Medicaid HCBS Public Comments

 
2
Medicaid Related Assistance
Medicaid & Long-Term Care
 
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What you need to know

 Aged and Disabled Waiver

Effective October 1, 2020 (not yet submitted to CMS)​

SEEKING PUBLIC COMMENT:

Pursuant to 42 C.F.R. §441.304(f), the Nebraska Department of Health and Human Services (DHHS) is required to give public notice related to the state's plan to amend a Medicaid Home and Community-Based Services (HCBS) waiver for individuals with who are disabled or aged. 

The Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) is developing an amendment to implement changes to the 1915(c) Home and Community Based (HCBS) Aged and Disabled (AD) Waiver.

The 30-day public comment period is from May 12, 2020 – June 11, 2020. 

The following lists a summary of the proposed changes:

  • Remove nutrition as a service:  The HCBS Waiver for Aged and Adults and Children with Disabilities currently provides Nutrition service.  This service is now available under the Medicaid State Plan and will be removed from the waiver.
  • Re-locate and update Quality Improvement Performance Measures related to non-licensed/certified providers:  Through technical assistance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) it was determined that the providers that were currently being counted as non-licensed/certified providers should be counted as non-licensed/non-certified.  This update is comprised of moving three performances measures currently located under Sub-Assurance a.:  The State verifies that providers initially and continually meet required licensure and/or certification standards and adhere to other standards prior to their furnishing waiver services to Sub Assurance b.: The State monitors non-licensed/non-certified providers to assure adherence to waiver requirements.
  • Add the Medicaid expansion group as individuals who can be eligible for the waiver: The new Medicaid eligibility group covered by Medicaid expansion, referred to as Heritage Health Adult, will be listed as a group that will qualify for the waiver provided they meet all other eligibility criteria for the  waiver. The go live date for Medicaid expansion is set for 10/1/2020.

The draft HCBS waiver application can be viewed on the Department's website, in its entirety or by appendix at the link below:

A hard copy of the waiver applications can also be requested via mail, email, or by phone at (402) 471-9156.

Interested persons are invited to submit their written comments to the Department. Written comments must be received by June 11, 2020.

  • Public comments may be submitted to the designated email address: DHHS.HCBSPublicComments@nebraska.gov
  • Faxed to (402) 471-9092
  • Or mailed to:

    Department of Health and Human Services
    Nebraska MLTC
    ATTN: Donna Brakenhoff
    301 Centennial Mall South
    P.O. Box 95026
    Lincoln, NE 68509-5026

  • Comments will also be accepted at the public meetings listed below:
DateCityLocationTime
May 19, 2020Statewide Webinar

Please join the Zoom meeting AND by phone.

 

Join Zoom Meeting: http://go.unl.edu/adwaiver-amendment

 

Join by phone:

Toll-free: (888) 820-1398

Participant code: 3925547#

 

9:00 -10:00 AM CST
May 21, 2020Statewide Webinar

Please join the Zoom meeting AND by phone.

 

Join Zoom Meeting: http://go.unl.edu/adwaiver-amendment

 

Join by phone:

Toll-free: (888) 820-1398

Participant code: 3925547#

 

5:00 – 6:00 PM CST

After the public comment period, when submitted to CMS, the HCBS waiver will include a summary of the public comments received during the public input process, and if any comments were not adopted, the reasons why.  The summary will also specify any modifications made to the waiver as a result of the public input process.

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Traumatic Brain Injury Waiver

Effective July 1, 2020 (pending CMS approval)


Medicaid is developing an amendment to implement changes to the 1915(c) Home and Community Based (HCBS) Traumatic Brain Injury (TBI) Waiver. 

The 30-day public comment period was from February 28 - March 29, 2020. 

Summary of Public Comments - Posted April 13, 2020

A draft of the waiver application with proposed changes is available at the link below:

The following lists a summary of the proposed changes:

  • Include the new Medicaid eligibility group covered by Medicaid expansion as a group eligible, provided the individuals meet all other eligibility criteria for the TBI waiver.
  • Remove a duplicative performance measure that reviews claims compared to eligible participants.
  • CMS required the state to complete the process to rebase and revise the rate methodology and rates for the services provided under this waiver. This included a review of the rate allowed for room and board, as well a review of medical transportation cost components, and provider retainer payments.​

​​Public comment period information

A hard copy of the waiver application can also be requested via mail, email, or by phone at (402) 471-8091.​​

Interested persons are invited to submit their written comments to the Department. Written comments must be received by March 29, 2020.

  • Public comments may be submitted to the designated email address: DHHS.HCBSPublicComments@nebraska.gov;  
  • Faxed to (402) 471-9092;
  • Or mailed to:
    Department of Health and Human Services
    Nebraska Medicaid
    ATTN: Rebecca Hoffman
    301 Centennial Mall South
    P.O. Box 95026
    Lincoln, NE 68509-5026

Comments will also be accepted at the public meetings listed below:

 

DateCity Location Time
March 4, 2020Statewide WebinarPlease join the Zoom meeting AND by phone.

Join Zoom Meeting: http://go.unl.edu/publiccomment

Join by phone:
Toll-free: 888-820-1398
Participant code: 3925547#
1:30 - 3:30 PM Central
March 10, 2020
Statewide WebinarPlease join the Zoom meeting AND by phone.

Join Zoom Meeting: http://go.unl.edu/publiccomment

Join by phone:
Toll-free: 888-820-1398
Participant code: 3925547#
5:30 - 7:30 PM Central
March 18, 2020Lincoln or Statewide WebinarState Office Building – Lower Level B

Come in Person, Join the Zoom meeting, or Join by Phone.

Join Zoom Meeting: http://go.unl.edu/publiccomment

Join by phone:
Toll-free: 888-820-1398
Participant code: 3925547#

1:30 - 3:30 PM
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