Attachment 3 Nebraska Pricing Schedule Final.pdf

PDF 69 KB Posted

Attached to
Q402--VISN 23 CNH Open and Continuous Medicaid Solicitation- Period of Performance: 05 March 2021 to 04 March 2023.
Solicitation number
36C26320R0126
Issued by

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Other files

File Type Posted
Attachment 4d Nebraska Medicaid Pricing Schedule.pdf PDF
Attachment 4e North Dakota Medicaid Pricing Schedule.pdf PDF
Amended Medicaid Solicitation 36C26320R0126 A0002.pdf PDF
Attachment 4b Iowa Medicaid Pricing Schedule.pdf PDF
Attachment 4c Minnesota Medicaid Pricing Schedule.pdf PDF
Attachment 4f South Dakota Medicaid Pricing Schedule.pdf PDF
Attachment 1 Quality Assurance Surveillance Plan (QASP).pdf PDF
Attachment 4 Medicaid Pricing Schedule Information and State Schedules.pdf PDF
Attachment 3 RUGs IV and III Description.pdf PDF
Attachment 4a Illinois Medicaid Pricing Schedule.pdf PDF
Attachment 2 Wage Determination E 98 1973 0126 Rev 64 12 Dec 2020.pdf PDF
Attachment 6 South Dakota Pricing Schedule Final.pdf PDF
Attachment 10 RUGs IV Levels of Care.pdf PDF
4 May Amended Medicaid Solicitation 202136C26320R0126 0001.pdf PDF
Attachment 7 Illinois Pricing Schedule Final.pdf PDF
Attachment 5 North Dakota Pricing Schedule Final.pdf PDF
Attachment 4 Iowa Pricing Schedule Final.pdf PDF
Attachment 2 WAGE DETERMINATION E 98 DECEMBER 21 2020 19730126 Rev No 64.pdf PDF
Attachment 9 CNH SOP RUGs III Descriptions.pdf PDF
Attachment 1 QASP Medicaid Final.pdf PDF
36C26320R0126 0001_1.docx DOCX document
Attachment 8 Minnesota Pricing Schedule Final.pdf PDF
S02 NEBRASKA PRICING SCHEDULE - FINAL.pdf PDF
RUGs IV Levels of Care.pdf PDF
S02 NORTH DAKOTA PRICING SCHEDULE - FINAL.pdf PDF
CNH SOP RUGS III DESCRIPTIONS.pdf PDF
S02 SOUTH DAKOTA PRICING SCHEDULE - FINAL.pdf PDF
36C26320R0126_2.docx DOCX document
QASP - MEDICAID - FINAL.pdf PDF
S02 IOWA PRICING SCHEDULE - FINAL.pdf PDF
P07 WAGE DETERMINATION E98 DECEMBER 21 2020 1973 0126 Rev No 64.pdf PDF
S02 ILLINOIS PRICING SCHEDULE - FINAL.pdf PDF
S02 MINNESOTA PRICING SCHEDULE - FINAL.pdf PDF
S02 36C26320R0126 - MEDICAID.pdf PDF
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Levels of Care Medicaid Rates Total Add on

Total Per Diem

PA1/101

PA2/102

PB1/103

PB2/104

RBH/105

PC1/110

PC2/111

PD1/112

PD2/113

PE1/114

PE2/115

BA1/120

BA2/121

BB1/122

BB2/123

IA1/130

IA2/131

IB1/132

IB2/133

CA1/140

CA2/141

CB1/142

CB2/143

CC1/144

CC2/145

SSA/150

SSB/151

SSC/152

RAA/160

RAB/161

RAC/162

RAD/163

SE1/170

SE2/171

SE3/172

STS/180

NEBRASKA PRICE SCHEDULE

Sheet1

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