Nebraska 
                                                    
                                                        
Field Descriptions:
The following table describes the fields on the NE tab of the Medicaid - Facility reimbursement tool.
| 
                                                                     Field  | 
                                                                
                                                                     Description  | 
                                                            
|---|---|
| 
                                                                     State  | 
                                                                
                                                                     State for the selected provider number  | 
                                                            
| 
                                                                     NPI or Provider Number  | 
                                                                
                                                                     Provider’s tax ID number or ten-digit National Provider Identification (NPI) number required on all claims  | 
                                                            
| 
                                                                     Begin Date  | 
                                                                
                                                                     Date on which the selected profile went into effect  | 
                                                            
| 
                                                                     End Date  | 
                                                                
                                                                     Date on which the selected profile terminates in the pricing files  | 
                                                            
| 
                                                                     EAPG Base Rate  | 
                                                                
                                                                     State determined Facility specific Base Rate used for standard EAPG Payment  | 
                                                            
| 
                                                                     Grouper Type  | 
                                                                
                                                                     Indicates the grouper type  | 
                                                            
| 
                                                                     Grouper Version  | 
                                                                
                                                                     Grouper Version for dates selected  | 
                                                            
| 
                                                                     Behavioral Health Provider  | 
                                                                
                                                                     Indicates if the facility is considered a Behavioral Health Provider  |