Nebraska Medicaid is dedicated to supporting Tribal Healthcare Providers that serve Nebraska Medicaid members. Recognizing the unique healthcare needs and cultural considerations of Tribal members, we work collaboratively with Tribal communities and their healthcare providers. Our Tribal Liaison serves as the main point of contact to ensure that the distinct needs and Federal provisions for Tribal Healthcare Providers are fully considered.
There are numerous federal laws, regulations, and treaties that impact the administration of healthcare for American Indians and Alaska Natives. This webpage provides information for Tribal Healthcare Providers enrolled in Nebraska Medicaid.
See more information for Medicaid providers.
Guidance for Crossover Claims
This guidance outlines federal and state requirements for reimbursement specific to fee-for-service Medicare/Medicaid crossover claims paid at the encounter rate.
Resources
Encounter Rates and Tribal / IHS Guidance and Regulations
Each year Indian Health Service (IHS) approves the All-Inclusive Rate (AIR), also known as the encounter rate. This outlines the reimbursement rate for inpatient and outpatient medical care provided by IHS and 638 Tribal Health Facilities for Medicaid beneficiaries. These rates are published periodically in the Federal Register.
Federal Register Reimbursement Rates Nebraska Medicaid Encounter Rates - This section of the Nebraska State Plan has a more detailed explanation of encounters and exceptions under Nebraska Medicaid.
Tribal/IHS Provider Resources Non-Emergency Medical Transportation
Transportation is a key issue for many members. Medicaid covers non-emergency medical transportation to help make sure beneficiaries can make their appointments. Providers are encouraged to use the information below to inform members about this important service.