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The analysis of any legal or medical billing is dependent on numerous specific facts — including the factual situations present related to the patients, the practice, the professionals and the medical services and advice. Additionally, laws and regulations and insurance and payer policies are subject to change. The information that has been accurate previously can be particularly dependent on changes in time or circumstances. The information contained in this web site is intended as general information only. It is not intended to serve as medical, health, legal or financial advice or as a substitute for professional advice of a medical coding professional, healthcare consultant, physician or medical professional, legal counsel, accountant or financial advisor. If you have a question about a specific matter, you should contact a professional advisor directly. CPT copyright American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.

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Nebraska Medicaid Coverage of Therapy Services

Nebraska Medicaid coverage and prior authorization information for therapy services.  See our Nebraska Medicaid Outpatient Therapy page for more detailed information.  Members can email us with any questions about Medicaid coverage or compliance questions. 


Children

Adults

Physical Therapy

Nebraska Medicaid covers physical therapy services for children.

For recipients age 21 and older, Nebraska Medicaid limits coverage to a combined total of sixty (60) therapy sessions per fiscal year. 

The combined total of sixty (60) therapy sessions per fiscal year includes all occupational therapy, physical therapy, speech pathology, and audiology sessions provided to the recipient.

Occupational Therapy

Nebraska Medicaid covers occupational therapy services for children.

For recipients age 21 and older, Nebraska Medicaid limits coverage to a combined total of sixty (60) therapy sessions per fiscal year. 

The combined total of sixty (60) therapy sessions per fiscal year includes all occupational therapy, physical therapy, speech pathology, and audiology sessions provided to the recipient.

Speech Therapy

Nebraska Medicaid covers speech therapy services for children.

For recipients age 21 and older, Nebraska Medicaid limits coverage to a combined total of sixty (60) therapy sessions per fiscal year. The combined total of sixty (60) therapy sessions per fiscal year includes all occupational therapy, physical therapy, speech pathology, and audiology sessions provided to the recipient.

About Us

Zachary Edgar JD, LLM is the managing partner for Therapy Comply.  Zachary is a healthcare attorney that specializes in federal and state healthcare regulatory issues particularly for physical, occupational, and speech therapy practices.  

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