Nebraska Medicaid Program

Provider Information

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 Practitioner Fee Schedules

*Please refer to the PDF version for the fee schedule instructions

FEE SCHEDULE

* EFFECTIVE DATE (Excel)

PDF EFFECTIVE DATE

Ambulatory Surgery Center Rates
July 1, 2013
January 1, 2014
July 1, 2014
July 1, 2013
January 1, 2014
July 1, 2014
Ambulance Services  July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Anesthesia July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Chiropractic Services July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Clinical Lab January 1, 2013
July 1, 2013
January 1, 2014
July 1, 2014
January 1, 2013
July 1, 2013
January 1, 2014
July 1, 2014
Dental Services ​

July 1, 2013
February 1, 2014
July 1, 2014

Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics July 1, 2013
August 1, 2013
January 1, 2014
July 1, 2014
​Enhanced Payments to Primary Care Providers January 1, 2014 January 1, 2014
Health Check Services July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Hearing Aid July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Home Health Agency July 1, 2013 July 1, 2013
July 1, 2014
Hospice

October 1, 2013
October 1, 2014

Injectables

January 1, 2013

April 1, 2013
July 1, 2013
October 1, 2013
January 1, 2014
April 1, 2014
July 1, 2014
October 1, 2014

January 1, 2013
April 1, 2013
July 1, 2013
October 1, 2013
January 1, 2014
April 1, 2014
July 1, 2014
October 1, 2014

Mental Health and Substance Use

July 1, 2013
September 12, 2013
November 12, 2013
July 1, 2014
November 1, 2014

January 1, 2013
July 1, 2013
September 12, 2013
November 12, 2013
July 1, 2014
November 1, 2014

Non-Emergency Transportation Services July 1, 2013
July 1, 2014
Nursing Services

July 1, 2012
July 1, 2013

July 1, 2012 
July 1, 2013
July 1, 2014
Personal Assistance Services July 1, 2013
July 1, 2014
Physical Therapy and Occupational Therapy Services July 1, 2013
July 1, 2014
July 1, 2013
July 1, 2014
Physician Services

January 1, 2013
July 1, 2013
January 1, 2014
July 1, 2014

January 1, 2013
July 1, 2013
January 1, 2014
July 1, 2014
Podiatry Services July 1, 2013
July 1, 2014
July 1, 2012
February 1, 2013
July 1, 2013
July 1, 2014
Pediatric Feeding Clinics June 25, 2011
Speech Pathology and Audiology Services July 1, 2012
July 1, 2013
January 1, 2014
July 1, 2014
July 1, 2012
July 1, 2013
January 1, 2014
July 1, 2014
Visual Care Services July 1, 2012
July 1, 2013
July 1, 2014
July 1, 2012
July 1, 2013
July 1, 2014

PDF All forms available on this page are in PDF format and require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Acrobat Systems, Inc.