DHHS Internet Website - Medicaid & Long-term Health Care

Nebraska Medicaid Program

Provider Information

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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

Click on the links below for Medicaid provider information:

• Ambulatory Surgical Center Rates

• Adult Behavioral Health Services Definitions

• Adult Institutions for Mental Diseases (IMDs)

• CHIP Coverage Available for More Children

• Claim Status

• Claims Processing Frequently Asked Questions

• Claims Return Notice Frequently Asked Questions

• Client Copayments

• Client Eligibility Verification

•  AP-DRG Relative Weights

• APR-DRG Relative Weights 2014

•  AP-DRG Hospital Rates FY2013

•  AP-DRG Hospital Rates FY2014

• APR-DRG Hospital Rates FY2015

• APR-DRG Neonate and Trauma 2014

•  Acute Inpatient Rehabilitation Hospital Rates FY2013

•  Acute Inpatient Rehabilitation Hospital Rates FY2014

• Acute Inpatient Rehabilitation Hospital Rates FY2015

• Electronic Funds Transfer (Direct Deposit)

• Electronic Data Interchange
  5010 Frequently Asked Questions

•  Enhanced Primary Care Payments

• HIPAA Administrative Simplification - Operating Rule

• Hospital and Pregnant Women Presumptive Eligibility

•  ICD-10 Implementation Project

• Internet Access for Providers

• Information on Sanctioned 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

• New Radiology Prior Authorization Program

• Pharmacy Services

• Practitioner Fee Schedules

• Prescriber Certification Form

• Program of All-Inclusive Care for the Elderly (PACE)

• Program Integrity

• Provider Bulletins

• Provider Enrollment

• Provider Handbooks

• Provider Rating and Review System (PRRS)

•  Recovery Audit Contractors (RAC)

• Youth Residential Treatment Services

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