Provider Resources

Medicaid & Long-Term Care

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What you need to know

​​​​​​​​The State Unit on Aging oversees a number of service providers. This page contains information, guidance, online resources, and other tools for these service providers. Public resources can be found on the Resources for You page.

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    Helpful Links


    Forms and Guidance Documents

    These documents should help service providers serve older Nebraskans and Nebraskans with disabilities.

    View COVID-19 specific service provider documents

    ADRC Request for InformationADRC Request for Information.pdf
    Area Plan Budget Request and Revision Template FY 2022Area Plan Budget Request and Revision Template FY 2022.xlsx
    Area Plan Reservation Table FY 2022Area Plan Reservation Table FY 2022.pdf
    Budget Request and Revision TemplateBudget Request and Revision Template.xlsx
    Care Management AssessmentCare Management Assessment.pdf
    Caregiver Assessment (with Gender Identity)Caregiver Assessment (with Gender Identity).docx
    Caregiver AssessmentCaregiver Assessment.docx
    Caregiver Case Management File Review ChecklistCaregiver Case Management File Review Checklist.docx
    COVID-19 Services + ReportingCOVID-19 Services + Reporting.pdf
    Current AAA and ADRC MapCurrent AAA and ADRC Map.pdf
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    Active Program Instructions

    SFY 23SUA-22-PI-11-Caregiver Case Management QA Review Form
    SFY 23SUA-22-PI-10 Care Management Unit Rates FY23
    SFY 23SUA-22-PI-09 ADRC APO Budget + Service Narratives
    SFY 22SUA-22-PI-08 Care Management Sliding Fee Scale - 2022 - Revised
    SFY 22SUA-22-PI-06 Aging Services Regulations Chapter 5 - Revised
    SFY 22SUA-22-PI-05 FY23 Senior Volunteer Program Application and Instructions with Attachments
    SFY 22SUA-22-PI-04 FY23 Area Plan Update + Reservation Table + Budget Template REVISED
    SFY 22SUA-22-PI-03 2020-2025 Dietary Guidelines for Americans
    SFY 22SUA-22-PI-02 Legal Units
    SFY 22SUA-22-PI-01 ADRC Data Information
    1 - 10Next

    Active Information Memoranda

    SFY 23SUA-23-IM-04 - SVP Request for Information
    SFY 23SUA-23-IM-03 - ADRC Request for Information
    SFY 23SUA-23-IM-02 - SVP Competetive Grant Information
    SFY 23SUA-23-IM-01 - ADRC Competetive Grant Information
    SFY 22SUA-22-IM-03 - Care Management Care Plans
    SFY 22SUA-22-IM-02 FY21 ARPA Award Proposal
    SFY 22SUA-22-IM-01 - Units of Information Services
    SFY 21SUA-21-IM-01 - Disaster - Pandemic Reopening Planning Considerations
    SFY 20SUA-20-IM-17 Comprehensive Caregiver Assessment
    SFY 20SUA-20-IM-16 PeerPlace Anonymous Client Guidance
    SFY 20SUA-20-IM-15 PeerPlace Internal Software Consent-Permission Policy
    SFY 20SUA-20-IM-14 PeerPlace Client Notes and Case Notes
    SFY 20SUA-20-IM-13 PeerPlace Care Management Fee Statement Terms
    SFY 20SUA-20-IM-12 Locally Grown Produce and Title III-C1 and C2
    SFY 20SUA-20-IM-11 Service Participant Validation
    SFY 20SUA-20-IM-10 Indirect Costs vs. Area Plan Administration Costs
    SFY 20SUA-20-IM-09 Time Study Guidance
    SFY 20SUA-20-IM-09 Time Study Excel Template
    SFY 20SUA-20-IM-08 Title III-E Caregivers Defined
    SFY 20SUA-20-IM-01 Senior Centers and Webinars
    SFY 19SUA-19-IM-04 Home Modifications

    Monitoring Tools

    Monitoring Tools (Word documents) need to be completed and returned 3-4 weeks before the scheduled monitoring date. Depending on computer security settings, you may need to click on the View menu, and select Edit Document ​to complete the forms.

    Review Forms (PDFs) will be used by the SUA to evaluate files.

    State Fiscal Year 2023 monitoring will take place between July 1, 2022 through June 30, 2023​​.

    ADRC Monitoring Tool
    Care Management File Review Form
    Care Management Monitoring Tool
    Case Management File Review Form
    Disaster Plan Evaluation Tool
    Disaster Plan Review AAA
    Financial Site Visit Review Form
    Fiscal Monitoring Tool
    Governance Data
    Governance Monitoring Tool
    Legal Contracting Attorney Legal Aid Contracts Monitoring Tool
    Legal Elder Access Line Monitoring Tool
    LTCO Monitoring Tool
    Senior Volunteer File Review Form
    Senior Volunteer Program Monitoring Tool
    Title III-B Monitoring Tool
    Title III-C1 & C2 (Nutrition) Monitoring Tool
    Title III-D (Health) Monitoring Tool
    Title III-E Monitoring Tool


    State Unit on Aging
    Medicaid & Long-Term Care / Department of Health & Human Services
    Phone Number
    (402) 471-2307
    Fax Number
    (402) 742-8388
    Mailing Address
    P.O. Box 95026, Lincoln, Nebraska 68509-5026