Nebraska Medicaid Program

Managed Long-Term Services and Supports

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Nebraska Medicaid has been in the process of developing a statewide Medicaid managed care program for the delivery of long-term services and supports (MLTSS).  Examples of long-term services and supports include nursing facility services, Personal Assistance Service (PAS), home health services, and home and community-based waiver services such as Assisted Living; Home Care/Chore; Home-Delivered Meals; Personal Emergency Response Systems; and Respite Care.

In addition to long-term services and supports, the benefit package for MLTSS will include physical and behavioral health care, dental care, and pharmacy.

Upon thoughtful consideration, Nebraska Medicaid has decided to temporarily suspend work on MLTSS.  This is necessary at this time to devote Department resources to the application for a Balancing Incentive Program (BIP) grant by July 31st of this year as required by LB 690 passed in the most recent legislative session.  The BIP grant will put in place infrastructure to strengthen access to long-term services and supports statewide.  The components of the infrastructure include a No Wrong Door/Single Point of Entry system, a standardized comprehensive needs assessment, and conflict free case management for clients receiving community long-term services and supports.  The results of the BIP will be evaluated to inform the MLTSS effort.

Nebraska Medicaid remains committed to implementation of MLTSS and the goals of –

  • Improving client health status and quality of life by better coordination of medical care, behavioral health care, and community-based services and supports.
  • Promoting client choice and use of the right services and supports at the right time in the right amount.
  • Increasing client access to responsive, quality services and supports.
  • Using financial resources wisely to sustain Nebraska Medicaid.
Check this website frequently for updates as the program develops.


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