Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 482 - NEBRASKA MEDICAID MANAGED CARE
Chapter 5 - THE DENTAL BENEFITS PACKAGE
Section 482-5-003 - DENTAL BENEFITS PACKAGE GENERAL PROVISION

Current through September 17, 2024

All services provided under managed care must meet the requirements of 471 NAC unless specifically waived by the Department.

003.01 GUIDELINES. The provider and Dental Benefits Manager must apply the same guidelines for determining coverage of services for the managed care member as Medicaid applies to non-managed care members.

(A) Actual provision of a service included in the dental benefits package must be based on whether the service could have been covered by Nebraska Medicaid on a fee-for-service basis under Title 471 NAC.

(B) All services in the dental benefits package must be provided or approved by the Dental Benefits Manager.

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