471 NAC 46-010. PAYMENT FOR OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN A HOSPITAL

010. PAYMENT FOR OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES IN A HOSPITAL. Providers shall use Health Care Common Procedure Coding System (HCPCS) procedure codes and American Medical Association’s Current Procedural Terminology when submitting claims to Nebraska Medicaid. These codes are defined on the Mental Health Substance Use Disorder Fee Schedule. Nebraska Medicaid pays for covered outpatient mental health services, except for laboratory services, at the lower of: the provider’s submitted charge; or the allowable amount for that procedure code in the Nebraska Medicaid Mental Health Substance Use Disorder Fee Schedule for that date of service. Rates are subject to annual adjustment as specified by Nebraska Legislative appropriations.