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Service Agencies

Service Agency/Provider Application

The 2024-2025 Service Agency Application will open on May 1st.  Emails letting providers know the application has opened will be sent to all approved providers from the 2023-2024 application cycle.

If your contact information has changed since last year, please log into the application to update your profile.

New providers must create a user profile before completing an application.

2024-2025 Service Agency Application

Search for Approved Service Agency Providers

Service Provider Frequently Asked Questions

Miscellaneous Resources

Classroom Service Provider Application Guidance

Rule 51 Contracted Program Resources

The following document will help guide the services, their codes, and the regulations/requirements needed for the service.
Nebraska Service Provider Code Requirements

Provisionally Approved Service Agency Rates

Search Below for Approved Service Agency Rates

2023/2024 Approved Service Agency Rates

2022/2023 Approved Service Agency Rates

Mileage Rate(s)

2007-2022 Approved Service Agency Rates

Service Agency Claim for Non-Ward Educational Service Reimbursement


79-215 Letter

Service Agency Claim Form (fillable pdf)
(if you are having difficulty viewing this document, please download and view it directly in Adobe Reader)

Instructions for Claim Form

Comparison Document

Statute of 79-215

Frequently Asked Questions

Updated May 13, 2024 8:40am