Substance Use Disorder Demonstration

Medicaid & Long-Term Care

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What you need to know

Announcement - SUD Waiver Amendment

Nebraska Medicaid (MLTC) is intending to submit an amendment to its 1115 waiver for SUD services to allow this waiver to include the adult expansion group. MLTC will be accepting public comments on its proposed amendment through May 27, 2020. For more information, please see our public notice:

Federal Medicaid regulations added new limits to the Division of Medicaid and Long-Term Care's  ability to allow residential substance use disorder (SUD) services in Institutions for Mental Diseases (IMDs) for Medicaid-enrolled adults ages 21-64. This has the potential to disrupt treatment for some of Nebraska Medicaid's most vulnerable members as they may be forced to seek treatment in less appropriate and more costly settings.

MLTC's demonstration waiver will allow Nebraska Medicaid to continue covering SUD residential services in IMDs for Medicaid-enrolled adults ages 21-64.

The Centers for Medicare and Medicaid Services (CMS) approved Nebraska's application for a section 1115 SUD demonstration waiver. MLTC has begun the process of implementing this new waiver authority. The full text of Nebraska's 1115 SUD demonstration agreement with CMS can be found at the following link: Nebraska Section 1115 Substance Use Disorder Program

Waiver Materials