Following the passage of LB77 during the 2025 Legislative Session, the Nebraska Department of Insurance (NDOI) has announced the release of two new standardized prior authorization forms.
Health care providers are encouraged to prepare for the transition before January 1, 2026. The forms and guidance are available on the Department’s website:
The forms were developed after a public comment period from the health care and insurance industries. These forms will go into effect January 1, 2026 for all fully insured plans in Nebraska. The new forms only apply to fully insured health plans. Self-insured and ERISA plans are not affected by this change. Providers can confirm plan types through insurance company portals, contacting the company directly, or through automated verification systems.
LB77 also allows fully insured health plans to use an Internet webpage, an Internet webpage portal, or a similar web-based system if the methodology is consistent with the uniform prior authorization request form.
Additionally, LB77 provides for a number of changes to reduce administrative burden, minimize confusion, and improve efficiency in prior authorization, including timelines for determinations, appeal and peer-to-peer requirements, and provisions to provide continuity of care when patients change health plans. A summary of these changes can be found here.
If you have any questions about implementation of the uniform prior authorization forms, please contact Paul Henderson, Vice President, Advocacy & Regulation, paulh@nebmed.org.
