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, 2015
July 1, 2016

July 1, 2015
July 1, 2016

Ambulance Services  July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Anesthesia July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Chiropractic Services July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Clinical Lab

January 1, 2015
July 1, 2015
January 1, 2016
July 1, 2016

January 1, 2015
July 1, 2015
January 1, 2016
July 1, 2016
Dental Services ​ July 1, 2016

July 1, 2015
January 1, 2016
July 1, 2016

Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics January 1, 2014
July 1, 2014
July 1, 2015
​Enhanced Payments to Primary Care Providers January 1, 2014
January 1, 2016
January 1, 2014
January 1, 2016
Health Check Services July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Hearing Aid July 1, 2014
July 1, 2015
July 1, 2015
July 1, 2016
Home Health Agency July 1, 2015
July 1, 2016
January 30, 2015
July 1, 2015
July 1, 2016
Hospice

October 1, 2013
October 1, 2014
October 1, 2015

Injectables

January 1, 2015
April 1, 2015
July 1, 2015
November 1, 2015
January 1, 2016
April 1, 2016
July 1, 2016

January 1, 2015
April 1, 2015
July 1, 2015
November 1, 2015
January 1, 2016
April 1, 2016
July 1, 2016

Mental Health and Substance Use

July 1, 2014
November 1, 2014
July 1 2015

July 1, 2014
November 1, 2014
July 1 2015

Non-Emergency Transportation Services July 1, 2015
January 1, 2016
July 1, 2016
July 1, 2015
January 1, 2016
July 1, 2016
Nursing Services

July 1, 2015
July 1, 2016

July 1, 2015
July 1, 2016
​Pediatric Feeding Clinics July 1, 2015
July 1, 2016
Personal Assistance Services July 1, 2015
January 1, 2016
July 1, 2016
Physical Therapy and Occupational Therapy Services July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Physician Services

July 1, 2014
January 1, 2015
July 1, 2015
January 1, 2016


January 1, 2014
July 1, 2014
January 1, 2015
July 1, 2015
January 1, 2016
Podiatry Services July 1, 2014
July 1, 2015
July 1, 2015
July 1, 2016
Speech Pathology and Audiology Services July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016
Visual Care Services July 1, 2015
July 1, 2016
July 1, 2015
July 1, 2016

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.