The Medicaid Provider Profile page shows the Medicaid services provided by your facility, along with the values and effective dates of Medicaid reimbursement calculations.
- To access the Medicaid Provider Profile page, select Go To > Government Payor Research > Medicaid > Provider Profile. The Medicaid Provider Profile page opens.
- In the Select State or Payer drop down list, select NE.
- Select Go.
- Enter the provider’s tax ID or ten-digit National Provider Identification (NPI) number for the provider you want to review in the NPI or Provider Number field.
- Enter a date in the Effective Date field if you want to view provider profile information for an effective date other than today.
- Click Display Profile. The Medicaid Provider Profile information displays.
Note: To clear the results and return to original Medicaid Provider Profile page, click Reset.
- Review your Medicaid Provider Profile information.
Note: The data that displays on the provider profile varies from state to state.
Nebraska Medicaid Provider Profile
The following table describes the fields on the Medicaid Provider Profile page for Nebraska Medicaid.
|
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 |