8-001.02R2c Subsidy Provided Retroactively

479 NAC 8-001.02R2c

If the subsidy is approved retroactively, a Medicaid card will be issued for the child. The adoptive family must be informed about the Medicaid Program including:

1. The family's health insurance will be billed before using Medicaid funds;

2. Payment will only be made to Medicaid providers at Medicaid rates and Medicaid guidelines;

3. Payment for bills during this retroactive period not falling under the Medicaid Program will be the family's financial responsibility;

4. Coverage under the subsidy will be made retroactive to either the date that the family made a written request, or the date that Medicaid coverage became effective, whichever is earlier.

Payment will be made for medical bills associated with the special needs back to the date of application or the beginning of Medicaid coverage, whichever is earlier. These bills will only be paid if Medicaid would have covered them, to a Medicaid provider, and at Nebraska Medicaid rates.

{2/23/04}