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, 2012
July 1, 2013
January 1, 2014
July 1, 2012
July 1, 2013
January 1, 2014
Ambulance Services  July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Anesthesia July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Chiropractic Services July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Clinical Lab July 1, 2012
January 1, 2013
July 1, 2013
January 1, 2014
July 1, 2012
January 1, 2013
July 1, 2013
January 1, 2014
Dental Services ​

July 1 , 2012
July 1, 2013
February 1, 2014

Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics July 1 ,2012
July 1, 2013
August 1, 2013
January 1, 2014
Health Check Services July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Hearing Aid July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Home Health Agency July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Hospice

October 1, 2011
October 1, 2012

Injectables

December 1, 2012

January 1, 2013

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

December 1, 2012
January 1, 2013
April 1, 2013
July 1, 2013
October 1, 2013
January 1, 2014
April 1, 2014

Mental Health and Substance Use

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

July 1, 2012
January 1, 2013
July 1, 2013
September 12, 2013
November 12, 2013

Non-Emergency Transportation Services May 1, 2011
July 1, 2013
Nursing Services

July 1, 2012
July 1, 2013

July 1, 2012 
July 1, 2013
Personal Assistance Services July 1, 2011
July 1, 2013
Physical Therapy and Occupational Therapy Services July 1, 2012
July 1, 2013
July 1, 2012
July 1, 2013
Physician Services

July 1, 2012
January 1, 2013
July 1, 2013
January 1, 2014

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

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.