Medicaid Providers

Medicaid Related Assistance

Medicaid & Long-Term Care

https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NEDHHS_98

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What you need to know

Nebraska Medicaid partners with thousands of healthcare providers across the state to care for the state's Medicaid members. Included below is information for Medicaid providers, such as billing, enrollment, bulletins, and more.

COVID-19 Provider Calls

This call series ended on August 7, 2024. If providers have any questions, they are welcome to contact the Medicaid program at DHHS.MLTCExperience@nebraska.gov.

For notes and audio of past calls, see below.

Home and Community-Based Services Spending Plan - Updated October 2, 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. These funds will be available through March 31, 2025. Medicaid will submit a final spending plan report to the federal government in April 2025.

Medicaid's most recently approved quarterly update to CMS is below:

Quarterly Spending Plan Update (April 17, 2024)
HCBS Spending Plan Approval (September 30, 2024)

FFY25 Q1 ARPA Spend Plan Appendices B and C (September 30, 2024)

Below are previous spending plan updates and correspondence from the federal government:

Quarterly Spending Plan Update (August 1, 2024)

FFY24 Q4 ARPA Spend Plan Appendices B and C (April 17, 2024)

Quarterly Spending Plan Update (January 17, 2024)

FFY24 Q3 ARPA Spend Plan Appendices B and C (January 17, 2024)

Quarterly Spending Plan Update (October 18, 2023)

FFY24 Q2 ARPA Spend Plan Appendices B and C (October 18, 2023)

Quarterly Spending Plan Update (July 18, 2023)
Quarterly Spending Plan Update (April 17, 2023)
Quarterly Spending Plan Update (January 17, 2023)
Quarterly Spending Plan Update (October 18, 2022)
Quarterly Spending Plan Update (July 14, 2022)
Quarterly Spending Plan Update (April 15, 2022)
FFY 2022 - Q3 Spending Plan Approval (From CMS, May 2, 2022)
HCBS Spending Plan - Conditional Approval (From CMS, January 31, 2022)
Quarterly Spending Plan Update (January 31, 2022)
Nebraska Medicaid Quarterly Spending Plan Update (October 15, 2021)
HCBS Spending Plan - Partial Approval (From CMS, September 30, 2021)
Nebraska HCBS Spending Plan (July 12, 2021)

Payment Information

Claims

Provider Bulletins & Guidance

Provider Enrollment

Electronic Data Interchange

Program Integrity

Civil Money Penalty Program

Client Eligibility Verification

Report Medicaid Provider Allegations

Utilization Management

Medicaid Disability Reviews

Medicaid Behavioral Health Services

Sanctioned Providers

Electronic Health Records Incentive Program

Pharmacy Information

Drug Utilization Review

School-Based Services

Aged and Disabled Waiver Rate Study

DHHS contracted with CBIZ Optumas and their subcontractor Myers and Stauffer, LC to complete a rate study for the Aged and Disabled Waiver and Personal Assistance Services in 2022. The goal was to establish a rate model for services provided to the aged and individuals with disabilities.

This rate study included opportunities for direct care providers and other stakeholders to provide feedback on the cost of doing business in delivering services. Services reviewed:

Assisted Living
Adult Day Health
Personal Care
Respite Care
Chore
Companion
Extra Care for Children with Disabilities (sometimes called Disability-Related Childcare)
Home Again Service
Independence Skills Building
Transportation
Home Delivered Meals
Personal Assistance Services (PAS) through the Medicaid State Plan