The Division of Medicaid and Long-Term Care (MLTC) has announced it is implementing a change in payment methodology for dual eligible Medicare/Medicaid crossover claims, according to Provider Bulletin No. 17-18. Effective July 1, 2017, Nebraska Medicaid will pay the lesser of the Medicare or Medicaid allowable amount. What does this mean for your Medicaid revenue? When Medicare allows more than Medicaid on a claim, Medicaid will pay no additional amount to the provider.