Payment Policy Notification

Date: 09/04/20

Heritage Health (Medicaid):

Nebraska Total Care publishes its Payment Policies to inform providers about acceptable billing practices and reimbursement methodologies for certain procedures and services. Nebraska Total Care believes that publishing this information will help providers to bill claims more accurately, therefore reducing unnecessary denials and delays in claims processing and payments. 

These policies are developed based on medical literature and research, industry standards and guidelines as published and defined by the American Medical Association’s Current Procedural Terminology (CPT®), Centers for Medicare and Medicaid Services (CMS), and public domain specialty society guidance, unless specifically addressed in the fee-for-service provider manual published by the state of Nebraska or regulations.

For more detailed information about these policies, please refer to the Clinical and Payment Policies on our website. The effective date for the below policy is December 1st, 2020.

Payment Policy Listing

Number	Policy Name	Effective Date
CP.MP.50	Outpatient Testing for Drugs of Abuse (PDF)	12/01/2020