471 NAC 27-004. NON-COVERED SERVICES

004. NON-COVERED SERVICES. The following non-emergency medical transportation (NEMT) services are not covered by Nebraska Medicaid: (A) Transportation to obtain services not coverable by Nebraska Medicaid; (B) Transportation for clients residing in nursing facilities or intermediate care facilities for persons with developmental disabilities (ICF/DD), except for circumstances when facility discharge transportation to a private residence within boundaries of the State of Nebraska; (C) Transportation of family members to visit a hospitalized or institutionalized member; (D) Transportation to a durable medical equipment (DME) provider that provides a delivery service that can be accessed at no cost to the client, in addition to the delivery of durable medical equipment (DME) products in lieu of transporting the client; (E) Transportation for Medicaid covered services provided in the client’s home such as personal care, home health, etc.; (F) Transportation to a pharmacy that provides a delivery service that can be accessed at no delivery cost to the client, with the exception of a new prescription requiring immediate use not otherwise reasonably accessible to the client; in addition to the delivery of pharmacy products in lieu of transporting the client; (G) Transportation to a hospital emergency room; (H) Client-provided transportation utilizing his or her own personal vehicle; (I) Wait times; (J) Services provided by Department staff or a legally responsible individual for the client; and (K) No shows.