Section 467-5-003 - PAYMENT RATES FOR MEDICAL SERVICESThe Department follows the rates below for medical services provided while allowing the Department the discretion to negotiate rates when excessive costs are billed.
003.01PHARMACY RATES. Pharmacy rates are as billed.003.02DURABLE MEDICAL EQUIPMENT. Durable medical equipment rates follow the Medicaid fee schedules.003.03PHYSICIAN RATES. Physician rates follow the Medicaid fee schedules.003.04HOSPITAL RATES. Hospital rates follow the Medicaid fee schedules.003.05DENTAL RATES. Dental rates follow the Medicaid fee schedules.003.06UNKNOWN RATES. Certain medical services do not have available Medicaid pricing. Rates that are unknown are determined by the Department on a negotiated basis until pricing becomes available.467 Neb. Admin. Code, ch. 5, § 003
Amended effective 5/17/2022