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.
Misc. Information
Provider Rates & Agreements Etc.
2022-2023 Service Provider Rates
Provisionally Approved Service Agency Rates
Search Below for 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)
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