MedicaidCoverageMedium impact
Medicaid Coverage for Limited Services to include Screening, Diagnostic, and Targeted Case Management Services for Justice Involved Individuals
Nebraska Medicaid·NE · Family Medicine, Pediatrics, Psychiatry +1 more·Medical Policy
Effective date
Oct 19, 2025
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid will now cover screening, diagnostic, and targeted case management services for justice-involved individuals under 21 or former foster care aged 18-26. Coverage includes services during the 30-day pre-release period and targeted case management during the 30-day post-release period, with reimbursement through a new 'Justice Involved' fee schedule.
Action Required
By October 19, 2025: Billing team must review and implement the new 'Justice Involved' fee schedule available at https://dhhs.ne.gov/Pages/Medicaid-Provider-Rates-and-Fee-Schedules.aspx. Update billing system to recognize eligible justice-involved individuals (under 21 or former foster care 18-26) and ensure proper billing for screening, diagnostic, and targeted case management services during pre-release and post-release periods. Contact DHHS.MLTCExperience@nebraska.gov for specific procedure codes and implementation guidance.