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Nebraska Medicaid Program
Provider Information

PDF Provider Bulletins

Number Subject Date
10-06 Change in Medicaid Utilization Control and Quality Management Review Services 02/25/10
10-04 Billing for Emergency Medical Services for Illegal Aliens 02/12/10
10-03 2010 Medicaid Swing Bed Per Diem 02/10/10
10-02 Citizenship and Presumptive Eligibility for Pregnant Women 01/27/10
10-01 Clarification of Medicaid Coverage for Pregnant Women and Unborn 01/25/10
09-42 January 1 through December 31, 2010 Level 35 & 36 Rates 12/29/09
09-41 2010 Aged & Disabled Medicaid Waiver Assisted Living Rates 12/10/09
09-40 CMS Medicaid Integrity Group Audits 12/14/09
09-39 Revision to Provider Bulletin 09-31 for H1N1 Vaccine 10/05/09
09-37 FY2010 Fee Schedule Information 09/30/09
09-36 Implementation of Tiered-Pricing for Inpatient Psychiatric Services 09/24/09
09-35 Effective Date of Radiology Management Program 09/24/09
09-34 Medicaid Hospice Payment Rates 09/30/09
09-33 Implementation of AP-DRGs 09/24/09
09-32 Seasonal Influenza Vaccine-2009/2010 Update 09/01/09
09-31 H1N1 Influenza Vaccine - 2009/2010 Update 09/23/09
09-30 Preferred Drug List 09/30/09
09-29 LB 97 - National Background Checks with Fingerprints 09/08/09
09-28 Inpatient Hospital Prospective Payment System - Diagnosis Related Groups (DRG) Grouper 09/01/09
09-27 Physical Health Managed Care Update 08/25/09
09-26 2009/2010 Medicaid RSV Infection Prophylaxis Update 08/20/09
09-25 Maintaining and Providing Complete Medical Records 08/14/09
09-24 Expansion of the Nebraska Medicaid Managed Care Program (NMMCP) Update 08/07/09
09-23 Mental Health Substance Abuse (MHSA) Fee Schedule Change 08/10/09
09-21 The Physical Health Managed Care Program Update 07/30/09
09-20 FY2010 Nebraska Medicaid Fee Schedule for Private-Duty Nursing Services (Appendix 471-000-513) 08/11/09
09-19 FY2010 Nebraska Medicaid Fee Schedule for Home Health Agency Services (Appendix 471-000-509) 08/11/09
09-18 Personal Assistance Services Provider Rate Increase 06/29/09
09-17 New Medicaid Identification Card 06/01/09
09-16 Radiology Prior Authorization(s) 04/21/09
09-15 Physician Application of Fluoride Varnish 04/22/09
09-14 Coverage of Essure Sterilizations 06/26/09
09-13 Effective Date of Radiology Prior Authorization Program 06/16/09
09-12 Hearing Aids:  RP modifier obsolete - use RA or RB 04/01/09
09-11 Update of Medicaid Managed Care Outpatient Utilization Review Processes 04/06/09
09-10 Changes in the Physical Health Managed Care Program 06/10/09
09-09 Out-of-State Outpatient Hospital Providers 03/26/09
09-08 Provider Responsibilities and Service Provider Agreements/Medical Assistance Provider Agreements 04/20/09
09-07 Adult Dental Emergencies 04/01/09
09-06 Expansion of the Nebraska Medicaid Manage Care Program 03/16/09
09-05 Improved Medicaid Managed Care Outpatient Utilization Review 02/27/09
09-04 Primary Care Case Management (PCCM) Referral/Authorization for Physician Services 02/25/09
09-03 CY2009 Medicaid Swing Bed Per Diem 03/05/09
09-02 Provider responsibility to screen employees and contractors for HHS-OIG exclusion status 02/04/09
08-42 Nursing Facility, Hospice Level 35 & 36 Rates January 1 through December 31, 2009 01/06/09
08-40 Medicaid Coverage of Tobacco Cessation, Omeprazole & Midrin 12/08/08
08-39 Coverage of Tobacco Cessation Midrin Coverage 12/04/08
08-38 Regulations for Assertive community Treatment (ACT) Services 11/20/08
08-37 2009 Aged & Disabled Medicaid Waiver Assisted Living Rates 10/31/08
08-36 Licensed Independent Mental Health Practitioners (LMHPs) 10/09/08
08-34 Medicaid Hospice Payment Rates 10/01/08
08-33 Tamper-Resistant Prescription Pads for the Nebraska Medicaid Pharmacy Program Update (Replaces Bulletin 08-06 Issued 03/14/08 09/17/08
08-32 2008/2009 Medicaid RSV Infection Prophylaxis Update (Replaces Bulletin 07-26) 09/18/08
08-31 Influenza Vaccine - 2008/2009 Update (Replaces Bulletin 07-24) 09/18/08
08-29 National Drug Code Billing Requirements for Outpatient Hospital Setting 08/01/08
08-28 Outpatient Hospital/Facility Billing Instructions for Reporting National Drug Codes 07/24/08
08-27 Ambulatory Surgery Center Rates Effective:   July 1, 2008 06/27/08
08-26 Mental Health Substance Abuse (MHSA) July 1, 2008 Fee Schedule Changes 06/27/08
08-25 Revision to NAC 471 Appendix 471-000-82 Instructions for Completing Turnaround MC-4 "Long Term Care Facility Turnaround Billing Document" 06/25/08
08-24 Fee Schedule Update 06/26/08
08-23 Durable Medical Equipment (DME) Fee Schedule Rate Changes 07/01/08
08-22 Annual Physical Therapy, Speech Therapy and Occupational Therapy Benefit Limit for Adults with Medicaid Coverage 06/30/08
08-21 Hearing Aid Policy Changes Effective July 1, 2008 06/26/08
08-20 Annual Limit for Chiropractic Services for Adults 06/26/08
08-19 Benefit Limit for Frames and Lenses for Adults 06/26/08
08-18 $1000 Annual Dental Benefit Limit for Adults 06/30/08
08-16 Billing Instructions for Outpatient Hospital/Facility Reporting of National Drug Codes (NDCs) 05/07/08
08-15 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to Nursing Facilities) 05/01/08
08-14 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to DME Suppliers) 05/01/08
08-13 1.) Elimination of Claims Attachment Requirements for Certain Codes.
2.) Change of Coding Requirements for IUD Billing.		 05/12/08
08-12 DHHS Website Email Notification Feature, Online Provider Handbooks and Provider Bulletins, Electronic Claims, Funds Transfer and Other Options 05/12/08
08-11 Changes in the Home Health Agency Prior Authorization Process 04/18/08
08-10 Managed Care Rate Increase 04/01/08
08-09 MIPS Claims Must Include Only Services Actually Provided 03/17/08
08-08 Fee Schedule Rate Changes for Radiology Services 03/10/08
08-07 Fee Schedule Rate Changes for Oxygen Services 03/10/08
08-06 Tamper-Resistant Presciption Pads for the Nebraska Medicaid Pharmacy Program (Rescind effective 09/17/08) 03/14/08
08-05 Hospital Billing Instructions for Claims with Share of Cost 02/28/08
08-04 Pregnancy - Related Services for the Ineligible Mother of an Eligible Unborn Child 02/11/08
08-03 National Drug Code (NDC) Requirements for Physician Administered Medication 01/31/08
08-02 National Drug Code (NDC) Submission for Physician Administered Drugs in an Outpatient Facility 01/09/08
08-01 Medicaid Prior Authorization:   Enzyme-Replacement Therapy (ERT) for Lysosomal Storage Disorders 01/14/08
07-32 Third Party Liability - Billing Medicaid When the Primary Insurance is Equal to or Greater than the Medicaid Allowable 12/20/07
07-30 Death Review Process 12/28/07
07-29 Procedure Code Change for the Annual Assessment by Psychologists 04/01/08
07-28 2008 Aged & Disabled Medicaid Waiver Assisted Living Rates 11/30/07
07-27 Cough and Cold Covered Products 10/25/07
07-26 2007/2008 Medicaid RSV Infection Prophlaxis Update (Rescind effective 09/18/08) 10/12/07
07-25 Correction to Hospice Payment Rates and Wage Index 10/02/07
07-24 Influenza Vaccine - 2007/2008 Update (Rescind effective 09/18/08) 10/05/07
07-23 Peer Review Organization 10/09/07
07-22 Medicaid Diagnosis Related Group (DRG) Grouper 09/20/07
07-21 Hospice Payment Rates and Wage Index 09/12/07
07-20 Tamper-Resistant Prescription Pads for the Nebraska Medicaid (Rescind effective 03/14/08) 09/05/07
  Nebraska Medicaid Fee Schedules (Postcard) 07/07
07-19 Change in Prior Authorization Process (Home Health) 09/04/07
07-17 Nebraska Medicaid RN/LPN Fee Schedule 07/01/07
07-16 Nebraska Medicaid Home Health Agency Fee Schedule 07/01/07
07-15 Personal Assistance Services Rate Increase July 1, 2007 06/18/07
07-14 Hospice Prior Authorizations 06/14/07
07-13 Home Health Agency Prior Authorization Process Changes on June 5, 2007 (Revised) 06/01/07
07-12 Hepatitis C PA Criteria, Byetta PA Form, Cox II Criteria 05/15/07
07-11 Growth Hormone Criteria 05/15/07
07-10 New Medicaid Claim Reports – New Process for Reporting Deleted Medicaid Claims 05/09/07
07-09 Medicare Explanation of Benefits (EOB) Requirement 04/10/07
07-08 Ambulatory Surgery Center Rates:   January 1, 2007 03/13/07
07-07 Clarification of Facility Obligation to Reimburse for Nurse Aide Training and Competency Evaluation Program (NATCEP) Costs 02/26/07
  Revised CMS-1450 Claim Form (UB-04) (Postcard) 02/12/07
07-06 NPI, Prior Authorization, TPL, Byetta PA Form, New Drug PA Form 04/05/07
07-05 Medicaid Coverage for Human Papillomarvirus (HPV) Vaccine 03/08/07
07-04 Medicaid Reimbursement for End Stage Renal Disease (ESRD) Laboratory Tests 02/13/07
07-03 Crisis Services 01/24/07
07-02 Medicaid Dental Fee Schedule - CDT - 2007/2008 01/16/07
07-01 Correct Claim Submission for Frames and Lenses 01/03/07
  Revised CMS-1500 Claim Form and Electronic Claim Attachment Control Number (Form MC-2) (Postcard) 01/02/07
06-29 Quantity or High Dose Overrides 12/29/06
06-27 Revenue Code Place of Service Billing Change 12/20/06
06-25 Change to Early Refill on Controlled Substances 09/28/06
06-24 Nutritional Supplementation 09/19/06
06-21 Medicaid Coverage of Speech Therapy 08/14/06
06-20 Medicaid Coverage of Physical and Occupational Therapy 08/14/06
06-17 Documentation for Mental Health and Substance Abuse Services 08/04/06
06-15 Medicaid Coverage for Rotavirus Vaccine 06/19/06
06-06 Eliminating Medicaid Coverage of Drugs for Sexual or Erectile Dysfunction; Medicare Part D 02/02/06
06-03 Medicaid Coverage for Hepatitis A Vaccinne and Measles, Mumps, Rubella, and Varicella (MMRV) Vaccine 01/10/06
05-35 Implementation of Medicare Part D 12/14/05
05-34 Polycarbonate Lenses 12/05/05
05-30 Medicaid Coverage of Meningococcal Conjugate Vaccine & Tetanus, Diphteria, Acellular Pertussis Vaccine 10/20/05
05-24 Nutritional Supplement Claim Submission and Reimbursement 09/14/05
05-22 Billing Instructions Revision for Physicians with Pathology Speciality 08/15/05
05-15 Eyeglass Replacement, Eye Examination, Vision Condition Codes, and Lens Tints 07/11/05
05-11 Radiology Contrast Coding – Q Codes 05/31/05
05-08 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to Nursing Facilities) (Rescind effective 05/01/08) 05/25/05
05-07 Reimbursement for Wheelchairs Provided to Clients Residing in Nursing Facilities (Bulletin to DME Suppliers) (Rescind effective 05/01/08) 05/22/05
05-06 Medicaid Coverage of Physical and Occupational Therapy 02/15/05
05-05 Medicaid Coverage of Speech Therapy 02/15/05
05-04 Hospice Prior Authorization Request and Updates 02/15/05
05-01 2005 revisions to Long Term Care Facility Turnaround/Add-on billing document (MC-4) Format and completion instructions 01/14/05
04-21 Risperdal Consta 10/21/04
04-04 Medicaid Coverage of Xolair® 03/24/04
03-27 Clarification for the use of CPT Procedure Codes 92225 and 92226 11/03/03
03-11 Use of National HCPCS/CPT Procedure Codes and Modifiers for EPSDT Encounters 09/15/03
  "L" Code Billing for Medicaid Podiatry 02/02/99

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