Service Agencies
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- Service Agency Application
- Provisionally Approved Service Agency Rates
- Provider Rate Limitations
- Licensure Status of Nebraska Health Professions/Occupations Lookup
- Service Agency Application
- 79-215: 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 directly in Adobe Reader) - Instructions for Claim Form
- Comparison Document
- Statute of 79-215
- Frequently Asked Questions