Nebraska Medicaid Rates: A Full Rate Landscape Overview

Nebraska’s Medicaid program is administered by the Department of Health and Human Services — Division of Medicaid and Long-Term Care, with program information at dhhs.ne.gov.

What’s currently published

Current published rates tracked by MedicaidBench, effective 2022-07-01 across all four codes:

• 90791 (initial psychiatric diagnostic evaluation): $193.49 per encounter
• 90837 (individual psychotherapy, ~60 min): $196.19 per session
• 99213 (established-patient office visit): $70.40 per visit
• 99214 (moderate-complexity office visit): $114.62

Nebraska is notable for two things at once: it’s one of the more completely tracked states in MedicaidBench’s free tier, and its published rates sit at or near the top of the range across nearly every code compared to other states we track — including for primary care E/M codes, where Nebraska’s $70.40/$114.62 pairing is meaningfully higher than states like Illinois ($44.67/$65.79) or New York ($21.76/$34.03) for the identical codes.

Why the 2022 effective date matters

Unlike some states MedicaidBench tracks with 2024 or 2025 effective dates on these same codes, Nebraska’s tracked rates reflect a July 2022 effective date — meaning it’s been longer since these specific figures were last confirmed to have changed. That doesn’t mean the rate is wrong, but it’s a good example of why effective date matters as much as the dollar figure: a rate that hasn’t moved in several years is worth double-checking against the current source before treating it as definitively unchanged.

What to watch for

Given the length of time since the last confirmed update on these codes, Nebraska is a reasonable candidate for a dedicated alert rule if you bill there — a state that’s “due” for a refresh based on typical multi-year rate cycles is exactly the kind of case where continuous monitoring pays off versus periodic manual checks.

Keeping current

MedicaidBench tracks Nebraska’s published rates continuously and will flag any update the moment it’s detected — turning “it’s been a while, we should probably check” into an automatic alert instead of a recurring task someone has to remember to do.