Providers of Medicaid HCBS Waiver Services

 
4
Medicaid Related Assistance
Developmental Disabilities
No

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What you need to know

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​As a provider, you are responsible to know the information on this page, as well as the information on the page specific to the waiver for which you offer services.

New Provider Forum for Upcoming EVV Changes (Posted July 25, 2024)

The Nebraska Department of Health and Human Services would like to invite providers to attend a forum that has been scheduled to give providers the opportunity to be heard and ask questions related to the upcoming EVV changes communicated in Provider Bulletin 24-16 . The department apologizes for the technical difficulties experienced during the State of Nebraska PCS EVV Town Hall held on July 24th that prevented the department from being able to take questions and provide answers. The department has scheduled a follow up forum to provide additional information and to provide an opportunity for important stakeholder interaction, and questions. Please see below for information regarding this upcoming PCS EVV Changes Provider Forum. 

PCS EVV Changes Provider Forum Date/Time:  

PCS EVV Changes Provider Forum Agenda:

  • Overview of Why PCS Changes are Occurring
  • Review Frequently Asked Questions Received to Date
  • Information, Resources, and Support
  • Changes planned for future Town Halls
  • Live Question and Answer Session

Additional Resources:

The department appreciates your participation and values your feedback, questions, and perspective.​


August 14, 2024​ EVV Changes

In 2020, Nebraska Medicaid announced that PAS and HCBS Providers were required to use the EVV system for their billing as of January 2021. Recent audit findings show that providers have not complied with the regulations outlined in Nebraska Administrative Code (NAC) titles, 403, 404, 471, and 480. The audit determined that providers are out of compliance with the state and federal regulations that establish that the caregiver was with the client completing services. Claims can only be submitted for payment when the caregiver follows these requirements to substantiate their presence with the client. Per the 21st Century Cures Act, all Providers participating in the Medicaid program who render Personal Care Services (PCS) or Home Health Services (HHCS) are required to use the EVV system.

This communication is to inform providers of upcoming changes to the EVV system announced via PB 24-16, requiring that providers use visit verification and obtain client signatures on all visits in order to bill for payment. To view the State Electronic Visit Verification Bulletin that pertains to these EVV updates click here: 

Nebraska Medicaid and Netsmart will be hosting three virtual townhalls for providers. Please ensure you or a representative can attend one of the below listed townhall webinars to learn important information on upcoming system changes related to the audit findings and how to navigate them within the Netsmart system.

Please attend one of the Town Hall meetings below:

Additional login methods can be found on the event listing on the DDD calendar at the bottom of the DDD homepage.

Meetings will be recorded for future reference and can be found here.

EVV Single Audit Frequently Asked Question



Conversations with the DDD Quality Unit (Quarterly Meetings) - June 2024

The DDD Quality Unit, along with Liberty Healthcare, hosts quarterly meetings for providers of all HCBS Waiver services. 

All meetings are from 1:30 PM to 2:30 PM, Central Time. Meetings are held on Webex.

Upcoming Meetings - Meetings are typically held the fourth Tuesday of every third month. 

​Slides from previous Quality Meetings

DDD Provider Meetings - Quarterly Meetings for HCBS Providers - May 2024

Beginning in 2024, DDD is hosting quarterly meetings for providers of all HCBS Waivers.  

All meetings from 10:00 AM to 12:00 PM, Central Time. Meetings are held on Webex.

Upcoming Meetings

Slides from previous Provider Meetings

Previous meetings can be found on the page specific to the provider audience: AD and TBI Waiver Provider page and DD Provider page.​ 

HCBS Final Settings Rule - June 2024

Do you have questions about the Final Settings Rule? Do you want more information and training before CMS does on-site visits in Nebraska? The DHHS Quality Team can help!

The Division of Developmental Disabilities (DDD) has been offering virtual Q&A sessions about the HCBS Final Settings Rule since March 31, 2023. These are currently on hold. 

Join meetings from the DDD calendar at the bottom of the DDD​ homepage.

HCBS Spending Plan - April 2024

​Nebraska Medicaid's spending plan for the additional funds available for home and community-based services (HCBS) through the American Rescue Plan Act received conditional approval from the federal government on January 31, 2022. 

Medicaid's most recent update to CMS can be found on the Medicaid Provider page​.

Quality Management Framework

Introduction to implementing a quality management framework for your organization to better the outcomes of everyone you serve.


Resources to Mitigate Risk


​​Join the HCBS Email List

Want to stay up to date? Sign up for our stakeholder email list! You will receive emails about upcoming changes and public events hosted by DDD. You will also receive emails with local and federal information affecting the people we serve. To sign up, email: DHHS.DDDCommunityBasedServices@nebraska.gov

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