Nursing Home Payment Project

Medicaid Related Assistance
Medicaid & Long-Term Care

What would you like to do?

What you need to know


As providers know, the healthcare marketplace is ever-changing for beneficiaries, providers and government alike. To adapt and evolve, the Division of Medicaid & Long-Term Care (MLTC) has been working with stakeholders for more than two years to update the payment methodology for nursing facilities.

Medicaid is committed to continued transparency through this process. As part of a listening and presentation tour across Nebraska, Division teammates committed to creating a webpage to keep stakeholders up to date.

On this page you will find presented materials, FAQs, important updates and more.

If you have questions, please direct them to

Important Dates

​Project Kickoff​March 2019
​Statewide Listening Tour​August 2019
​Remove current payment methodology from regulationsApril 2020
​Finalize new rate methodology​April 2020
​Submit State Plan Amendment to CMS​April 2020
​Implement new payment methodology​July 2020

Next Steps

  • MLTC is holding bi-weekly meetings with stakeholders to refine our plans for this project. 


November 15, 2019 - Working with Feedback

In November, Medicaid has been taking a close look at the feedback stakeholders have sent about the payment redesign project. Medicaid has been adjusting our plans to include additional feedback from stakeholders.

MLTC appreciates those who have sent in feedback, and welcomes additional comments on any of the materials shared about the payment project, including the draft rate notifications in our last update.

October 1, 2019 - Draft Rate Notifications

Throughout this project, MLTC has committed to sharing examples of what payments to nursing homes will look like once the new rate methodology is in place. Our first data modeling of new rates is now available.

August 26, 2019 - Business Plan is released

Over the last four years DHHS has created and released a business plan to inform the public about many of the Department's efforts over the fiscal year.

The fourth business plan, Helping Hands: Helping People Live Better Lives, was released on August 26. One of the initiatives in the business plan is Medicaid Long-Term Care Redesign (pg. 21).

This initiative lays out the Division of Medicaid & Long Term Care's goal to update the rate methodology. The initiative provides a summary of the listening tour and public presentations that were held in the beginning of August.

Please check out the initiative and all the other efforts being undertaken by the Department.

August 13, 2019 - Nursing Home Listening Tour

As you may know, Nebraska Medicaid is proposing changes to the rate methodology for nursing facilities. MLTC has been in ongoing conversations with the trade associations who represent nursing homes, particularly Nebraska Health Care Association (NeHCA) and Leading Age of Nebraska, around the issues with the current payment methodology for more than two and a half years.

On March 6, members of the Nebraska Medicaid team publicly presented the proposed rate methodology changes to the Long-Term Care Stakeholder Committee, which includes providers and representatives from NeHCA and Leading Age.

On July 24, 2019, MLTC sent out an open invite to the provider community - any facility administrator who wanted a visit from MLTC would get an in-person visit. Nineteen facilities requested visits, and from August 5-13, at least one MLTC deputy director visited each facility. Additionally, MLTC held four public presentations for providers to attend. The presentations were held in Scottsbluff, Cozad, Norfolk and Omaha.

Thank you to all the facilities who hosted members of the MLTC team and to all of those who attended and provided feedback at the public presentations.

If you have more questions, please send them to

June 25, 2019 – Nursing Facility Rate Methodology Stakeholder Meeting

On June 25, MLTC met with more than 20 stakeholders, including providers, associations, consultants, and accountants. At this meeting, MLTC walked through the feedback we received since our presentation on March 6. The meeting focused on topics that require further, in-depth conversation as MLTC continues to work toward payment modernization for nursing homes. Among those in attendance were providers who had reached out to MLTC since March and several providers recommended from NEHCA and Leading Age.

This meeting was helpful for MLTC in making further decisions and revisions to the methodology. Additionally, this meeting helped form the update provided to all state stakeholders during listening tours in August.

March 6, 2019 - Nursing Facility Rates Reform Public Presentation

On March 6, Nebraska Medicaid shared with the public for the first time DHHS's proposed plan to update Medicaid's payment methodology for nursing homes.  During the Long-Term Care stakeholder meeting, MLTC presented our plan to those in attendance as well as to those attending online. At this meeting, MLTC, invited feedback from stakeholders. 

For the following 3 months, MLTC met with providers to better understand their feedback and suggestions.

To view March 6's presentation, please see the Documents section at the top of the page.