Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 24 - VISUAL CARE SERVICES
Section 471-24-003 - PROVIDER REQUIREMENTS
Universal Citation: 471 NE Admin Rules and Regs ch 24 ยง 003
Current through September 17, 2024
003.01 GENERAL PROVIDER REQUIREMENTS. To participate in Nebraska Medicaid, providers of visual care services must comply with all applicable participation requirements codified in 471 Nebraska Administrative Code (NAC) 1,2 and 3. In the event that participation requirements in 471 NAC 1, 2 or 3 conflict with requirements outlined in this 471 NAC 24, the participation requirements in 471 NAC 24 will govern.
003.02 SERVICE SPECIFIC PROVIDER REQUIREMENTS. To participate in Nebraska Medicaid, providers of visual care services must:
(1) Be enrolled in
Nebraska Medicaid by complying with provider agreement requirements:
(2) Be licensed to practice by the Nebraska
Department of Health and Human Services, Division of Public Health, or if the
service is provided in another state, be licensed by the other state;
(3) Practice within their scope of practice
as defined in Neb. Rev. Stat. 38-2601 to 38-2623, or if the service is provided
in another state, within the scope of practice as defined by the licensing laws
of the other state; and
(4) Comply
with all applicable state and federal laws and regulations governing the
provision of their services.
003.02(A)
PROVIDER AGREEMENT. Providers of visual care services
must complete and sign Form MC-19, Service Provider Agreement, and submit the
completed form to the Department for approval to participate in Nebraska
Medicaid.
003.02(B)
CONTACT LENS SERVICES. Only providers whose licensure
allows prescription, fitting, and supervision of adaptation, will be approved
for payment of contact lenses.
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