Service Agencies
Service Agency/Provider Application
The 2025-2026 Service Agency Application will open on May 1st. Emails announcing the application opening will be sent to all approved providers from the 2024–2025 application cycle.
If your contact information has changed since last year, please log in to the application to update your profile.
New providers must create a user profile before completing an application.
2025-2026 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.
Service Code License/Certificate 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
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)