PicturesAgingMedicaid Waiver InitiativePress ReleasesSearch NEBRASKA MEDICAID PROGRAM Page Content Medicaid Program Home Medicaid Services Medicaid Reform Medical Assistance Advisory Committee Current Initiatives Contacts Medicaid Electronic Health Record (EHR) Incentive Program Medical Necessity Guideline and Criteria Provider Information Program Integrity CHIP Managed Care Pharmacy Services Rules and Regulations Medicaid State Plan Electronic Data Interchange Client Information Recent Web Updates Nebraska Medicaid Program Provider Information Adult Institutions for Mental Diseases (IMDs) Nebraska Medicaid is currently working through a compliance plan with the Centers for Medicare & Medicaid Services (CMS) related to Adult IMDs. As updates and information are available they will be posted to this page. An IMD is defined as “a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment, or care for persons with mental diseases, including medical attention, nursing care, and related services.” Medicaid reimbursement is not available for any people between the ages of 21 and 65 years old who are living in an IMD. Institutions for Mental Diseases (IMDs) Adult IMD Questions and Answers This document consists of questions related to IMDs. The questions were solicited from providers and gathered via email/phone/in-person. The answers were developed with feedback from consultants at Mercer Health & Benefits LLC. State Medicaid Manual 4390 This document from the Centers for Medicare and Medicaid Services (CMS) contains additional information on the federal guidelines related to IMDs. For clients age 21 and younger, information regarding youth residential treatment services (including PRTFs) can be found at the following link: Youth Residential Treatment Services Further questions or requests for information can be sent to Eric Sergeant via email at: DHHS.AdultIMD@Nebraska.gov Documents in PDF format require the use of Adobe Acrobat Readerwhich can be downloaded for free from Adobe Systems, Inc.