Nebraska Medicaid Program

Nebraska Medicaid Reform

Covered Services
The federal government requires State Medical programs to cover certain medical services in order to obtain federal matching funds. Hospital care, physician services and nursing facility care are examples of mandatory services.

The federal government allows Medicaid programs to cover certain medical services and makes federal matching funds available. Prescribed drugs, dental care, and services provided by chiropractors and podiatrists are examples of optional services.

Medicaid Mandatory Services
(Code of Federal Regulations Part 440)

  • Nursing facility services for individuals age 21 or older                                 
  • Inpatient hospital services (other than Institutions for Mental Diseases)      
  • Physicians' services                                                                          
  • Outpatient hospital services and rural health clinic services            
  • Home health services                                                                        
  • Laboratory and X-ray services                                                                       
  • Early and periodic screening and diagnosis and treatment (EPSDT)          
  • Medical supplies                                                                                
  • Family planning services and supplies                                                          
  • Nurse practitioner services                                                                
  • Medical and surgical services of a dentist
  • Nurse-midwife services

Medicaid Optional Services
(Code of Federal Regulations Part 440)

  • Prescribed drugs
  • Home and community-based services for persons with mental retardation/developmental disabilities (MR/DD)         
  • Intermediate care facilities for the mentally retarded (ICF-MR)
  • Home and community-based services for aged persons and persons with disabilities                                          
  • Dental services
  • Rehabilitation services           
  • Case management for persons with mental retardation/developmental disabilities (MR/DD)                                             
  • Personal care services
  • Durable medical equipment   
  • Medical transportation
  • Vision related services
  • Speech therapy          
  • Physical therapy
  • Chiropractic services 
  • Occupational therapy 
  • Optometric services  
  • Podiatric services
  • Hospice services