Newsroom > DHHS News Release

Jan. 25, 2016

Ed Rider, Public Information Officer, Nebraska Department of Health and Human Services, (office) 402-471-1695

DHHS Issues Long-Term Care (LTC) Redesign Concept Paper
Department Launches Initiative to Improve Long-Term Services and Supports (LTSS)
in Nebraska

Lincoln – The Nebraska Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) today launched its long-term care redesign project with the release of the “Nebraska Medicaid Long-Term Services and Supports Redesign” concept paper.
“Nebraskans who are reliant on Medicaid for their long-term care deserve the best services we can possibly provide,” said Courtney Phillips, CEO, Nebraska Department of Health and Human Services. “This concept paper sets the course toward a better system for those Nebraskans and their families.”
This concept paper outlines the current challenges in the LTSS system, the Division’s guiding principles for the redesign, and solicits input from stakeholders in several key areas. Over the next year, MLTC will work with LTSS stakeholders exploring opportunities for improving the LTSS system.
“This concept paper is an important first step to ignite a discussion with our stakeholders,” said Calder Lynch, Director of the Division of Medicaid and Long-Term Care. “We know we can do better in serving older Nebraskans and individuals with disabilities. The redesign project offers us the opportunity to work collaboratively to evaluate the current system … what works, what does not, and what needs improvements. From there, we will work together to develop a system to best serve the needs of Nebraskans.”
The LTC redesign project will be a DHHS-wide initiative. While it will focus on opportunities for improvement in Medicaid LTSS service delivery, DHHS also seeks recommendations for other DHHS-administered programs that should be included in the project’s scope, including services administered by the Division of Developmental Disabilities, the Division of Children and Family Services, and the State Unit on Aging. The LTC redesign project will be guided by six key principles:
  • Improve the quality of services and health outcomes of recipients;
  • Promote independent living in the least restrictive setting through the use of consumer- focused and individualized services and living options;
  • Strengthen access, coordination, and integration of care through streamlined LTSS eligibility processes and collaborative care management models; 
  • Strengthen access, coordination, and integration of care through streamlined LTSS eligibility processes and collaborative care management models;
  • Improve the capacity to match available resources with individual needs through innovative benefit structures.
  • Streamline and better align the programmatic and administrative framework to decrease fragmentation for clients and providers.
  • Refocus and rebalance the system in order to match growing demand for supports in a sustainable manner.
MLTC has identified several areas of opportunity to improve the LTSS programs and is seeking feedback from individuals receiving services, their families, advocacy organizations, providers, care coordination agencies, legislators, and any other interested members of the public through the concept paper. These areas include:
  • Program Administration;
  • Assessing Need;
  • Care Coordination;
  • Service Array and Authority;
  • Provider Management and Reimbursement;
  • Quality Promotion and Measurement; and,
  • Delivery System.
In addition, MLTC will soon release a request for proposals (RFP) to select and engage a technical assistance consultant to work with the division to gather stakeholder input, study best practices and develop recommendations and work plans for the redesign effort.
A copy of the concept paper is available at  .  There, individuals and groups will see specific instructions and opportunities to submit feedback directly to MLTC and sign up to remain informed as the program proceeds. Additionally, interested parties can submit information or questions, comments, and other feedback to:
After MLTC receives feedback from its stakeholders on the redesign plan, the opportunities for improvement identified will begin to be implemented in 2017.