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
Misc. Information
Provider Rates & Agreements Etc.
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
2007-2022 Approved Service Agency Rates
Verification Search
Licensure/Certification/Facility
Licensure Status of Nebraska Health Professions/Occupations Lookup
Service Agency Claim for Non-Ward Educational Service Reimbursement
79-215
Service Agency Claim Form (fillable pdf)
(if you are having difficulty viewing this document, please download and view it directly in Adobe Reader)