Chronic Renal Disease Program 

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The Nebraska Chronic Renal Disease (CRD) Program is an income-based client assistance program that provides payment for pharmaceutical and dialysis services to eligible Nebraska residents diagnosed with End-Stage Renal Disease (ESRD).

Services covered by the CRD Program are available at reduced or no cost, depending on the client's insurance coverage. The Program will only pay for covered services after all other payment sources - including Medicare, Medicaid, private insurance, or any other health insurance - have determined and paid their share.

The State of Nebraska provides 100% of the funding for the Program and the amount is limited. Costs for renal-related services that are not reimbursed by the CRD Program or other payers are the responsibility of the client.


PDF iconChronic Renal Disease Program Flyer

PDF iconPolicy for Determining Income
Verification and Household Size

PDF iconReimbursable Drug Formulary

PDF iconReimbursement Procedures for Pharmacies

PDF iconService Provider Agreement

PDF iconTitle 181 - Special Health Programs

PDF icon2014 National Chronic Kidney Disease Fact Sheet

       Protect Your Kidneys

Who is eligible for the Program?

Nebraska residents who have been diagnosed as having chronic renal disease, defined as that stage of renal impairment which is irreversible and requires a regular course of dialysis to maintain life, may apply. Clients must also be Nebraska residents, U.S. citizens or qualified aliens and meet income guidelines.

Current Income Guidelines

​Number in Family
1 ​2 ​3 ​4 ​5 ​6
​$36,152 ​$42,286 ​$45,045 ​$47,498 ​$49,906 ​$51,488

What services does the Program cover?
The CRD Program provides limited reimbursement for medications listed in the drug formulary and dialysis services.

  • If you have prescription drug insurance coverage, the Program will pay the portion not covered by insurance for which you are responsible.
  • If you do not have prescription drug coverage, or your prescription plan does not cover a particular drug on the formulary, the Program pays a portion of the drug cost. 

Reimbursable dialysis services can be received in a dialysis treatment center, a hospital outpatient setting or the home.

What if there is other insurance coverage?
The Renal Program pays after all other insurance coverage is exhausted, meaning all other insurance options – private, Medicare and Medicaid – must be billed before costs are submitted to the Program.

How to apply for the Program
Clients apply for the CRD Program through their dialysis social worker and are sent an eligibility letter upon admission to the Program. All information provided to the Program is confidential and will not be used for any other purpose than to determine eligibility for the Program.

Chronic Renal Disease Program
Department of Health and Human Services
Division of Public Health
P.O. Box 95026
Lincoln, NE 68509-5026

Phone: (402) 471-0925
Fax: (402) 742-1118

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