ABA insurance and Medicaid coverage in Nebraska

Last researched October 21, 2026

Who pays for ABA in Nebraska, and what a practice has to do to bill them. Coverage details here come from statutes and agency pages we read, not from payer marketing.

Autism insurance mandate

Medium confidence: reputable secondary source

State mandate for autism coverage: Yes, the research found a state autism coverage law.
Statute: Neb. Rev. Stat. 44-7,106
Age limits: Coverage of screening, diagnosis and treatment of autism spectrum disorder for individuals under 21 years of age.
Annual cap: No annual dollar cap was identified. Per the statute, behavioral health treatment including ABA is subject to a maximum benefit of 25 hours per week until the insured reaches 21 (subsection (4)). Subsection (3) prohibits dollar limits and cost sharing that are less favorable than those applied to equivalent general physical illness coverage; it does not categorically prohibit every dollar limit.
Excludes self-funded employer plans: No, the research did not find that exclusion.
Notes: As of 2026-10-21, the cited statute applies to individual/group sickness and accident policies and hospital/medical/surgical policies delivered, issued or renewed in NE, including policies issued outside Nebraska that insure Nebraska residents, and to self-funded employee benefit plans 'to the extent not preempted by federal law' (so self-funded coverage is qualified by federal preemption, not guaranteed), including State of Nebraska employee plans. Applies to policies delivered/issued/amended/renewed on or after Jan 1, 2015. Excludes specified-disease or limited-benefit coverage, Medicare supplement, accident-only, hospital indemnity, disability income and long-term care policies, and the statute says nothing in subsection (2) applies to non-grandfathered individual and small-group ACA plans required to include essential health benefits. Behavioral health treatment (incl. ABA) is defined as provided or supervised, in person or by telehealth, by a nationally certified behavior analyst or licensed psychologist.

Sources (1)

Neb. Rev. Stat. 44-7,106

Medicaid ABA coverage

Medium confidence: reputable secondary source

Medicaid covers ABA: Yes, per the sources below.
Program: Nebraska Medicaid Applied Behavior Analysis (Medicaid Service Definitions, MSD; Heritage Health managed care)
Agency: Nebraska DHHS, Division of Medicaid and Long-Term Care
Provider enrollment: We could not verify this yet - check with Nebraska DHHS, Division of Medicaid and Long-Term Care.

Sources (6)

Payers named in our research

Names come from the research behind this page. Appearing here does not mean a payer is accepting new providers or that networks are open. Always confirm directly with the payer.

Medicaid managed care plans

Nebraska Medicaid (Heritage Health managed care and fee-for-service) - Providers enroll with Nebraska Medicaid (enrollment vendor Maximus per Nebraska Total Care guidance); ABA provider type 85 for RBT per Nebraska Total Care ABA billing guidance (2023).
Nebraska Total Care - Published ABA billing guidance dated 05/02/23 telling RBTs to use provider type 85. Other Heritage Health MCO names were not verified in this research.

How to enroll

We could not verify the Medicaid provider enrollment page for Nebraska yet - check with the state Medicaid agency.
Ask each commercial payer you want to bill for its credentialing application and timeline. We have not verified payer timelines.
Confirm which staff types the payer reimburses, including whether technicians must hold the RBT credential. See BT vs RBT in Nebraska.

Related guides for Nebraska

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