Nebraska insurance law on MNT and nutrition counseling
The short answerNebraska requires individual and group policies, and self-funded employee benefit plans to the extent not preempted by federal law, to cover diabetes self-management training including medical nutrition therapy. Education is capped at $500 in a two-year period.
By Javier Alvarez · Updated · 1 min read
1 row: State insurance law · Nebraska. Public policy, not the member's benefits.
Nebraska insurance law
Fully insured plans (Neb. Rev. Stat. 44-790) · Nebraska
| 97802 | Not published |
|---|---|
| 97803 | Not published |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Individual or group sickness and accident policies and expense-incurred policies delivered, issued or renewed in Nebraska, except specified-disease or limited-benefit coverage, and self-funded employee benefit plans to the extent not preempted by federal law. [1] |
| Diagnoses | Insulin-dependent, insulin-using, gestational, and non-insulin-using diabetes. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Covered at diagnosis, when symptoms or conditions change, and when new medications or treatments are prescribed. Diabetes self-management education must be deemed medically necessary by a physician, and coverage shall not exceed $500 in a two-year period. [1] |
| Referral and prior auth | Must be prescribed by a health care professional legally authorized to prescribe such items. [1] |
| Who can bill | An American Diabetes Association Recognized Diabetes Self-Management Education Program, or a health care professional who is a diabetes educator certified by the National Certification Board for Diabetes Educators. Dietitians are not named. [1] |
- Nebraska Revised Statute 44-790 Coverage for diabetes; requirements, checked October 30, 2026
What the Nebraska law says
- Where it applies. Individual or group sickness and accident policies and expense-incurred policies delivered, issued or renewed in Nebraska, except specified-disease or limited-benefit coverage, and self-funded employee benefit plans to the extent not preempted by federal law.
- Diagnoses. Insulin-dependent, insulin-using, gestational, and non-insulin-using diabetes.
- Visit limits. Covered at diagnosis, when symptoms or conditions change, and when new medications or treatments are prescribed. Diabetes self-management education must be deemed medically necessary by a physician, and coverage shall not exceed $500 in a two-year period.
- Referral and prior auth. Must be prescribed by a health care professional legally authorized to prescribe such items.
- Who can bill. An American Diabetes Association Recognized Diabetes Self-Management Education Program, or a health care professional who is a diabetes educator certified by the National Certification Board for Diabetes Educators. Dietitians are not named.
What it means for a claim in Nebraska
The law sets a floor for the plans it reaches; the plan's own policy and the member's contract still decide the codes, units and referral. On the benefits call, ask whether the plan is fully insured in Nebraska, and if a covered service is denied, name the statute by section in the appeal. The sources below link to the statute itself.
Payers with their own row for Nebraska: Medica. The state laws side by side compare Nebraska with other states.