Service Agencies

Service Agency/Provider Application

The 2022-2023 Service Agency Application closed on 10.15.2022.  If a provider would like to submit an application after this date, please email Amy Rhone (amy.rhone@nebraska.gov) and/or Suzie Pierce (suzie.pierce@nebraska.gov) to submit a request for an application.

Search for Approved Service Agency Providers

Service Provider Frequently Asked Questions

Provisionally Approved Service Agency Rates

Search Below for 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

79-215 Letter

Service Agency Claim Form (fillable pdf)
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Instructions for Claim Form

Comparison Document

Statute of 79-215

Frequently Asked Questions

Updated November 7, 2022 10:22am