Chronic Renal Disease Program

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The Nebraska Chronic Renal Disease Program is an income-based client assistance program that helps eligible Nebraska residents with the cost of pharmaceuticals and dialysis services.

Services covered by the 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 Program or other payers are the responsibility of the client.

Who is eligible for the Program?
Nebraska residents diagnosed with chronic kidney disease (End-Stage Renal Disease) may apply. Additionally, an individual must also:
  • Require dialysis or kidney transplantation to maintain or improve his/her condition.
  • Meet U.S. citizenship/alien requirements. 
  • Meet income guidelines based on household size. (See the table below.)
  • Meet the statutorily defined standards for being served by the Program.

 For Clients:

PDF iconChronic Renal Disease Program Flyer

PDF iconPolicy for Determining Income
Verification and Household Size

PDF iconReimbursable Drug Formulary

Chronic Kidney Disease (CKD)

Nebraska Kidney Association

PDF iconTitle 181 - Special Health Programs

For Service Providers:

PDF iconReimbursement Procedures for Dialysis Services

PDF iconReimbursement Procedures for Pharmacies

Excel icon Pharmacy Statement Template

PDF iconProgram Application Form

PDF iconService Provider Enrollment

How to apply for the Program
Clients apply for the CRD Program through their dialysis center 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.

Current Income Guidelines

​Number in Family
1 ​2 ​3 ​4 ​5 ​6
​$36,259 ​$42,411 ​$45,178 ​$47,638 ​$50,054 ​$51,640

What services does the Program provide?
The CRD Program provides limited reimbursement for the medications listed in the Reimbursable Drug Formulary and dialysis services.

  • If a client has prescription drug insurance coverage, the Program will pay the portion not covered by insurance for which the client is responsible.
  • If a client does not have prescription drug coverage, the Program pays a portion of the drug cost.

Only drugs listed on the Formulary are reimbursable through the Program and all drugs must be prescribed. The Program reimburses for generic drugs only — unless there is not a generic available. If that's the case, it is clearly marked on the Formulary.

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

What if there is other insurance coverage?
The Renal Program is the payer of last resort, meaning all other insurance options — private, Medicare and Medicaid — must be invoiced first and have paid on a client's behalf before an invoice is sent to the Program for payment consideration.

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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