Nebraska

To calculate a Nebraska Medicaid claim at 100% of the state regulation rates, use the default settings. All fields are required.

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