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, 2016
July 1, 2017

July 1, 2016
July 1, 2017

Ambulance Services  July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Anesthesia July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Chiropractic Services July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Clinical Lab

January 1, 2016
July 1, 2016
January 1, 2017
July 1, 2017


January 1, 2016
July 1, 2016
January 1, 2017
July 1, 2017

Dental Services ​ July 1, 2016
July 1, 2017

July 1, 2015
January 1, 2016
July 1, 2016
July 1, 2017

Durable Medical Equipment, Medical Supplies, Orthotics and Prosthetics July 1, 2017 July 1, 2016
July 1, 2017
​Enhanced Payments to Primary Care Providers January 1, 2014
January 1, 2016
January 1, 2016
January 1, 2017
Health Check Services July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Hearing Aid July 1, 2015
July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Home Health Agency July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Hospice

October 1, 2015
October 1, 2016

Injectables

January 1, 2016
April 1, 2016
July 1, 2016
October 1, 2016
January 1, 2017
April 1, 2017
July 1, 2017

January 1, 2016
April 1, 2016
July 1, 2016
October 1, 2016
January 1, 2017
April 1, 2017
July 1, 2017

Mental Health and Substance Use

November 1, 2014
July 1 2015

July 1, 2016
July 1, 2017

Non-Emergency Transportation Services January 1, 2016
July 1, 2016
January 1, 2017
July 1, 2017
January 1, 2016
July 1, 2016
January 1, 2017
July 1, 2017
Nursing Services

July 1, 2016
July 1, 2017

July 1, 2016
July 1, 2017
​Pediatric Feeding Clinics July 1, 2016
July 1, 2017
Personal Assistance Services January 1, 2016
July 1, 2016
July 1, 2017
Physical Therapy and Occupational Therapy Services July 1, 2016
January 1, 2017
July 1, 2017
July 1, 2016
January 1, 2017
July 1, 2017
Physician Services

January 1, 2016
July 1, 2016
January 1, 2017
July 1, 2017


January 1, 2016
July 1, 2016
July 1, 2017
Podiatry Services July 1, 2015
July 1, 2017
July 1, 2016
July 1, 2017
Speech Pathology and Audiology Services July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017
Visual Care Services July 1, 2016
July 1, 2017
July 1, 2016
July 1, 2017

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.