Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 471 - NEBRASKA MEDICAL ASSISTANCE PROGRAM SERVICES
Chapter 27 - NON EMERGENCY TRANSPORTATION (NET) SERVICES
Section 471-27-003 - COVERED SERVICES

Universal Citation: 471 NE Admin Rules and Regs ch 27 ยง 003

Current through September 17, 2024

Medicaid covers the most appropriate non-emergency transportation (NET) services necessary to obtain Nebraska Medicaid reimbursed services when one of the following criteria is met:

(A) Client does not own or does not have access to a working licensed vehicle;

(B) Client does not have a current valid driver's license;

(C) Client is unable to drive due to a documented physical, cognitive, or developmental limitation;

(D) Client is unable to travel or wait by himself or herself due to a documented physical, cognitive, or developmental limitation; or

(E) Client is unable to secure free transportation as defined in this chapter.

003.01 NON-EMERGENCY TRANSPORATION (NET) SERVICES PROVIDED FOR CLIENTS RESIDING IN NURSING FACILITIES OR INTERMEDIATE CARE FACILITY FOR PERSONS WITH DEVELOPMENTAL DISABILITIES (ICF/DD'S) WHEN MEDICAID IS THE PRIMARY INSURANCE. Non-emergency transportation (NET) services for nursing facility or intermediate care facility for persons with developmental disability (ICF/DD) residents may be covered under this chapter for facility discharge transportation to a private residence within boundaries of the state of Nebraska.

003.02 EARLY AND PERIODIC SCREENING, DIAGNOSIS AND TREATMENT (EPSDT) SERVICES. All transportation services for medically necessary early and periodic screening, diagnosis, and treatment (EPSDT) covered services will be provided without regard to service limitations defined within this chapter, and with prior authorization.

003.03 PROVIDER LOCATION. Non-emergency transportation (NET) services are available to the nearest Nebraska Medicaid coverable services within a 20-mile radius of the client's residence, able to meet the client's medical needs, and willing to accept the client as a patient, unless otherwise exempted or approved by the Department.

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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