Nebraska Medicaid Program

Provider Information

Youth Residential Treatment Services

Youth residential treatment services are clinically necessary services provided to clients who require professional, medical, and highly structured 24-hour care at a greater intensity than that available in an Outpatient setting. Starting July 2011, Nebraska Medicaid will reimburse youth residential treatment services for only the following two levels of care: Therapeutic Group Home and Psychiatric Residential Treatment Facility.

Throughout 2010-2012, Nebraska Medicaid will be working through our compliance plan with the Centers for Medicare & Medicaid Services (CMS) related to these residential treatment services. As updates and information are available they will be posted to this page.

Therapeutic Group Homes (ThGH)

  • PDF Promising Practices Model Information This document contains a description of service expectations for ThGHs within the context of a promising practice model. This document was created in conjunction with clinical and regulatory guidance from consultants at Mercer Health & Benefits LLC and with further input from Nebraska Medicaid Mental Health/Substance Abuse providers.

  • PDF ThGH Questions and Answers This document consists of ThGH questions solicited from providers and gathered via email/phone. The answers were developed with feedback from consultants at Mercer Health & Benefits LLC.

Psychiatric Residential Treatment Facilities (PRTFs)

  • PDF PRTF Questions and Answers This document consists of questions related to PRTFs and Institutions for Mental Diseases (IMDs). The questions were solicited from providers and gathered via email/phone. The answers were developed with feedback from consultants at Mercer Health & Benefits LLC.

Further questions or requests for information can be sent to via email at: DHHS.MedicaidMHSU@nebraska.gov.


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