Provider Resources

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Seniors
Medicaid & Long-Term Care
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What you need to know

​​​​​​The State Unit on Aging oversees a number of service providers. This page contains information, guidance, online resources, and other tools for these service providers. Public resources can be found on the Resources for You page.

Sections on this page

    Helpful Links

     

    Forms and Guidance Documents

    These documents should help service providers serve older Nebraskans and Nebraskans with disabilities.

    View COVID-19 specific service provider documents

      
      
    AAA Census DataAAA Census Data.xlsx
    ADRC Contact + Census ComparisonADRC Contact + Census Comparison.xlsx
    Budget Request and Revision TemplateBudget Request and Revision Template.xlsx
    Care Management AssessmentCare Management Assessment.pdf
    Caregiver Assessment (with Gender Identity)Caregiver Assessment (with Gender Identity).docx
    Caregiver AssessmentCaregiver Assessment.docx
    COVID-19 Services + ReportingCOVID-19 Services + Reporting.pdf
    Current AAA and ADRC MapCurrent AAA and ADRC Map.pdf
    Form C FY 2020Form C FY 2020.xlsx
    Form C FY 2021 InstructionsForm C FY 2021 Instructions.pdf
    1 - 10Next

    Active Program Instructions

      
      
    SFY 21SUA-21-PI-02 Home Delivered Meals
    SFY 21SUA-21-PI-01 Form C Revision and New Care Management Calculated Value Process
    SFY 20SUA-20-PI-48 FY21 Plan Updates + Reservation Table 3-3-20
    SFY 20SUA-20-PI-48 FY 21 Care Management Units Rates
    SFY 20SUA-20-PI-47 Senior Volunteer Program (SVP) Plan and Application
    SFY 20SUA-20-PI-46 Reservation Table FY2020 Revised PI-Table
    SFY 20SUA-20-PI-45 Care Management Sliding Fee Scale
    SFY 20SUA-20-PI-44 Guidance for Title III-C2 Home-Delivered Meal Nutrition Services
    SFY 20SUA-20-PI-43 Peer Place Transition Guide
    SFY 20SUA-20-PI-42 Care Management Assessment
    1 - 10Next

    Active Information Memoranda

      
      
    SFY 20SUA-20-IM-17 Comprehensive Caregiver Assessment
    SFY 20SUA-20-IM-16 PeerPlace Anonymous Client Guidance
    SFY 20SUA-20-IM-15 PeerPlace Internal Software Consent-Permission Policy
    SFY 20SUA-20-IM-14 PeerPlace Client Notes and Case Notes
    SFY 20SUA-20-IM-13 PeerPlace Care Management Fee Statement Terms
    SFY 20SUA-20-IM-12 Locally Grown Produce and Title III-C1 and C2
    SFY 20SUA-20-IM-11 Service Participant Validation
    SFY 20SUA-20-IM-10 Indirect Costs vs. Area Plan Administration Costs
    SFY 20SUA-20-IM-09 Time Study Guidance
    SFY 20SUA-20-IM-09 Time Study Excel Template
    SFY 20SUA-20-IM-08 Title III-E Caregivers Defined
    SFY 20SUA-20-IM-05 ADL and IADL Reporting
    SFY 20SUA-20-IM-04 Merging Clients in NAMIS
    SFY 20SUA-20-IM-03 NAMIS Contribution Letter Requirements
    SFY 20SUA-20-IM-02 Printing Labels from NAMIS
    SFY 20SUA-20-IM-01 Senior Centers and Webinars
    SFY 19SUA-19-IM-04 Home Modifications

    Monitoring Tools

    Monitoring Tools (Word documents) need to be completed and returned three weeks before the scheduled monitoring date. Depending on computer security settings, you may need to click on the View menu, and select Edit Document ​to complete the forms.

    Review Forms (PDFs) will be used by the SUA to evaluate files.

    State Fiscal Year 2021 monitoring will take place between July 1, 2020 through June 30, 2021.

      
    AAA Census Data
    ADRC Monitoring Tool
    Care Management File Review Form
    Care Management In-Home Review Form
    Care Management Monitoring Tool
    Case Management File Review Form
    Disaster Plan Evaluation Tool
    Financial Site Visit Review Form
    Governance Monitoring Tool
    Health Program Monitoring Tool
    Legal Contracting Attorney Legal Aid Contracts Monitoring Tool
    Legal Elder Access Line Monitoring Tool
    Nutrition Monitoring Tool
    SCSEP Monitoring Tool
    Senior Volunteer File Review Form
    Senior Volunteer Program Monitoring Tool
    Title III-B Monitoring Tool
    Title III-E Monitoring Tool

     

    State Unit on Aging
    Medicaid & Long-Term Care / Department of Health & Human Services
    Phone Number
    (402) 471-2307
    Fax Number
    (402) 742-8388
    Mailing Address
    P.O. Box 95026, Lincoln, Nebraska 68509-5026