PicturesAgingMedicaid Waiver InitiativePress ReleasesSearch NEBRASKA MEDICAID PROGRAM: Provider Information Page Content Medicaid Program Home Medicaid Services Medicaid Reform Medical Assistance Advisory Committee Current Initiatives Contacts Income levels/Federal Poverty Levels and Resource Amounts for Medicaid Eligibility Medicaid Electronic Health Record (EHR) Incentive Program Medical Necessity Guideline and Criteria Provider Information Program Integrity CHIP Managed Care Pharmacy Services Rules and Regulations Medicaid State Plan Electronic Data Interchange Client Information Recent Web Updates Nebraska Medicaid Program Provider Information Subscribe to this page A provider is any individual or entity which furnishes Medicaid goods or services under an approved provider agreement with the Department. To be eligible to participate in the Nebraska Medical Assistance Program (NMAP), the provider shall meet the general standards for all providers in Nebraska Administrative Code, Title 471, Chapters 1-000, 2-000, and 3-000, if appropriate, and the standards for participation for that provider type. The standards for participation are listed in each provider chapter. The Department shall not pay a provider who is required to be licensed and/or certified but who is not licensed and/or certified at the time of service. A list of the most Recent Web Updates is now available Medicaid Rate Change Click on the links below for Medicaid provider information: Ambulatory Surgical Center Rates Adult Institutions for Mental Diseases (IMDs) Behavioral Health Service Definitions CHIP Coverage Available for More Children Claim Status Claims Processing Frequently Asked Questions Claims Return Notice Frequently Asked Questions Client Copayments Client Eligibility Verification CMS Education and Training for Medicaid Providers APR-DRG Relative Weights 2014 APR-DRG Version 35 Weights 2018 APR-DRG Hospital Rates FY2016 APR-DRG Hospital Rates FY2017 APR-DRG Hospital Rates SFY2018 APR-DRG Hospital Rates SFY2019 APR-DRG Neonate and Trauma 2014 APR-DRG Trauma and Neonate 2018 Acute Inpatient Rehabilitation Hospital Rates FY2016 SFY 17 Acute Inpatient Rehabilitation Hospital Rates SFY18 Acute Inpatient Rehabilitation Hospital Rates SFY 19 Acute Impatient Rehabilitation Hospital Rates FQHC Rates FY2016 FQHC Rates FY2017 FQHC Rates FY2018 Rural Health Clinic Rates FY2015 Rural Health Clinic FY2016 Rates Rural Health Clinic FY2017 Rates Rural Health Clinic Rates Effective July 1, 2018 Indian Health Services Rates Effective January 1, 2016 Indian Health Services Rates Effective January 1, 2017 Indian Health Service Rates Effective January 1, 2018 SFY17 Acute Inpatient Hospital Psychiatric Rates SFY18 Acute Inpatient Psychiatric Hospital Rates SFY 19 Acute Inpatient Psychiatric Hospital Rates Electronic Funds Transfer (Direct Deposit) Electronic Data Interchange Eligibility Verification Tools for Providers Enhanced Primary Care Payments Fiscal Agent and Electronic Visit Verification HIPAA Administrative Simplification - Operating Rule Hospital and Pregnant Women Presumptive Eligibility ICD-10 Implementation Project Internet Access for Providers Rebatable Labelers Medicaid Identification Card Medicaid Medical Necessity Guidelines Minimum Data Set and Case Mix Information (MDS) National Correct Coding Initiative (NCCI) Nebraska Medicaid Excluded Providers Nebraska Medicaid Provider Screening and Enrollment Nebraska Medicaid Medical Home Pilot Program Pharmacy Services Practitioner Fee Schedules Practitioner Injectable Medication Prior Authorization and Criteria Prescriber Certification Form Program of All-Inclusive Care for the Elderly (PACE) Program Integrity Provider Bulletins Provider Enrollment Provider Handbooks Recovery Audit Contractors (RAC) School Based Services Youth Residential Treatment Services Documents in PDF format require the use of Adobe Acrobat Readerwhich can be downloaded for free from Adobe Systems, Inc.
