Proposed Regulations - Future Public Hearings

 
3
Statutes & Regs
Operational
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What would you like to do?

What would you like to do?

What you need to know

What you need to know

Interested persons may attend the hearing and provide verbal or written comments or mail, fax or email written comments, no later than the day of the hearing to:

DHHS Legal Services,
PO Box 95026,
Lincoln, NE
68509-5026,
(402) 742-2382 OR
DHHS.Regulations@nebraska.gov, respectively.

A copy of the proposed changes is available online at http://www.sos.ne.gov, or by contacting DHHS at the mailing address or email above, or by phone at (402) 471-8417. The fiscal impact statement for these proposed changes may be obtained at the office of the Secretary of State, Regulations Division, Room 1305, State Capitol, Lincoln, NE, or by calling (402) 471-2385.

Tip

If auxiliary aids or reasonable accommodations are needed to participate in a hearing, please call (402) 471-8417. Individuals with hearing impairments may call DHHS at (402) 471-9570 (voice and TDD) or the Nebraska Relay System at 711 or (800) 833-7352 TDD at least two weeks before the hearing date. This notice is given in compliance with Neb. Rev. Stat. Section 84-907.

Public Hearings - Scroll Down to View Description of Hearing

Hearing DateSubjects
Monday, August 17, 2020​Low-Income Home Energy Assistance Program (LIHEAP)
Monday, August 24, 2020​Community Services Block Grant (CSBG)
Thursday, September 17, 2020​Dental Services (471 NAC 6)

______________________________________________________________________________________________________________________

August 17, 2020
Nebraska State Office Building, Lower Level Conference Room A
301 Centennial Mall South, Lincoln, Nebraska
10:00 A.M. Central Time

The Department of Health and Human Services (DHHS) Division of Children and Family Services is holding this hearing to accept comments on proposed state plan for:  

  • The Low-Income Home Energy Assistance Program for the period of October 1, 2020 through September 30, 2021.  The state plan is submitted annually to the federal Department of Health and Human Services, which provides funding to states to assist low-income individuals and families with home heating and cooling costs.  The plan describes Nebraska's program, including eligibility requirements and benefit guidelines.  The proposed plan can be requested via e-mail at DHHS.LIHEAPPolicyQuestions@nebraska.gov, via phone at 402-417-9435, or via mail at 1955 E Military Ave Fremont, NE 68025. 

Due to the current public health crisis, the agency will enforce any Directed Health Measure Order on the size of gatherings that is in effect at the time of the hearing. In order to encourage participation in this public hearing, a phone conference line will be set up for any member of the public to call in and provide oral comments. Interested persons may provide verbal comments by participating via phone conference line by calling 877-399-0501; Participant code: 3213662#. 

Interested persons are invited to submit written comments or to attend and comment at the hearing.  Written comments should be submitted by 5:00 p.m. CT on August 17, 2020 and sent to the address above. 

If auxiliary aids or reasonable accommodations are needed to participate in the hearing, please call 402-471-8223.  For persons with hearing impairments, please call 402-471-9570 (voice and TDD) or the Nebraska Relay System at 711 or 800-833-7352 TDD.

_____________________________________________________________________________________________________________________________ 

August 24, 2020
Nebraska State Office Building, Lower Level Conference Room A
301 Centennial Mall South, Lincoln, Nebraska
10:00 A.M. Central Time

The Department of Health and Human Services (DHHS) Division of Children and Family Services is holding this hearing to accept comments on proposed state plan for:

  • The Community Services Block Grant (CSBG) for the period of October 1, 2020 through September 30, 2022.  The state plan is submitted biennially to the federal Department of Health and Human Services. CSBG funding is primarily distributed to Nebraska's nine local Community Action Agencies, which operate programs and services for low-income families statewide.  The plan describes Nebraska's use of CSBG funds, the service delivery system, and developing or ongoing initiatives.  The proposed plan can be requested via e-mail at DHHS.CSBGMailbox@nebraska.gov, via phone at 402-417-9435, or via mail at 1955 E Military Ave Fremont, NE 68025. 

    Due to the current public health crisis, the agency will enforce any Directed Health Measure Order on the size of gatherings that is in effect at the time of the hearing. In order to encourage participation in this public hearing, a phone conference line will be set up for any member of the public to call in and provide oral comments. Interested persons may provide verbal comments by participating via phone conference line by calling 888-820-1398; Participant code: 3213662#. 

    Interested persons are invited to submit written comments or to attend and comment at the hearing.  Written comments should be submitted by 5:00 p.m. CT on August 24, 2020 and sent to the address above. 

    If auxiliary aids or reasonable accommodations are needed to participate in the hearing, please call 402-471-8223.  For persons with hearing impairments, please call 402-471-9570 (voice and TDD) or the Nebraska Relay System at 711 or 800-833-7352 TDD.

_____________________________________________________________________________________________________________________________

September 17, 2020
Nebraska State Office Building, Lower Level Conference Room A
301 Centennial Mall South, Lincoln, Nebraska
10:00 A.M. Central Time

The purpose of this hearing is to receive comments on proposed changes to Title 471, Chapter 6 of the Nebraska Administrative Code (NAC) – Dental Services.  The proposed changes include the addition of teledentistry services, which are reflected in the Medicaid budget and State Plan. Additionally, the proposed changes will remove all duplicate statutory and inconsistent language in the regulations, restructure the regulatory chapter, and ensure compliance with the State Plan, other NAC chapters, federal law, and best practices.  

Authority for these regulations is found in Neb. Rev. Stat. § 81-3117(7). 

Due to the current public health crisis, the agency will enforce any Directed Health Measure Order on the size of gatherings that is in effect at the time of the hearing.  In order to encourage participation in this public hearing, a phone conference line will be set up for any member of the public to call in and provide oral comments. 

Interested persons may provide verbal comments by participating via phone conference line by calling 888-820-1398; Participant code: 3213662#.

Interested persons may provide written comments by mail, fax, or email, no later than the day of the hearing to:  DHHS Legal Services, PO Box 95026, Lincoln, NE 68509-5026, (402) 742-2382 or dhhs.regulations@nebraska.gov, respectively. 

A copy of the proposed changes is available online at http://www.sos.ne.gov, or by contacting DHHS at the mailing address or email above, or by phone at (402) 471-8417. The fiscal impact statement for these proposed changes may be obtained at the office of the Secretary of State, Regulations Division, 1201 N Street, Suite 120, Lincoln, NE 68508, or by calling (402) 471-2385. 

Auxiliary aids or reasonable accommodations needed to participate in a hearing can be requested by calling (402) 471-8223.  Individuals with hearing impairments may call DHHS at (402) 471-9570 (voice and TDD) or the Nebraska Relay System at 711 or (800) 833-7352 TDD at least 2 weeks prior to the hearing.

 _____________________________________________________________________________________________________________________________

Public Notices of Proposed Medicaid Payment Rate Changes

Special funding provision for governmental nursing facilities

This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long Term Care hereby provides notice of a special funding provision for governmental nursing facilities.

City and county-owned and operated nursing facilities will be eligible to receive the federal financial participation share of allowable costs exceeding the rates paid for the direct nursing, support services, and fixed cost components for all Medicaid residents effective July 1, 2016. The reimbursement is subject to the payment limits of 42 CFR 447.272. 
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 742-2382 or e-mail to DHHS.Regulations@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.

Posted: June 30, 2016

Rates for new services covered under the Medicaid

The Social Security Act. The Department of Health and Human Services Division of Medicaid and Long Term Care hereby provides notice of rates for new services covered under the Medicaid program: multisystemic therapy and functional family therapy. The estimated increase in annual aggregate expenditures by the benefit category or service being affected is as followed:

FFY16: $456,745 (FF $263,591, GF $193,154)
FFY17: $2,255,233 (FF $1,340,240, GF $914,994)
FFY18: $3,539,994 (FF $2,104,610, GF $1,435,382)

Multisystemic Therapy and Functional Family Therapy

Rates:

Multisystemic TherapyModifierService Rate
Procedure Code H2033nonePer 15 minute increments

$38.28


 

Functional Family Therapy ModifierServiceRate
Procedure Code 90832 U9Psychotherapy 30 minutes$63.91
Procedure Code 90834U9Psychotherapy 45 minutes $95.87
Procedure Code 90837U9Psychotherapy 60 minutes $127.82
Procedure Code 90846U9Family therapy without identified client present$102.52
Procedure Code 90847U9Family therapy with identified client present$106.10

Comments pertaining to the aforementioned may be submitted to at the Department of Health and Human Services Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 742-2382 or e-mail to DHHS.Regulations@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.

Posted:  June 30, 2016

Update July 12, 2016 (The only change from the original June 30, 2016 posting is the Procedure Code for “Family therapy with identified client present" changed from 90846 to 90847.)

Payment rate change for some Medicaid covered services for Nebraska eligible clients

NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Notice:

This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long Term Care hereby provides notice of Medicaid payment rate change for some Medicaid covered services for Nebraska eligible clients. Medicaid will implement a 2.00% increase in provider rates and an additional .25% increase for behavioral health, nursing facilities, assisted living and ICF-DD providers effective July 1, 2016. The rate increase is the result of an increase in appropriations by the Nebraska Legislature in LB657 (2015). The estimated increase in annual aggregate expenditures by the benefit category or service being affected is as followed:

ALL SERVICE TYPES
TotalGFFF
Inpatient Hospital$977,613$477,466$500,147
Physicians (excl primary care)$1,036,688$506,318$530,370
Dental$493,830$241,186$252,644
Capitated Svcs$12,888,478$6,294,733$6,593,745
Outpatient Hospital$1,052,306$513,946$538,360
Nursing Facility$7,280,720$3,555,904$3,724,816
Lab$24,749$12,088$12,661
Radiology$28,983$14,156$14,827
Home Health/PAS/Hospice$662,553$323,591$338,962
All Other$12,334,139$6,023,993$6,310,146
TOTAL$36,780,058$17,963,380$18,816,678

• Ambulance
• Chiropractic
• Dental
• Durable Medical Equipment and Supplies, including Orthotics and Prosthetics
• Health Check
• Hearing Aids
• Home Health Agency
• Hospitals (non-Critical Access Hospitals)
• Mental Health and Substance Abuse
• Non-Emergency Transportation
• Nursing Services
• Occupational Therapy
• Personal Assistance Services
• Physical Therapy
• Physicians (excluding primary care codes)
• Podiatry
• Speech Pathology and Audiology
• Visual Care

The current and revised rate and fee schedules will be available online for public view. The schedules are also available for viewing at each local office of the Department of Health and Human Services. 

Comments may be submitted to and reviewed by the public at the Department of Health and Human Services Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 742-2382 or e-mail to DHHS.Regulations@nebraska.gov.

Posted: June 30, 2016

Special funding provision for governmental nursing facilities

This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long Term Care hereby provides notice of a special funding provision for governmental nursing facilities.

City and county-owned and operated nursing facilities will be eligible to receive the federal financial participation share of allowable costs exceeding the rates paid for the direct nursing, support services, and fixed cost components for all Medicaid residents effective July 1, 2016. The reimbursement is subject to the payment limits of 42 CFR 447.272.  The estimated increase in annual aggregate federal expenditures for this benefit is $120,000.00

Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 742-2382 or e-mail to DHHS.Regulations@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.

Posted: June 30, 2016

New payment methodology for Federally Qualified Health Centers

This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long Term Care hereby provides notice of Medicaid payment methodology change for Federally Qualified Health Centers (FQHCs).
 
The State of Nebraska currently reimburses FQHCs under the Prospective Payment System (PPS) rate methodology. Payment for FQHCs is guided by Section 1902(bb) of the Social Security Act, which defines parameters for a prospective payment system (PPS), and includes the option of an alternative payment methodology. FQHCs provide an essential primary care backbone for the Nebraska Medicaid delivery system. FQHCs serve low income and underserved populations, including but not limited to: migrant, homeless, and school based populations, and public housing residents. FQHCs provide a scope of services including: primary medical, dental, and behavioral health, case management and enabling services, such as interpretation. Services are provided on a discount fee schedule and no one is refused services based on inability to pay. Thus, the State of Nebraska intends to update the reimbursement methodology to reflect the federally approved Alternative Payment Methodology (APM) for FQHCs.
 
The State of Nebraska has elected to cover services for Nebraska eligible clients under the APM rate consistent with the PPS rate. Also similar to the PPS rate, the APM rate will exclude dental costs as FQHCs will continue to be reimbursed fee-for-service (FFS) for dental services outside of the APM rate. The implementation of the proposed payment methodology may result in an estimated increase in annual aggregate expenditures of $4.5 million dollars.
 
The effective date of the FQHC payment methodology change is January 1, 2016.
 
The current and revised rate schedules are available for public view at each local office of the Department of Health and Human Services. 
 
Comments may be submitted to and reviewed by the public at the Department of Health and Human Services Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 742-2382 or e-mail to dhhs.regulations@nebraska.gov