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Medicaid & Long-Term Care
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The Division of Medicaid and Long-Term Care must periodically update Nebraska's Medicaid State Plan to reflect changes in the program. These changes, called State Plan Amendments (SPAs), must be approved by the Centers for Medicare and Medicaid Services (CMS) before going into effect.
On this page Nebraska's SPAs pending CMS approval can be found, as well as past SPAs that have been withdrawn or denied within the last 3 years.
Approved SPAs will be removed from this page and reflected in the main Medicaid State Plan. Details may vary between SPAs according to relevant state and federal guidelines.
Questions regarding State Plan Amendments may be sent to DHHS.MedicaidSPA@nebraska.gov.
- Submission: July 28, 2025
- Tribal Notice: June 26, 2025
- Submission: June 23, 2025
- Tribal Notice: November 21, 2024
- Submission: May 23, 2025
- Tribal Notice: April 21, 2025
- Submission: July 11, 2025
- Tribal Notice: April 29, 2025
- Submission: July 28, 2025
- Tribal Notice: June 26, 2025
- Submission: June 26, 2025
- Tribal Notice: May 16, 2025
- Submission: July 31, 2025
- Tribal Notice: June 30, 2025
- Submission: December 20, 2024
- Tribal Notice: September 5, 2024
- Submission: December 20, 2024
- Tribal Notice: September 5, 2024
- Submission: December 30, 2024
- Tribal Notice: November 18, 2024
- Submission: December 6, 2024
- Tribal Notice: September 6, 2024
- Submission: December 30, 2024
- Tribal Notice: November 18, 2024