What options are available to practice as an unsupervised PHRDH?

1. Apply for the public health permit

Application form is now available
…More information below

2. Apply for a national provider identification number

Required in ’07, Information here

3. Apply for a Medicaid provider number

Medicaid Direct Reimbursement to RDH Enrollment Form

The enrollment form and instructions can be found at the following website: http://www.dhhs.ne.gov/med/providerenrollment.htm

The form that needs to be completed is the MC-19. The contact person for the enrollment process is Marla Scheer at 402-471-9717.

4. Read Nebraska statute 38-1130 and 38-1131 so you fully understand the law as it applies to practicing unsupervised.

Annual Reporting requirements -

Annual Reporting to the DHHS is required to maintain a public health authorization. The DHHS will conduct a survey of all Nebraska Public Health Authorized Dental Hygienists on an annual basis. The completion of this survey will meet the annual reporting qualification required to maintain a public health authorization.