Nebraska DPC Guide¶
Quick Summary: Nebraska has DPC-enabling legislation (Neb. Rev. Stat. § 44-513.02) and permits medication dispensing. Rural character creates primary care opportunities. Business-friendly environment.
[!CAUTION] Verify Current Law: Always confirm current regulations with the Nebraska Board of Medicine and Surgery and review Nebraska Revised Statutes Chapter 44 for the most current statutory language.
At a Glance¶
| Category | Status |
|---|---|
| DPC Legislation | Yes — Neb. Rev. Stat. § 44-513.02 |
| Medication Dispensing | Permitted — Registration required |
| Medicare Opt-Out | Standard federal process |
| Tier | 3 (May warrant reclassification to Tier 2) |
DPC Law Status¶
Legislation¶
Statute: Nebraska Revised Statutes § 44-513.02
Statute URL: Nebraska Statutes Chapter 44
Nebraska has DPC-enabling legislation exempting DPC agreements from insurance regulation.
Key provisions: - DPC agreements not considered insurance - Primary care services defined - Written agreement required
What This Means¶
- DPC practices have legal clarity
- Standard business regulations apply
- Supportive regulatory environment
Medication Dispensing¶
Regulatory Status¶
Nebraska permits physician dispensing with registration.
Requirements¶
- DEA Registration: Required for controlled substances
- State Registration: Register with Nebraska Board of Pharmacy
- Pharmacy Board: dhhs.ne.gov/licensure/Pages/Pharmacy.aspx
- PDMP: Check Nebraska Prescription Drug Monitoring Program
- Record Keeping: Maintain dispensing records
Licensing and Registration¶
Medical License¶
Board: Nebraska Board of Medicine and Surgery
Website: dhhs.ne.gov/licensure/Pages/Medicine-and-Surgery.aspx
Business Registration¶
Entity Registration: Nebraska Secretary of State
Website: sos.nebraska.gov
DEA Registration¶
Website: deadiversion.usdoj.gov
Medicare Considerations¶
MAC for Nebraska: Wisconsin Physicians Service (JM jurisdiction)
See Medicare Opt-Out Guide for detailed process.
Key Resources¶
State Agencies¶
| Agency | Purpose | Website |
|---|---|---|
| Nebraska Board of Medicine and Surgery | Physician licensing | dhhs.ne.gov |
| Nebraska Board of Pharmacy | Dispensing regulations | dhhs.ne.gov |
| Nebraska Secretary of State | Business registration | sos.nebraska.gov |
Professional Organizations¶
| Organization | Website |
|---|---|
| Nebraska Medical Association | nebmed.org |
State-Specific Considerations¶
Rural Character¶
- Predominantly rural state
- Significant primary care shortage
- DPC can address access gaps
Omaha and Lincoln¶
- Largest population centers
- More competition in metros
- Suburban opportunities
Low Cost of Living¶
- Among lower cost-of-living states
- Reasonable overhead
- Competitive membership pricing
Checklist for Starting DPC in Nebraska¶
- Obtain or verify Nebraska medical license
- Register business entity with Secretary of State
- Obtain EIN from IRS
- Register with DEA (if prescribing controlled substances)
- Register with Board of Pharmacy (if dispensing)
- Secure malpractice insurance
- Develop membership agreement
- File Medicare opt-out affidavit (if applicable)