Nebraska Payment Resources

Summary of payment program


From the Nebraska Medical Sexual Assault Protocol:

Medical providers shall not submit to a patient or their insurance for any cost related to the medico-forensic examinations.


Healthcare providers in Nebraska can find information on examination payment on the Nebraska Attorney General’s web-pages created for healthcare.  On that page, the Nebraska Medical Sexual Assault Protocol can be found. 

Reimbursement for the medico-forensic examination may be received by a health care entity who has provided this service. These entities must submit a Data Demographic Form, along with an invoice outlining the facility and examiner fees. In order to receive reimbursements, they must be submitted no later than July 15th following the conclusion of the fiscal year ending on June 30th.

Reimbursements are outlined in Neb. Rev. Stat. 81-1429.03. Reimbursement claims must be submitted as well to  Providers must also submit the appropriate application form and kit to law enforcement and the crime lab.

There are 3 law enforcement reporting options for patients who have been sexually assaulted outlined in this Reporting Decision Tree

Nebraska Crime Victims’ Reparation Claim Form and Instructions 

Coordination with healthcare

Listing of Nebraska’s of Domestic Violence and Sexual Assault Programs

Nebraska Coalition to End Sexual and Domestic Violence

Nebraska Sexual Assault Forensic Kit Tracking Database