Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 181 - SPECIAL HEALTH PROGRAMS
Chapter 1 - NEBRASKA CHRONIC RENAL DISEASE PROGRAM
Section 181-1-005 - BENEFITS
Universal Citation: 181 NE Admin Rules and Regs ch 1 ยง 005
Current through September 17, 2024
Benefits are set out below.
005.01 COVERED SERVICES. The Department may assist in paying for the following services that are directly related to the care and treatment of chronic kidney disease or chronic renal disease:
(A)
Pharmaceutical products listed on the Chronic Renal Disease Program's
Reimbursable Drug Formulary.
(B)
Dialysis procedures listed on the Chronic Renal Disease Program's Reimbursement
Procedures for Dialysis Services. Procedures must be provided through a
licensed health clinic as described in 175 Nebraska Administrative Code (NAC)
7.
(C) All services must be
prescribed by a licensed health care provider possessing appropriate
specialized knowledge in the diagnosis and treatment of chronic kidney disease
or chronic renal disease.
005.02 NON-COVERED SERVICES. The Department does not pay for the following:
(A) Any service denied by Medicare, Medicaid
or any other health insurance as not medically necessary for the
client;
(B) Any service related to
the treatment of diabetes or other non-renal related conditions; or
(C) Services which are investigative or
experimental.
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