Nebraska · Regulations
Chapter 34 — RURAL HEALTH CLINICS (RHC'S)
9 sections
9 sections
- 471 NAC 34-001471 NAC 34-001. Standards for Participation: To participate in the Nebraska Medical Assistance Program (NMAP), a Rural Health Clinic must be certified by the Centers for Medicare and Medicaid Services (CMS) for participation in the Medicare program
- 471 NAC 34-002471 NAC 34-002. 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 34-003471 NAC 34-003. Covered RHC Services: NMAP covers services provided by RHC's on or after July 1, 1990, under this chapter
- 471 NAC 34-004471 NAC 34-004. Payment for Rural Health Clinic Services: NMAP will pay for services provided by Rural Health Clinics in compliance with Section 1902 (bb) of the Social Security Act
- 471 NAC 34-005471 NAC 34-005. Prospective Payment System
- 471 NAC 34-006471 NAC 34-006. Payment for Non-RHC Services: For those non-RHC services, NMAP makes payment according to the Nebraska Medicaid Practitioners Fee Schedule
- 471 NAC 34-007471 NAC 34-007. Payment for Telehealth Services: Payment for telehealth services will be the Medicaid rate for the comparable in-person service
- 471 NAC 34-008471 NAC 34-008. Cost Reports: Providers participating with NMAP as RHCs must submit an annual cost report to the Department
- 471 NAC 34-009471 NAC 34-009. Billing for RHC Services: All RHCs must bill for Rural Health Services as defined in 471 NAC 34-003 on Form CMS-1450 or the standard electronic Health Care Claim: Institutional transaction (ASC X12N 837). RHCs will use the appropriate HCPCS/CPT procedure codes and revenue codes when billing for all services