copayments for Mental Health and Substance Abuse Services ​10/12/11
11-68 Changes to Clinical Criteria for PRTF Services and Submission of PTAs 09/29/11
11-67 Medicaid Contact Information 09/21/11
11-66 Medicaid Copayments Amended 10/07/11
11-65 FFY2012 Hospice Rates 09/21/11
​11-63 National Correct Coding Initiative (NCCI) Denials, Adjustments, & Appeals ​10/21/11
​11-62 Using MCCS to Check Claim Status ​10/21/11
​11-61 Billing for Multiple Services on the Same Service Date ​10/21/11
​11-60 CPT Procedure Code 99082 (Unusual Travel) ​10/21/11
​11-59 Procedure Code Modifiers & NCCI ​10/21/11
​11-58 Laboratory Services and the National Correct Coding Initiative (NCCI) ​10/21/11
​11-57 Procedure Code Modifier 59 and Physical or Occupational Therapy Claims ​10/21/11
11-56 Update on Turnaround Billing 09/15/11
11-55 NEW Personal Assistance Services Provider Timesheet 09/19/11
11-54 Medicaid provider responsibility to screen ordering/referring/prescribing providers for Federal and State suspension or termination 09/26/11
11-53 Seasonal Influenza Vaccine 2011/2012 Update 09/19/11
11-52 2011/2012 Medicaid RSV Infection Prophylaxis Update 09/16/11
11-51 Medicaid Prior Authorization: Enzyme-Replacement Therapy (ERT) for Lysosomal Storage Disorders (Replaces Provider Bulletin 08-01) 09/20/11
11-50 Billing for Physician Administered Medications on the Same Date as an Office Visit 09/20/11
11-49 Statewide Expansion of Physical Health Managed Care 08/24/11
11-48 Room Charge Billing for Observation Room and Emergency Department Services 08/30/11
11-47 Billing for Durable Medical Equipment & Supplies with the National Correct Coding Initiative 08/30/11
11-46 Medicaid Coverage of Speech Therapy 08/30/11
11-44 Statewide Expansion of Physical Health Managed Care 07/29/11
11-43 Prior Authorization of Intensive Outpatient and Community Treatment Aide Services 07/29/11
11-42 Billing for Allergy Code Injections (Codes 95115 and 95117) 08/04/11
11-41 Unbundling of Community-Based Children’s Mental Health and Substance Abuse Services 07/07/11
11-40 Posting of Anesthesia Fee Schedule 07/01/11
11-39 Community Support Update 07/01/11
11-38 Behavioral Health Provider Information for Psychiatric Residential Treatment Facilities (PRTF) 07/01/11
11-37 Medicaid MH/SA Fee Schedules for SFY 2011-2012 06/30/11
11-36 Therapeutic Group Home Services (ThGH) 06/30/11
11-35 Psychiatric Residential Treatment Facilities (PRTF) 06/30/11
11-34 2012 Nebraska Medicaid Fee Schedule for Practitioner Services 06/27/11
11-33 Hydroxyprogesterone Caproate Injection 07/01/11
11-32 FY2012 Nebraska Medicaid Fee Schedule for Personal Assistance Services 06/15/11
11-31 Present on Admission Indicator for Hospital Acquired Conditions 06/15/11
11-30 Reporting ICD-9 Codes on Inpatient Hospital Claims 06/08/11
11-29 FY2012 Nebraska Medicaid Fee Schedule for Private Duty Nursing Services 06/15/11
11-28 FY2012 Nebraska Medicaid Fee Schedule for Home Health Services 06/15/11
11-26 Preferred Drug List (PDL) 06/06/11
11-25 Elimination of Turnaround Billing Document 05/20/11
11-24 Implementation of Non-Emergency Transportation (NET) Fee Schedule (Appendix 471-000-503) 03/28/11
11-23 Claims for MHSA Services & the National Correct Coding Initiative 06/17/11
11-22 Medicaid Coverage of Physical & Occupational Therapy 05/09/11
11-21 Medicaid Coverage of Speech Therapy Procedure Codes 92506, 92507, and 92508 04/01/211
11-19 Community Support Changes 06/07/11
11-20 The National Correct Coding Initiative 03/15/11
11-16 UPDATE: Medicaid Drug Rebate Program – National Drug Code (NDC) Reporting Requirement for Physician Administered Drugs 02/14/11
11-15 Medicaid Electronic Health Records Incentive Payment Program-Information for Eligible Hospitals 02/16/11
11-14 Timely Return of Provider Validation and Agreement Forms 02/09/11
11-13 UPDATE Nebraska Medicaid Implementation of the National Correct Coding Initiative Edits 02/11/11
11-12 Compliance with Medicaid Home Health and PDN Rules 02/07/11
11-11 CLARIFICATION OF PAYMENT FOR GENETIC TESTING 02/03/11
11-09 Client Share of Cost Obligation & Medicare Part B Premium Payment 01/21/11
11-08 Eligibility Determination by Caseworkers for Labor and Delivery Services for Illegal Aliens 02/09/11
11-07 Revised implementation date for the Transportation Brokerage 01/24/11
11-06 Changes in provider criminal history background check requirements 01/13/11
11-05 Community Support Implementation Delay 01/10/11
11-04 2011 Medicaid Swing Bed Per Diem 01/10/11
11-03 Coverage of Children and Pregnant Women Lawfully Present in the US 01/10/11
11-02 Change in MC-10 Process for Nursing Facilities (revises Provider Bulletin 10-41) 01/03/11
11-01 Compounded Prescriptions with APIs and Excipients 01/03/11
10-65 Laboratory Fee Schedules 12/21/10
10-64 January 1 through December 31, 2011 Level 101, 102, 103 and 104 Rates 12/20/10
10-63 Cough and Cold Covered Products 12/15/10
10-62 2011 Aged & Disabled Medicaid Waiver Assisted Living Rates 12/15/10
10-61 Enrollment of Physicians in Resident Training Programs 12/07/10
10-60 A. Coverage of Zyprexa Relprevv
B. Revised Risperdal Consta Authorization Requirements
C. End Prior Authorization of Certain Psychiatric Injectable Medications
12/15/10
10-59 National Drug Code (NDC) Requirements for Physician Administered Medication 11/17/10
10-58 Changes in the administration of Non-Emergency Medical and Non-Medical Transportation 11/17/10
10-57 Change in Prior Authorization for DME Repairs 11/1/10
10-56 HIPAA 5010 Electronic Transactions Validation of Provider Information 10/20/10
10-55 Breast Pump Policy Update 10/14/10
10-54 Preferred Drug List 10/22/10
10-53 Enrollment of Physician Assistants 10/05/10
10-50 Nebraska Medicaid MDS 3.0 Requirements 09/22/10
10-49 Medicaid Hospice Payment Rates 09/17/10
10-48 Coverage of Tobacco Cessation Update 09/14/10
10-47 Hearing Aid Fee Schedule Pricing Effective July 1, 2010 09/08/10
10-46 Reporting Birth of Newborn on ACCESSNebraska web portal 10/12/10
10-45 DME Fee Schedule Incontinence Product Changes Effective October 1, 2010 09/07/10
10-44 DME Fee Schedule Changes/Clarifications Effective October 1, 2010 08/31/10
10-43 Seasonal Influenza Vaccine-2010/2011 Update 09/02/10
10-42 MDS Section Q Referral Process 09/02/10
10-41 Change in MC-10 Process for Nursing Facilities 08/24/10
10-39 Nebraska Medicaid Implementation of the National Correct Coding Initiative Edits 09/20/10
10-38 2010/2011 Medicaid RSV Infection Prophylaxis Update 08/10/10
10-37 DME FEE Schedule Changes/Clarification Effective August 1, 2010 07/30/10
10-36 Billing for CPT codes 59425 and 59426 08/04/10
10-34 Billing for Labor and Delivery Services for Pregnant Women who are Illegal Aliens 07/26/10
10-33 Managed Care Authorizations 07/15/10
10-32 Medicaid Practitioner Fee Schedules for SFY 2010-2011 Site of Service Reimbursement 07/13/10
10-31 Medicaid Drug Rebate Program - National Drug Code (NDC) Reporting Requirement for Physician Administered Drugs 06/30/10
10-29 FY 2011 Nebraska Medicaid Fee Schedule for Home Health Services 07/01/10
10-28 FY 2011 Nebraska Medicaid Fee Schedule for Private-Duty Nursing Services 07/01/10
10-27 Personal Assistance Services Provider Rate Increase 07/01/10
10-26 Secure Residential Rehabilitation Services 07/01/10
10-25 Medicaid Practitioner Fee Schedules for SFY 2010-2011 06/24/10
10-24 Medicaid Coverage for Human Papillomavirus (HPV) Vaccine Update 06/24/10
10-23 RUG Change FAQ's 04/21/10
10-22 July 1, 2010 Rate Increase 06/25/10
10-21 Medicaid Payment of Medicare Part A Nursing Facility Crossover Claims 06/17/10
10-20 RUG-III Grouper Upgrade-Related Changes:   MDS Assessment Effective Dates 06/17/10
10-19 Medicaid Physical Health Managed Care Changes:  Frequently Asked Questions 06/11/10
10-18 Application for Coverage of Labor and Delivery Services for Illegal Aliens 04/16/10
10-17 Change in Prior Authorization for DME Repairs 04/09/10
10-15 Payment Error Rate Measurement (PERM) Audit 04/08/10
10-14 ARRA Protections for Indians 04/29/10
10-13 Medicaid Physical Health Managed Care Changes 04/07/10
10-12 Prior Authorization for Invega Sustenna & Vivitrol 04/05/10
10-11 Change in Authorization Process for Home Health Postpartum/”Well Baby” Visits 04/01/10
10-09 Nebraska Medicaid Casemix MDS RUG-III Grouper Upgrade 03/18/10
10-08 Clarification of radiology prior authorizations 04/06/10
10-07 Preferred Drug List Expansion 03/30/10
10-06 Change in Medicaid Utilization Control and Quality Management Review Services 02/25/10
10-05 Frequently Asked Questions Regarding Billing for Services Provided to Pregnant Women Previously Covered Under the Unborn 03/22/10
10-04 Billing for Emergency Medical Services for Illegal Aliens 02/12/10
10-03 2010 Medicaid Swing Bed Per Diem 02/10/10
10-02 Citizenship and Presumptive Eligibility for Pregnant Women 01/27/10
10-01 Clarification of Medicaid Coverage for Pregnant Women and Unborn 01/25/10
09-42 January 1 through December 31, 2010 Level 35 & 36 Rates 12/29/09
09-41 2010 Aged & Disabled Medicaid Waiver Assisted Living Rates 12/10/09
09-40 CMS Medicaid Integrity Group Audits 12/14/09
09-39 Revision to Provider Bulletin 09-31 for H1N1 Vaccine 10/05/09
09-37 FY2010 Fee Schedule Information 09/30/09
09-36 Implementation of Tiered-Pricing for Inpatient Psychiatric Services 09/24/09
09-35 Effective Date of Radiology Management Program 09/24/09
09-34 Medicaid Hospice Payment Rates 09/30/09
09-33 Implementation of AP-DRGs 09/24/09
09-32 Seasonal Influenza Vaccine-2009/2010 Update 09/01/09
09-31 H1N1 Influenza Vaccine - 2009/2010 Update 09/23/09
09-30 Preferred Drug List 09/30/09
09-29 LB 97 - National Background Checks with Fingerprints 09/08/09
09-28 Inpatient Hospital Prospective Payment System - Diagnosis Related Groups (DRG) Grouper 09/01/09
09-27 Physical Health Managed Care Update 08/25/09
09-26 2009/2010 Medicaid RSV Infection Prophylaxis Update 08/20/09
09-25 Maintaining and Providing Complete Medical Records 08/14/09
09-24 Expansion of the Nebraska Medicaid Managed Care Program (NMMCP) Update 08/07/09
09-23 Mental Health Substance Abuse (MHSA) Fee Schedule Change 08/10/09
09-21 The Physical Health Managed Care Program Update 07/30/09
09-20 FY2010 Nebraska Medicaid Fee Schedule for Private-Duty Nursing Services (Appendix 471-000-513) 08/11/09
09-19 FY2010 Nebraska Medicaid Fee Schedule for Home Health Agency Services (Appendix 471-000-509) 08/11/09
09-18 Personal Assistance Services Provider Rate Increase 06/29/09
09-17 New Medicaid Identification Card 06/01/09
09-16 Radiology Prior Authorization(s) 04/21/09
09-15 Physician Application of Fluoride Varnish 04/22/09
09-14 Coverage of Essure Sterilizations 06/26/09
09-13 Effective Date of Radiology Prior Authorization Program 06/16/09
09-12 Hearing Aids:  RP modifier obsolete - use RA or RB 04/01/09
09-11 Update of Medicaid Managed Care Outpatient Utilization Review Processes 04/06/09
09-10 Changes in the Physical Health Managed Care Program 06/10/09
09-09 Out-of-State Outpatient Hospital Providers 03/26/09
09-08 Provider Responsibilities and Service Provider Agreements/Medical Assistance Provider Agreements 04/20/09
09-07 Adult Dental Emergencies 04/01/09
09-06 Expansion of the Nebraska Medicaid Manage Care Program 03/16/09
09-05 Improved Medicaid Managed Care Outpatient Utilization Review 02/27/09
09-04 Primary Care Case Management (PCCM) Referral/Authorization for Physician Services 02/25/09
09-03 CY2009 Medicaid Swing Bed Per Diem 03/05/09
09-02 Provider responsibility to screen employees and contractors for HHS-OIG exclusion status 02/04/09
08-42 Nursing Facility, Hospice Level 35 & 36 Rates January 1 through December 31, 2009 01/06/09
08-40 Medicaid Coverage of Tobacco Cessation, Omeprazole & Midrin 12/08/08
08-39 Coverage of Tobacco Cessation Midrin Coverage 12/04/08
08-38 Regulations for Assertive community Treatment (ACT) Services 11/20/08
08-37 2009 Aged & Disabled Medicaid Waiver Assisted Living Rates 10/31/08
08-36 Licensed Independent Mental Health Practitioners (LMHPs) 10/09/08
08-34 Medicaid Hospice Payment Rates 10/01/08
08-33 Tamper-Resistant Prescription Pads for the Nebraska Medicaid Pharmacy Program Update (Replaces Bulletin 08-06 Issued 03/14/08 09/17/08
08-32 2008/2009 Medicaid RSV Infection Prophylaxis Update (Replaces Bulletin 07-26) 09/18/08
08-31 Influenza Vaccine - 2008/2009 Update (Replaces Bulletin 07-24) 09/18/08
08-29 National Drug Code Billing Requirements for Outpatient Hospital Setting 08/01/08
08-28 Outpatient Hospital/Facility Billing Instructions for Reporting National Drug Codes 07/24/08
08-27 Ambulatory Surgery Center Rates Effective:   July 1, 2008 06/27/08
08-26 Mental Health Substance Abuse (MHSA) July 1, 2008 Fee Schedule Changes 06/27/08
08-25 Revision to NAC 471 Appendix 471-000-82 Instructions for Completing Turnaround MC-4 "Long Term Care Facility Turnaround Billing Document" 06/25/08
08-24 Fee Schedule Update 06/26/08
08-23 Durable Medical Equipment (DME) Fee Schedule Rate Changes 07/01/08
08-22 Annual Physical Therapy, Speech Therapy and Occupational Therapy Benefit Limit for Adults with Medicaid Coverage 06/30/08
08-21 Hearing Aid Policy Changes Effective July 1, 2008 06/26/08
08-20 Annual Limit for Chiropractic Services for Adults 06/26/08
08-19 Benefit Limit for Frames and Lenses for Adults 06/26/08
08-18 $1000 Annual Dental Benefit Limit for Adults 06/30/08
08-16 Billing Instructions for Outpatient Hospital/Facility Reporting of National Drug Codes (NDCs) 05/07/08
08-15 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to Nursing Facilities) 05/01/08
08-14 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to DME Suppliers) 05/01/08
08-13 1.) Elimination of Claims Attachment Requirements for Certain Codes.
2.) Change of Coding Requirements for IUD Billing.
05/12/08
08-12 DHHS Website Email Notification Feature, Online Provider Handbooks and Provider Bulletins, Electronic Claims, Funds Transfer and Other Options 05/12/08
08-11 Changes in the Home Health Agency Prior Authorization Process 04/18/08
08-10 Managed Care Rate Increase 04/01/08
08-09 MIPS Claims Must Include Only Services Actually Provided 03/17/08
08-08 Fee Schedule Rate Changes for Radiology Services 03/10/08
08-07 Fee Schedule Rate Changes for Oxygen Services 03/10/08
08-06 Tamper-Resistant Prescription Pads for the Nebraska Medicaid Pharmacy Program (Rescind effective 09/17/08) 03/14/08
08-05 Hospital Billing Instructions for Claims with Share of Cost 02/28/08
08-03 National Drug Code (NDC) Requirements for Physician Administered Medication 01/31/08
08-02 National Drug Code (NDC) Submission for Physician Administered Drugs in an Outpatient Facility 01/09/08
08-01 Medicaid Prior Authorization:   Enzyme-Replacement Therapy (ERT) for Lysosomal Storage Disorders (Rescind effective 09/20/11) 01/14/08
07-32 Third Party Liability - Billing Medicaid When the Primary Insurance is Equal to or Greater than the Medicaid Allowable 12/20/07
07-30 Death Review Process 12/28/07
07-29 Procedure Code Change for the Annual Assessment by Psychologists 04/01/08
07-28 2008 Aged & Disabled Medicaid Waiver Assisted Living Rates 11/30/07
07-27 Cough and Cold Covered Products 10/25/07
07-26 2007/2008 Medicaid RSV Infection Prophlaxis Update (Rescind effective 09/18/08) 10/12/07
07-25 Correction to Hospice Payment Rates and Wage Index 10/02/07
07-24 Influenza Vaccine - 2007/2008 Update (Rescind effective 09/18/08) 10/05/07
07-23 Peer Review Organization 10/09/07
07-22 Medicaid Diagnosis Related Group (DRG) Grouper 09/20/07
07-21 Hospice Payment Rates and Wage Index 09/12/07
07-20 Tamper-Resistant Prescription Pads for the Nebraska Medicaid (Rescind effective 03/14/08) 09/05/07
Nebraska Medicaid Fee Schedules (Postcard) 07/07
07-19 Change in Prior Authorization Process (Home Health) 09/04/07
07-17 Nebraska Medicaid RN/LPN Fee Schedule 07/01/07
07-16 Nebraska Medicaid Home Health Agency Fee Schedule 07/01/07
07-15 Personal Assistance Services Rate Increase July 1, 2007 06/18/07
07-14 Hospice Prior Authorizations 06/14/07
07-13 Home Health Agency Prior Authorization Process Changes on June 5, 2007 (Revised) 06/01/07
07-12 Hepatitis C PA Criteria, Byetta PA Form, Cox II Criteria 05/15/07
07-11 Growth Hormone Criteria 05/15/07
07-10 New Medicaid Claim Reports – New Process for Reporting Deleted Medicaid Claims 05/09/07
07-09 Medicare Explanation of Benefits (EOB) Requirement 04/10/07
07-08 Ambulatory Surgery Center Rates:   January 1, 2007 03/13/07
07-07 Clarification of Facility Obligation to Reimburse for Nurse Aide Training and Competency Evaluation Program (NATCEP) Costs 02/26/07
Revised CMS-1450 Claim Form (UB-04) (Postcard) 02/12/07
07-06 NPI, Prior Authorization, TPL, Byetta PA Form, New Drug PA Form 04/05/07
07-05 Medicaid Coverage for Human Papillomavirus (HPV) Vaccine 03/08/07
07-04 Medicaid Reimbursement for End Stage Renal Disease (ESRD) Laboratory Tests 02/13/07
07-03 Crisis Services 01/24/07
07-02 Medicaid Dental Fee Schedule - CDT - 2007/2008 01/16/07
07-01 Correct Claim Submission for Frames and Lenses 01/03/07
Revised CMS-1500 Claim Form and Electronic Claim Attachment Control Number (Form MC-2) (Postcard) 01/02/07
06-29 Quantity or High Dose Overrides 12/29/06
06-27 Revenue Code Place of Service Billing Change 12/20/06
06-25 Change to Early Refill on Controlled Substances 09/28/06
06-24 Nutritional Supplementation 09/19/06
06-21 Medicaid Coverage of Speech Therapy (Replaced by Provider Bulletin 11-46) 08/14/06
06-20 Medicaid Coverage of Physical and Occupational Therapy (Replaced by Provider Bulletin 11-22) 08/14/06
06-17 Documentation for Mental Health and Substance Abuse Services 08/04/06
06-15 Medicaid Coverage for Rotavirus Vaccine 06/19/06
06-06 Eliminating Medicaid Coverage of Drugs for Sexual or Erectile Dysfunction; Medicare Part D 02/02/06
06-03 Medicaid Coverage for Hepatitis A Vaccinne and Measles, Mumps, Rubella, and Varicella (MMRV) Vaccine 01/10/06
05-35 Implementation of Medicare Part D 12/14/05
05-34 Polycarbonate Lenses 12/05/05
05-30 Medicaid Coverage of Meningococcal Conjugate Vaccine & Tetanus, Diphtheria, Acellular Pertussis Vaccine 10/20/05
05-24 Nutritional Supplement Claim Submission and Reimbursement 09/14/05
05-22 Billing Instructions Revision for Physicians with Pathology Specialty 08/15/05
05-15 Eyeglass Replacement, Eye Examination, Vision Condition Codes, and Lens Tints 07/11/05
05-11 Radiology Contrast Coding – Q Codes 05/31/05
05-08 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to Nursing Facilities) (Rescind effective 05/01/08) 05/25/05
05-07 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to DME Suppliers) (Rescind effective 05/01/08) 05/22/05

05-06

Medicaid Coverage of Physical and Occupational Therapy (Replaced by Provider Bulletin 11-22) 02/15/05
05-05 Medicaid Coverage of Speech Therapy (Replaced by Provider Bulletin 11-46) 02/15/05
05-04 Hospice Prior Authorization Request and Updates 02/15/05
05-01 2005 revisions to Long Term Care Facility Turnaround/Add-on billing document (MC-4) Format and completion instructions 01/14/05
04-21 Risperdal Consta 10/21/04
04-04 Medicaid Coverage of Xolair® 03/24/04
03-27 Clarification for the use of CPT Procedure Codes 92225 and 92226 11/03/03
03-11 Use of National HCPCS/CPT Procedure Codes and Modifiers for EPSDT Encounters 09/15/03
"L" Code Billing for Medicaid Podiatry 02/02/99


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