Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 2 - PROVIDER PARTICIPATION
Section 471-2-004 - SERVICE PROVIDER REQUIREMENTS

Universal Citation: 471 NE Admin Rules and Regs ch 2 ยง 004

Current through September 17, 2024

The following provider types have additional participation requirements that must be met in order to enroll and remain enrolled.

004.01 SCHOOL-BASED SERVICES. To participate in Medicaid, the Pay-to Provider must be a recognized public school, Educational Services Unit (ESU), or approved cooperative providing special education and related services. The following provider types are eligible to enroll as service rendering providers for school-based services:

(A) Occupational therapist, physical therapist, speech pathology, and audiologist;

(B) Mental health services:
(i) Physician;

(ii) Licensed psychologist;

(iii) Provisionally licensed psychologist;

(iv) Licensed independent mental health practtioner (LIMHP);

(v) Licensed mental health practitioner (LMHP);

(vi) Provisionally licensed mental health practitioner (PLMHP);

(vii) Licensed alcohol and drug counselor (LADC);

(viii) Provisionally licensed alcohol and drug counselor (PLADC);

(ix) Board certified behavioral analyst (BCBA);

(x) Board certified assistant behavioral analyst; and

(xi) Registered behavioral technician;

(C) Nursing services:
(i) Registered nurse (RN);

(ii) Licensed practical nurse (LPN);

(iii) Health technician; and

(iv) Health paraprofessional;

(D) Personal assistance service providers: Personal assistance service providers must be age 19 or older. Provider personnel must be employed by or under contract with the school district, Educational Services Unit (ESU), or approved cooperatives providing special education and related services. Nebraska school districts, Educational Services Units (ESUs), and approved cooperatives providing special education and related services must be enrolled in Medicaid as the qualified providers of services;

(E) Specialized transportation services: Provider personnel, driver, or transportation aide must be employed by or under contract with the school district, Educational Service Unit (ESU), or approved cooperatives providing special education and related services; and

(F) Optometrist services: Must be provided by a currently licensed optometrist in the school attended by the client. Provider personnel must be employed by or under contract with the school district, Educational Service Unit (ESU), or approved cooperatives providing special education and related services.

Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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