Nebraska Standardized Prior Authorization Forms for Healthcare

Lincoln, Neb. (Nov. 18, 2025) – Following the passage of LB 77 during the 2025 Legislative Session, the Nebraska Department of Insurance (NDOI) is announcing the release of two new standardized prior authorization forms for Healthcare Services, Drug Benefits, and Durable Medical Equipment.

The forms were developed after a public comment period from the healthcare and insurance industries. These forms will go into effect January 1, 2026 for all fully insured plans in Nebraska.

LB 77 requires health plan criteria be easily accessible, sets clear review timelines, and prohibits denials based solely on artificial intelligence. Currently, insurance companies have individual forms for prior authorization. The new forms may reduce the administrative burden, minimize confusion, and improve efficiency for providers and patients.

Patients may see more consistent timelines and insurers will have uniform transparency and response requirements.

"These standardized forms are a significant step forward in communication and consistency in healthcare coverage," said Eric Dunning, NDOI Director. "We're helping make sure Nebraskans get the care they need while lessening the administrative burden."

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.

NDOI encourages healthcare providers and insurers to prepare for the transition before January 1, 2026. The forms and guidance are available on the Department's website at doi.nebraska.gov/guidance-documents under the Health section of the guidance documents page.