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

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

Ambulance Services  July 1, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Anesthesia July 1, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Chiropractic Services July 1, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Clinical Lab

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

January 1, 2014
July 1, 2014
January 1, 2015
July 1, 2015
Dental Services ​

February 1, 2014
July 1, 2014
July 1, 2015

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, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Hearing Aid July 1, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Home Health Agency July 1, 2015 July 1, 2014
January 30, 2015
July 1, 2015
Hospice

October 1, 2013
October 1, 2014

Injectables

January 1, 2014
April 1, 2014
July 1, 2014
October 1, 2014
January 1, 2015
April 1, 2015
July 1, 2015

January 1, 2014
April 1, 2014
July 1, 2014
October 1, 2014
January 1, 2015
April 1, 2015
July 1, 2015

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, 2015 July 1, 2014
July 1, 2015
Nursing Services

July 1, 2015

July 1, 2014
July 1, 2015
​Pediatric Feeding Clinics July 1, 2015
Personal Assistance Services July 1, 2014
July 1, 2015
Physical Therapy and Occupational Therapy Services July 1, 2014
July 1, 2015
July 1, 2014
July 1, 2015
Physician Services

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


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

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.