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States · Nebraska

Nebraska EVV and Medicaid home care, in plain words.

Nebraska uses Netsmart for EVV, and for many home health and personal care services you file claims through that same system. You can use a different EVV app if your vendor signs a state attestation. Visits must be verified by GPS or phone.

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Nebraska at a glance

EVV, Medicaid and billing in Nebraska.

Medicaid agencyNebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC). Developmental disability waivers run through the Division of Developmental Disabilities.
EVV modelState EVV vendor with alternate vendors allowed by attestation.
State EVV systemNetsmart (state EVV vendor; Mobile Caregiver+). Developmental disability waiver agencies use Therap for EVV.
Your own EVV vendor allowed?Yes. Alternate EVV vendors must sign an attestation that their system is compliant with the state’s Netsmart system.
Services that need EVVPhase 1 personal care: Personal Assistance Services (PAS), Aged & Disabled waiver and DD waiver personal care, consumer-directed and home health agency personal care. Phase 2 home health: home health aide, skilled nursing, PT, OT and speech therapy.
Where you billNebraska Medicaid fee-for-service claims (MMIS); for many EVV services, claims are submitted through the state EVV system.

Dates that matter: Personal care EVV required since January 2021. Home health visit capture began 1 Jan 2024; capture and claims through Mobile Caregiver+ mandated 1 Apr 2024. Since 1 Sep 2025, force-pay requests are denied if the agency’s NPI is not active in the EVV system.

Licensing: Home health agencies are licensed by DHHS Licensure Unit; check whether non-medical personal care agencies need a state license.

Managed care: Mixed. Heritage Health managed care plans cover most Medicaid services; HCBS waiver services are generally fee-for-service. Confirm which home care services each plan covers.

Programs that pay for care at home

Nebraska EVV, from the state

Same rules, same tangle

In Nebraska, the visit still gets typed four more times.

The caregiver taps in. The visit goes to Netsmart. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Nebraska denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Nebraska

Running an agency in Nebraska? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Nebraska and your programs before you switch anything. If we are not running in Nebraska yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

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Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Nebraska owners ask.

Can I use my own EVV vendor in Nebraska?

Yes. Your vendor must sign an attestation that its system works with the state’s Netsmart system. Agencies serving the developmental disability waivers use Therap instead. Check the DHHS EVV page for the current list and steps before you switch.

Why would a Nebraska EVV claim be declined?

DHHS lists reasons including no NPI linked to the visit, a caregiver logging more than 16 hours in a day, a client getting more than 16 hours of certain services in a day, or visits that do not meet EVV rules. You can appeal within 90 days in writing.

What is the ’force pay’ process?

Each caregiver gets three educational interventions. Those let a visit missing verification be paid through a state adjustment request. After three, such visits trigger a critical error and need a formal appeal. Since September 1, 2025, force-pay is denied if your NPI is not active in the EVV system.

Who do I email with EVV questions?

For personal care services, email DHHS.MedicaidFA-EVV@nebraska.gov. For home health, email DHHS.EVVHomeHealth@nebraska.gov. For problems with the EVV app itself, call the Netsmart support line listed on the DHHS EVV page. Completed state forms can be faxed to (402) 742-2321.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC). Developmental disability waivers run through the Division of Developmental Disabilities. before you act.

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