Get Paid, Stay Compliant, and Grow with Paradigm
Nebraska Medicaid’s evolving requirements, like mandatory NPI registration for caregivers and stricter EVV enforcement, bring new challenges for home care agencies. These changes can disrupt your billing and cash flow, but with Paradigm as your partner, you can navigate them with ease. Stay focused on growing your business and delivering exceptional care—we’ll take care of the billing complexities.

How Paradigm Helps.
Billing
Enrollments
Eligibility
EVV Support
Training
MedicaidinNebraska.
Electronic Visit Verification
Nebraska is increasing its focus on EVV compliance, making it essential for home care agencies to stay ahead of the requirements. This federal mandate goes beyond visit verification—it directly impacts your ability to get reimbursed, minimize denied claims, and maintain seamless operations with MCOs. Familiarity with Nebraska’s specific EVV rules is key to keeping your agency compliant and protecting your revenue.
Nebraska utilizes an open choice model, in which providers may use the state contracted vendor NetSmart or any alternative EVV that integrates with it.
As the state aggregator, NetSmart transmits all EVV data to the payer. Claims must follow EVV guidelines to maintain compliance and prevent payment and audit issues.
Providers can submit claims directly through the Nebraska state portal (CFS) or by using a clearinghouse. Many home care agencies in Nebraska trust Paradigm to handle their Medicaid billing, ensuring claims are accurate, compliant, and submitted on time.
Rates
How much does Medicaid pay for home per hour in Nebraska?
Medicaid reimbursement rates for home care services range from $15.00 - $29.96 per hour.
Rates may vary among MCOs (Managed Care Organizations) based on individually negotiated contracts with agencies. To ensure optimal rates, agencies must extensively review MCO contracts.

Payers
Nebraska’s Medicaid is managed by the Department of Health and Human Services (DHHS) and offers various waiver programs for personal assistance services. These programs bill directly to the state and are designed to increase Medicaid coverage.
Click here to learn more about waiver programs.
Nebraska has three MCOs which provide home care coverage as part of the Medicaid program:
- Molina
- Total Care
- UnitedHealthcare
