Nebraska Medicaid Program
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)
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.
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)
Further questions or requests for information can be sent to Eric Sergeant via email at: DHHS.PRTF@Nebraska.gov.
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