Newsroom > DHHS News Release

FOR IMMEDIATE RELEASE
June 11, 2009

CONTACT
Marla Augustine, Communications and Legislative Services, (402) 471-4047, marla.augustine@nebraska.gov

 

DHHS to Hold Two Hearings June 18 in Lincoln

Lincoln – The Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care will hold two public hearings June 18, 2009. These hearings will take place in Lincoln at the State Office Building, 301 Centennial Mall South, lower level conference room ‘A’.

Public Hearing at 9:00 a.m. CT

The Division is holding this hearing to accept comments on proposed changes to regulations for the Nebraska Medical Assistance Program, also known as Medicaid. The proposed changes will require prior authorization of select non-emergency outpatient radiology procedures including:

  • Computerized tomography (CT) scans;
  • Magnetic resonance angiogram (MRA) scans;
  • Magnetic resonance imaging (MRI) scans;
  • Magnetic resonance spectroscopy (MRS) scans;
  • Nuclear medicine cardiology scans;
  • Positron emission tomography (PET) scans;
  • Single photon emission computed tomography (SPECT) scans; and
  • Other identified, over utilized or high-cost radiology services.

 

Public Hearing at 11:00 p.m. CT

The Division is holding this hearing to accept comments on proposed changes to regulations for the Nebraska Medicaid Managed Care Program, also known as Nebraska Health Connection. The proposed changes will:

  • Expand the designated coverage areas of mandatory enrollment for the basic benefits package (medical/surgical plans) to include Cass, Dodge, Gage, Otoe, Saunders, Seward, and Washington counties (continuing to include Douglas, Sarpy, and Lancaster);
  • Limit managed care client disenrollment to:
    1. With cause, at any time;
    2. During the 90 days following the date of the client’s initial enrollment with the managed care organization (MCO), or the date the Department sends the client’s notice of enrollment, whichever is later;
    3. Without cause once every 12 months thereafter;
    4. Upon automatic reenrollment if the temporary loss of Medicaid eligibility has caused the client to miss the annual disenrollment opportunity; or
    5. When the Department imposes the intermediate sanctions specified in the MCO’s contract with DHHS;
  • Change the timeframes for certain enrollment activities from 45 days to 15 days. These activities include selection of a Primary Care Physician (PCP) and medical/surgical plan; if these activities are not completed within 15 days, the client will be auto-assigned to a Primary Care Physician and a medical/surgical plan.

Anyone may attend and comment at these hearings or submit comments in writing. Written comments must be postmarked or received by 5:00 p.m. CT, June 18, 2009. They should be sent to DHHS, Regulatory Analysis and Integration, 301 Centennial Mall South, P.O. Box 95026, Lincoln, NE 68509; faxed to 402-742-2382; or e-mailed to Rules.Regs@dhhs.ne.gov.

If auxiliary aids or reasonable accommodations are needed to participate in a hearing, please call 402-471-9022. Persons with hearing impairments may call the DHHS at 402-471-9570 (voice and TDD) or the Nebraska Relay System at 711 or 800-833-7352 TDD.

Draft regulations and DHHS hearing notices are available online at: http://www.dhhs.ne.gov/Pages/reg_hearings.aspx.

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