471 Neb. Admin. Code, ch. 27, § 004

Current through September 17, 2024
Section 471-27-004 - NON-COVERED SERVICES

The following non-emergency transportation (NET) services are not covered by Nebraska Medicaid:

(A) Transportation to obtain services not coverable by Nebraska Medicaid;
(B) Transportation for clients residing in nursing facilities or intermediate care facilities for persons with developmental disabilities (ICF/DD), except circumstances when for facility discharge transportation to a private residence within boundaries of the state of Nebraska;
(C) Transportation of family members to visit a hospitalized or institutionalized member;
(D) Transportation to a durable medical equipment (DME) provider that provides a delivery service that can be accessed at no cost to the client, in addition to the delivery of durable medical equipment (DME) products in lieu of transporting the client;
(E) Transportation for Medicaid covered services provided in the client's home such as personal care, home health, etc.;
(F) Transportation to a pharmacy that provides a delivery service that can be accessed at no delivery cost to the client, with the exception of a new prescription requiring immediate use not otherwise reasonably accessible to the client; in addition to the delivery of pharmacy products in lieu of transporting the client;
(G) Transportation to a hospital emergency room;
(H) Client-provided transportation utilizing his or her own personal vehicle;
(I) Wait times;
(J) Services provided by Department staff or a legally responsible individual for the client; and
(K) No shows.

471 Neb. Admin. Code, ch. 27, § 004

Adopted effective 7/12/2021