Nebraska

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.

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How Paradigm Helps.

Billing

We manage the billing process end-to-end, aligning EVV and billing data for timely payments.

Enrollments

We help you access new payer lines, creating more income opportunities.

Eligibility

We monitor client eligibility and authorizations to ensure continuity of care and payments.

EVV Support

We optimize EVV and AMS configuration to ensure accurate Medicaid billing.

Training

We provide tools and education to help you grow your Medicaid census.
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Medicaid
in
Nebraska
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Nebraska’s evolving Medicaid requirements, including stricter EVV mandates and the upcoming NPI registration deadline for caregivers, present challenges that can strain your agency’s resources. Paradigm transforms these challenges into opportunities by ensuring your agency stays compliant, avoids claim rejections and audit risks, and integrates seamlessly with Nebraska’s EVV systems like NetSmart. Our expertise streamlines the NPI process, helping you obtain and manage caregiver registrations with ease while reducing administrative burdens. With Paradigm as your partner, you can navigate these changes confidently, maintain accurate billing, and focus on growing your business.

how evv works

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.

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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

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