Section 181-1-005 - BENEFITSBenefits are set out below.
005.01COVERED 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.005.02NON-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.181 Neb. Admin. Code, ch. 1, § 005
Amended effective 6/14/2022