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For Immediate Release
October 31, 2011

Marla Augustine, Communications and Legislative Services, (402) 471-4047

Department of Health and Human Services to Hold Hearing November 3 on Proposed Changes to Medicaid Regulations

Lincoln – The Nebraska Department of Health and Human Services (DHHS) Division of Medicaid and Long-Term Care is holding a hearing to accept comments on proposed regulations related to Medicaid coverage for mental health and substance abuse services for children and adolescents to bring the regulations into compliance with federal Medicaid regulations. The hearing will be held November 3, 9:30 a.m., in the Nebraska State Office Building, 301 Centennial Mall South, Lower Level, Conference Room A, in Lincoln.
The proposed changes to the regulations will:
  • Revise mental health and substance abuse service definitions and rate methodology, including the unbundling of some existing bundled rates;
  • Clarify that Medicaid is not able to pay for medical services in an Institution of Mental Disease, unless the patient is under age 21 and the facility meets the federal requirements for a Psychiatric Residential Treatment Facility (PRTF);
  • Clarify that Medicaid is not able to pay for room and board in Therapeutic Group Homes;
  • Provide that Medicaid can pay only for non-emergency physician medical services and medications that are on a patient’s Active Treatment Plan and delivered in the PRTF by the PRFT.
Anyone may attend and comment at a hearing or submit comments in writing. Written comments will be given the same consideration as comments made in person. Written comments must be postmarked or received by 5:00 p.m. CT, November 5, and should be sent to DHHS Legal Services, 301 Centennial Mall South, P.O. Box 95026, Lincoln, NE 68509-5026, fax 402-742-2382, or e-mailed to Copies of written comments and names of persons submitting them will be available after the hearing from DHHS as above.
Draft regulations are available online at Draft regulations are also available at DHHS as above, phone 402-471-9022, and at the office of the Secretary of State, Regulations Division, Room 1305, State Capitol, Lincoln, NE 68509, phone 402-471-2385. Draft fiscal impact statements for these regulations are available at DHHS as above.
If auxiliary aids or reasonable accommodations are needed to participate in a hearing, please call 402-471-9022. For persons with hearing impairments, please call DHHS at 402-471-9570 (voice and TDD) or the Nebraska Relay System at 711 or 800-833-7352 TDD at least 2 weeks before the hearing date.