Nebraska Adult Health Transportation Policy Manual

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The Nebraska Adult Health Transportation Provider Policy Manual establishes a comprehensive framework for delivering non-emergency medical transportation (NEMT) services to Medicaid-eligible adults in compliance with Nebraska state regulations and federal Medicaid guidelines. This manual aligns with the Nebraska Administrative Code (471 NAC 27), Nebraska Department of Health and Human Services (DHHS) standards, and federal requirements under 42 CFR 440.170 to ensure regulatory compliance and high-quality service delivery.
The manual includes policies on provider qualifications, vehicle standards, driver requirements, service authorization, billing procedures, and client safety. It defines the scope of NEMT services, which include transportation to Medicaid-covered medical appointments using the most appropriate and cost-effective mode of transport. Escort or attendant services are also addressed for clients requiring additional assistance during transit.
The manual outlines billing procedures through the NET Brokerage system and specifies conditions for reimbursement, such as ensuring that clients are in the vehicle during transport and that services are pre-authorized.
Designed to support providers in meeting Medicaid certification and operational standards, this manual ensures safe, reliable, and efficient transportation services for adults accessing essential healthcare. It serves as a vital resource for navigating Nebraska’s regulatory framework for adult health transportation providers.