471 Neb. Admin. Code, ch. 42, § 004
When billing Medicaid, the Birth Center must submit using the paper Form CMS-1500 or the standard electronic Health Care Claim: Professional transaction (ASC X12N 837) (see Claim Submission Table at 471-000-49).
To bill the Birth Center facility fee, the Birth Center must use the appropriate HCPCS/CPT procedure codes. Birth Centers may only be reimbursed by Medicaid for their facility labor and delivery services. Birth attendants' services or other services not directly related to the labor and delivery services, along with prenatal or family planning services in the birth center setting must be submitted on separate claims. Claims for non-facility services need to be submitted utilizing the appropriate HCPCS/CPT procedure codes on the paper Form CMS-1500 or the standard electronic Health Care Claim: Professional transaction (ASC X12N 837).
471 Neb. Admin. Code, ch. 42, § 004