Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 173 - CONTROL OF COMMUNICABLE DISEASE
Chapter 2 - CARE OF CLIENTS WITH TUBERCULOSIS
Section 173-2-005 - PAYMENT
Current through March 20, 2024
The program assists in paying for services that are directly related to the care and treatment of communicable tuberculosis, that are ordered or prescribed by a licensed health care provider possessing appropriate specialized knowledge in the diagnosis and treatment of communicable tuberculosis, and which are authorized by the Department Such services may include:
(A) Pharmaceutical products necessary for the treatment of communicable tuberculosis;
(B) Latent tuberculosis pharmaceutical products and the cost associated with the dispensing of these products;
(C) The initial evaluation and diagnosis of contacts of a client;
(D) Visiting nursing services as allowed under Neb. Rev. Stat. 71-3613; and
(E) Services received by a client from providers participating in the program.
005.01 NON COVERED SERVICES. The program does not pay for:
005.02 LIMITATIONS. The program is a paver of last resort. Third party pavers must be invoiced first and have paid on a client's behalf before an invoice is sent to the program for payment consideration. The program does not pay for services required by statute to be paid by a county. The total amount of payments by the program cannot exceed the amount allocated to the program by the Nebraska Legislature for that state fiscal year. The program makes payments on behalf of a client directly to a provider.
