MedicaidCoverageMedium impact
Oral Health Screenings\u002fAssessments Performed by PHDH for the Head Start Program
Nebraska Medicaid·NE · Dentistry, Pediatrics·Provider Bulletin
Effective date
Nov 1, 2025
We identified it
Jun 21, 2026
Summary
Effective November 1, 2025, Nebraska Medicaid will allow public health dental hygienists (PHDH) to perform oral health screenings and assessments for the Head Start program, expanding beyond dentists only. This creates new billing opportunities for eligible providers with specific procedure codes and documentation requirements.
Action Required
By November 1, 2025: Billing teams at practices with public health dental hygienists must ensure PHDH providers are enrolled with Maximus under appropriate provider type and specialty. Update billing system to allow PHDH to submit claims for codes D0190, D0191, D1206, and D1208 in public health settings. Implement Nebraska Head Start Dental Screening/Assessment Form in clinical workflows and ensure copies are maintained in patient records for DHHS review.