471 Neb. Admin. Code, ch. 24, § 003

Current through September 17, 2024
Section 471-24-003 - PROVIDER REQUIREMENTS
003.01 GENERAL PROVIDER REQUIREMENTS. To participate in Nebraska Medicaid, providers of visual care services must comply with all applicable participation requirements codified in 471 Nebraska Administrative Code (NAC) 1,2 and 3. In the event that participation requirements in 471 NAC 1, 2 or 3 conflict with requirements outlined in this 471 NAC 24, the participation requirements in 471 NAC 24 will govern.
003.02SERVICE SPECIFIC PROVIDER REQUIREMENTS. To participate in Nebraska Medicaid, providers of visual care services must:
(1) Be enrolled in Nebraska Medicaid by complying with provider agreement requirements:
(2) Be licensed to practice by the Nebraska Department of Health and Human Services, Division of Public Health, or if the service is provided in another state, be licensed by the other state;
(3) Practice within their scope of practice as defined in Neb. Rev. Stat. 38-2601 to 38-2623, or if the service is provided in another state, within the scope of practice as defined by the licensing laws of the other state; and
(4) Comply with all applicable state and federal laws and regulations governing the provision of their services.
003.02(A)PROVIDER AGREEMENT. Providers of visual care services must complete and sign Form MC-19, Service Provider Agreement, and submit the completed form to the Department for approval to participate in Nebraska Medicaid.
003.02(B)CONTACT LENS SERVICES. Only providers whose licensure allows prescription, fitting, and supervision of adaptation, will be approved for payment of contact lenses.

471 Neb. Admin. Code, ch. 24, § 003

Amended effective 12/27/2021