Nebraska · Regulations
Chapter 29 — FEDERALLY-QUALIFIED HEALTH CENTERS (FQHC'S)
6 sections
6 sections
- 471 NAC 29-001471 NAC 29-001. Standards for Participation: To be considered a Federally-Qualified Health Center (FQHC) for the Nebraska Medical Assistance Program, as allowed by section 6404 of P.L. 101-239, a health center must furnish proof that the United States Public Health Service has determined that it is qualified under Sections 329, 330, or 340 of the Public Health Service Act, or that it qualifies by meeting other requirements established by the Secretary of the Federal Health and Human Services
- 471 NAC 29-002471 NAC 29-002. Services Provided for Clients Enrolled in the Nebraska Health Connection (NHC): Certain NMAP clients are required to participate in the Nebraska Medicaid Managed Care Program known as the Nebraska Health Connection (NHC)
- 471 NAC 29-003471 NAC 29-003. Payment for Services Provided by FQHCs: (NMAP) makes payment for services provided by federally-qualified health centers (FQHCs) as defined in section 1905(a)(2)(C) of the Social Security Act NMAP will pay for services provided by FQHCs under a prospective payment system (PPS) that is in compliance with Section 1902(bb) of the Social Security Act
- 471 NAC 29-004471 NAC 29-004. Prospective Payment System
- 471 NAC 29-005471 NAC 29-005. Cost Reports: Providers participating in the NMAP as FQHCs must submit an annual cost report to the Department
- 471 NAC 29-006471 NAC 29-006. Billing for FQHC Services: FQHCs must bill for their services on Form CMS-1450 (see 471-000-51) or electronically using the standard Health Care Claim: Institutional transaction (ASC X12N 837). FQHCs must use the appropriate HCPCS/CPT procedure codes and revenue codes when billing for services