This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a change to the payment rate for Enhanced Primary Care (EPC) provider claims.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment (SPA) to add certified lactation consultants (CLCs) as an approved provider type for breastfeeding instruction sessions.
In accordance with 42 CFR 431.408, the Nebraska Department of Health and Human Services (DHHS), is providing public notice that it is withdrawing its proposed Section 1115 Sustainable Coverage Demonstration application from consideration by the Centers for Medicare and Medicaid Services (CMS).
On February 23, 2026, DHHS published public and tribal notices regarding its intent to submit a five-year Section 1115 demonstration application seeking approval to limit retroactive Medicaid eligibility for the full Medicaid population, referred to as the Sustainable Coverage Demonstration. The proposed demonstration anticipated an effective date of October 1, 2026.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services (DHHS) Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will implement provider requirement changes to the aged, blind, and disabled (ABD) and aid to families with dependent children (AFDC) targeted case management (TCM) services.
In accordance with 42 CFR 431.408, the Nebraska Department of Health and Human Services (DHHS) is providing public notice of its intent to submit an application to the Centers for Medicare & Medicaid Services (CMS) under Section 1115 of the Social Security Act.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment (SPA) to align the State Plan language with the current Centers for Medicare & Medicaid Services (CMS) Program of All-Inclusive Care for the Elderly (PACE) preprint. The proposed SPA will also clarify language in the State Plan regarding rates and payment methodologies.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a 1915(i) waiver for adults with serious mental illness (SMI).
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement updates to coverage of inpatient hospital care.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement services for justice-involved youth.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a change to Nebraska Medicaid's dental screenings under Early Period Screening, Diagnosis and Treatment (EPSDT) program.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement A Postpartum Home Program (PHP) which provides targeted case management (TCM) services for postpartum women and children up to 12 months old.
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will implement changes for pregnancy-related and postpartum services.
In accordance with 42 CFR 431.408, the Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) is providing public notice of its intent to submit an amendment application to the Centers for Medicare and Medicaid Services (CMS) under Section 1115 of the Social Security Act.
Posted: June 30, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement an adjustment to Nebraska Medicaid's payment rates for applied behavioral analysis (ABA) services.
Effective August 1, 2025, Nebraska Medicaid is updating payment rates for ABA services to align more closely with other state Medicaid programs. Nebraska Medicaid is making this adjustment to the rates to ensure these services remain fiscally sustainable in the coming years while ensuring these services remain available and accessible to Nebraska Medicaid beneficiaries who require them. There is no material fiscal impact for fee-for-service expenditures, as the vast majority of the expenditures occur in the managed care delivery system in Nebraska.
The estimated decrease in annual aggregate expenditures is:
FFY25: $0
FFY26: $0
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: June 27, 2025
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan (ABP) for an Expanded Adult Population Nebraska Alternative Benefit Plan (ABP)
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and also serves to open the 30-day public comment period. All comments must be received by July 26, 2025.
The Nebraska Department of Health and Human Services will submit a SPA to establish the Certified Community Behavioral Health Clinic (CCBHC) program. This program will serve individuals eligible for Medicaid or Children's Health Insurance Program (CHIP) and will focus on providing integrated, comprehensive health services that focus on behavioral health. Provided services will include the following: mental health and substance use evaluation and treatment; crisis mental health response; primary care screening and monitoring; targeted case management; psychiatric rehabilitation; and peer and family supports.
Effective January 1, 2026.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the SPA to the Centers for Medicare and Medicaid Services no later than August 1, 2025.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on June 26, 2025. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services. All comments must be received by July 26, 2025.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: June 26, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement the Certified Community Behavioral Health Clinics program.
The proposed state plan amendment is effective January 1, 2026.
The estimated increase in annual aggregate expenditures is:
FFY26: $91,594 ($68,396 Federal funds / $23,198 General funds)
FFY27 : $123,335 ($92,098 Federal funds / $31,237 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 30, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding the new inflation factor for payment rates for services provided by intermediate care facility for individuals with developmental disabilities (ICF-DD) in accordance with Nebraska Revised Statute § 68-1804.
For the rate period of July 1, 2025, through June 30, 2026, the ICF-DD inflation factor is 24.85%.
The estimated decrease in annual aggregate expenditures is:
FFY25: $83,653 ($48,117 Federal funds / $35,536 General funds)
FFY26: $334,612 ($187,182 Federal funds / $147,430 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 30, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding its intention to submit a state plan amendment (SPA) to update the nursing facility rate inflation factor as a result of rebasing for state fiscal year 2026.
Effective July 1, 2025, the inflation factor for the nursing facility rate period of July 1, 2025, through June 30, 2026 is 1.49%.
The estimated decrease in annual aggregate expenditures is:
FFY25: $584,601 ($336,262 Federal funds / $248,339 General funds)
FFY26: $2,338,403 ($1,308,103 Federal funds / $1,030,300 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 30, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will update the Medicaid State Plan to reflect current inpatient provider rates for state fiscal year 2026.
Effective July 1, 2025, MLTC will update the Medicaid State Plan to reflect an updated payment methodology for bone marrow transplants provided in the inpatient setting, effective dates for payment rates for psychiatric residential treatment facilities, as well as technical changes related to graduate medical education payments.
There is no estimated aggregate change in spending.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 30, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will update the Medicaid State Plan to reflect current outpatient and professional provider rates for state fiscal year 2026.
Effective July 1, 2025, MLTC will update the Medicaid State Plan to reflect current payment rates for state fiscal year 2026. These updates will include updating payment rate effective dates, technical changes related to graduate medical education payments, and new language related to per diem payments for attendants of Medicaid beneficiaries. This state plan amendment also includes language clean-up related to payment for services provided via telehealth, noting that MLTC does not reimburse for transmission costs related to rendering telehealth services.
There is no estimated aggregate change in spending.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 23, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will implement a consolidation, removal, and increase to psychiatric residential treatment facility (PRTF) level of care reimbursements.
Effective July 1, 2025, MLTC plans to submit a state plan amendment (SPA) to consolidate PRTF levels of care, remove the specialty service rate, and increase rate reimbursement for the community-based level of care.
The estimated increase in annual aggregate expenditures is:
FFY25: $0 ($0 Federal funds / $0 General funds)
FFY26: $0 ($0 Federal funds / $0 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 22, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement changes to the Medicaid School-Based Services program which will allow the state to reimburse Medicaid-approved services provided in schools outside of individualized education plans and individualized family support plans to include any Medicaid service documented as a medical necessity. This will include all students who are currently enrolled in Medicaid.
The effective date is July 1, 2025.
The estimated increase in annual aggregate expenditures is:
FFY25: $491,319 ($297,481 Federal funds / $193,839 General funds)
FFY26: $2,528,841 ($1,487,405 Federal funds / $1,041,436 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 16, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement changes to the outpatient physician practitioner fee schedule. The changes aim to improve access to care through increasing rates across a broad range of physical health services provided by non-hospital providers, with an emphasis on evaluation and management services, labor and delivery services, and rural services.
The effective date is January 1, 2026.
The estimated increase in annual aggregate expenditures is:
FFY26: $116,029 ($75,338 Federal funds / $40,691 General funds)
FFY27: $158,574 ($102,962 Federal funds / $55,612 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: April 29, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services (DHHS) Division of Medicaid and Long-Term Care (Medicaid) hereby provides notice that it will implement targeted case management (TCM) services for individuals with developmental disabilities (DD).
Effective July 1, 2025, Medicaid will update developmental disability (DD) targeted case management (TCM) to implement a freedom of choice exception. This exception will limit the type of provider who can deliver TCM services. The provider type will be limited to DHHS DD service coordinators.
The estimated increase in annual aggregate expenditures is:
FFY25: $0.00 ($0.00 Federal funds / $0.00 General funds)
FFY26: $0.00 ($0.00 Federal funds / $0.00 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: April 24, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement new provisions surrounding the applicability of the “four walls" rule under the Medicaid clinic services benefit for tribal health providers.
Effective January 1, 2025, Medicaid will allow for coverage of clinic services provided by Indian Health Service (IHS) and tribal clinics to beneficiaries in settings outside their clinic locations. This change will allow for qualifying services provided outside of IHS/tribal clinics to be reimbursed at the IHS all-inclusive rate. Prior to this policy change, IHS and tribal clinics were required to provide services on site to be eligible for reimbursement from Medicaid. This change allows these providers greater flexibility in providing services to patients with higher health care needs. This policy change is required under federal regulations at 42 C.F.R. § 440.90(c).
The estimated increase in annual aggregate expenditures is:
FFY25: $204,413 ($204,413 Federal funds / $0 General funds)
FFY26: $286,178 ($286,178 Federal funds / $0 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: March 31, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement targeted case management (TCM) services for adults with a serious mental illness.
Effective 04/01/2025, Nebraska Medicaid will provide TCM services to adults age 19 and older who have a serious mental illness as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM). Nebraska Medicaid's intended payment methodology is to use state staff to provide the TCM services. For individuals who are being serviced by a certified community behavioral health center (CCBHC), the CCBHC shall provide TCM.
The estimated increase in annual aggregate expenditures is:
FFY25: $1,703,808 ($1,256,729 Federal funds / $447,079 General funds)
FFY26: $3,407,616 ($2,486,537 Federal funds / $921,079 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: February 5, 2025
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will expand eligibility requirements for the Therapeutic Family Care (TFC) program.
The Division of Medicaid plans to submit a state plan amendment (SPA) to amend the TFC program. This amendment will allow probation involved, Medicaid eligible children, and youth up to age 19 to enroll in the program if all other program requirements are met.
The proposed effective date is April 1, 2025.
There is no change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax (402) 471-9092 or email to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: November 18, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a 1915(i) state plan amendment for adults with serious mental illness.
Effective April 1, 2025, Nebraska Medicaid will submit a 1915(i) state plan amendment that will serve Medicaid eligible adults with a serious mental illness. Services included in the state plan amendment are transitional support services, supported housing for individuals with serious mental illness, and supported employment extended services.
The estimated increase in annual aggregate expenditures is:
FFY25: $13,026,269 ($9,608,177 Federal funds / $3,418,092 General funds)
FFY26: $26,052,537 ($19,010,536 Federal funds / $7,042,001 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: November 18, 2024
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan (ABP) for an Expanded Adult Population
Nebraska Alternative Benefit Plan (ABP)
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and also serves to open the 30-day public comment period. All comments must be received by December 18, 2024.
Effective April 1, 2025, Nebraska Medicaid will submit a state plan amendment that will implement services for Medicaid eligible adults with a serious mental illness. Services included in the SPA are transitional support services, supported housing for individuals with serious mental illness, supported employment extended services, and targeted case management.
Effective April 1, 2025.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the SPA to the Centers for Medicare and Medicaid Services no later than January 2, 2025.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on November 18, 2024. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services. All comments must be received by December 18, 2024.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: November 18, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement targeted case management (TCM) services for adults with a serious mental illness.
Effective April 1, 2025, Nebraska Medicaid will provide TCM services to adults age 19 and older who have a serious mental illness as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM).
The estimated increase in annual aggregate expenditures is:
FFY25: $1,703,808 ($1,256,729 Federal funds / $447,079 General funds)
FFY26: $3,407,616 ($2,486,537 Federal funds / $921,079 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: October 29, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that it will implement updates to cost-effectiveness requirements for the Katie Beckett Program.
Effective December 1, 2024, MLTC plans to submit a state plan amendment (SPA) to update the Katie Beckett Program's cost-effectiveness calculation for hospital, intermediate care facility (ICF), and nursing facility (NF) level of care recipients. If eligible for the program, an individual will have to meet the cost-effectiveness requirements.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: October 1, 2024
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan for an Expanded Adult Population
Nebraska Alternative Benefit Plan
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and also serves to open the public comment period. All comments must be received by October 15, 2024.
Effective January 1, 2025, the Nebraska Department of Health and Human Services will submit a SPA to create a Prenatal Plus Program. This program will be provided to pregnant mothers who are eligible for Medicaid or Children's Health Insurance Program (CHIP) and are determined by a health care provider to be at risk of having negative maternal or infant health outcomes. Program services include targeted case management, nutrition counseling, psychosocial counseling and support, breastfeeding support, and general health education and promotion.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the amended SPA to the Centers for Medicare and Medicaid Services no later than October 31, 2024.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on September 6, 2024. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services. All comments must be received by October 15, 2024.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: September 13, 2024
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan for an Expanded Adult Population
Nebraska Alternative Benefit Plan
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and also serves to open the public comment period. All comments must be received by September 27, 2024.
Effective July 1, 2024, the Division of Medicaid and Long-Term Care is submitting a SPA to begin coverage of interpretation services that are provided in conjunction with another Medicaid covered service. Enrolled Medicaid providers who require interpretation services in order to effectively deliver health care services may bill Medicaid for services provided by an interpreter who is a staff member of the billing provider, an individual or agency contracted with the billing provider, or through an interpretation phone service contracted with the billing provider. Interpretation services may include verbal translation as well as interpretation services for those who are deaf or hard of hearing. Fees for interpretation services will be paid to the Medicaid-enrolled, billing health care provider.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the amended SPA to the Centers for Medicare and Medicaid Services no later than September 30, 2024.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on May 31, 2024. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services. All comments must be received by September 27, 2024.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: August 29, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a Prenatal Plus Program.
Effective January 1, 2025, this program will be provided to pregnant mothers who are eligible for Medicaid or Children's Health Insurance Program (CHIP) and are determined by a health care provider to be at risk of having negative maternal or infant health outcomes. Program services include targeted case management, nutrition counseling, psychosocial counseling and support, breastfeeding support, and general health education and promotion.
The estimated increase in annual aggregate expenditures is:
FFY25: $2,910,000 ($1,673,832 Federal Funds / $1,236,168 State Funds)
FFY26: $3,957,600 ($2,276,412 Federal Funds / $1,681,188 State Funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: August 29, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will expand eligibility requirements for the Therapeutic Family Care (TFC) program.
Effective January 1, 2025, the Division of Medicaid and Long-Term Care (MLTC) plans to submit a state plan amendment (SPA) to amend the Therapeutic Family Care (TFC) program. This amendment will allow probation involved, Medicaid eligible children and youth up to age 19 to enroll in the program if all other program requirements are met.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICEPosted: August 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment to clarify agency policies and provider requirements for rural health clinics (RHCs).
The effective date of this proposed amendment is October 1, 2024.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: August 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment to clarify agency policies and provider requirements for federally qualified health centers (FQHCs).
The effective date of this proposed amendment is October 1, 2024.
There is no expected change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: August 27, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement updates to coverage of inpatient hospital care.
Effective October 1, 2024, Medicaid and Long-Term Care will submit a state plan amendment to revise the language in Attachment 4.19-A to align with style and formatting changes being proposed to state regulations. These changes are technical in nature and do not include substantive policy changes.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: August 27, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will submit a state plan amendment (SPA) to make technical changes which do not impact the payment calculations for direct medical education, indirect medical education, and supplemental graduate medical education payments to eligible teaching hospitals in the state.
Effective October 1, 2024, the Division of Medicaid and Long-Term Care is submitting a SPA to update the calculation of medical education payments made by the state's contracted Medicaid managed care organizations, to update language in the state plan clarifying the calculation of transplant direct medical education payments, and make technical changes to the language for graduate medical education payments.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICEPosted: July 1, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a new eligibility group within the Katie Beckett program.
Effective, July 2, 2024, the nursing home (NH) level of care is being added to the program eligibility requirements. If a child meets the NH level of care, and all other eligibility requirements, they may be eligible for the Katie Beckett program.
There is no expected, estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement Medicaid coverage of interpretation services as required by LB 62 (2023).
Effective July 1, 2024, the Division of Medicaid and Long-Term Care is submitting a state plan amendment to begin coverage of interpretation services that are provided in conjunction with another Medicaid covered service. Enrolled Medicaid providers who require interpretation services in order to effectively deliver health care services may bill Medicaid for services provided by an interpreter who is a staff member of the billing provider, an individual or agency contacted with the billing provider, or through an interpretation phone service contracted with the billing provider. Interpretation services may include verbal translation as well as interpretation services for those who are deaf or hard of hearing. Fees for interpretation services will be paid to the Medicaid-enrolled, billing health care provider.
The estimated increase in annual aggregate expenditures is:
FFY24: $65,499 ($38,383 Federal funds / $27,116 General funds)
FFY25: $261,997 ($150,701 Federal funds / $111,296 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding its intention to submit a state plan amendment (SPA) to update the nursing facility rate inflation factor for state fiscal year 2025.
Effective July 1, 2024, the inflation factor for the nursing facility rate period of July 1, 2024, through June 30, 2025 is 6.67%.
The estimated increase in annual aggregate expenditures is:
FFY24: $12,103,835 ($7,092,847 Federal funds / $5,010,988 General funds)
FFY25: $48,415,340 ($27,848,504 Federal funds / $20,566,836 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding the new inflation factor for payment rates for services provided by intermediate care facility for individuals with developmental disabilities (ICF-DD) in accordance with Nebraska Revised Statute § 68-1804.
For the rate period of July 1, 2024, through June 30, 2025, the ICF-DD inflation factor is 19.05%.
The estimated increase in annual aggregate expenditures is:
FFY24: $483,400 ($283,272 Federal funds / $200,128 General funds)
FFY25: $1,933,600 ($1,112,207 Federal funds / $821,393 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement changes to allow physician assistants to prescribe physical therapy, occupational therapy, and services for speech, hearing, and language disorders in the clinic, with both physician assistants and advanced practice registered nurses being able to prescribe these in the home setting.
Effective 07/01/2024
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement updated outpatient and professional provider rates.
Effective July 1, 2024, the Division of Medicaid and Long-Term Care is submitting a state plan amendment (SPA) to increase payment rates for dental services, pharmacy dispensing fees, lactation counseling services, and personal assistance services (PAS).
Dental rates will be increased by 12.5% in accordance with LB 358 (2023).
Pharmacy dispensing fees will be increased in accordance with LB 204 (2023) from $10.02 to $10.38 for all pharmacies submitting fee-for-service claims; this increase will also apply for pharmacies participating with managed care plans that are owned by a single entity that owns six for fewer pharmacy locations.
Lactation counseling rates will be increased by 145% in accordance with LB 1215 (2024).
PAS rates will be increased from $3.38 per quarter-hour to $3.75 per quarter-hour in accordance with state minimum wage law.
The estimated increase in annual aggregate expenditures is:
FFY24: $221,056 ($129,539 Federal funds / $91,517 General funds)
FFY25: $884,224 ($508,605 Federal funds / $375,618 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a new hospital specialty type recognized by the Medicaid program: Rural emergency hospitals.
Effective July 1, 2024, the Division of Medicaid and Long-Term Care is submitting a state plan amendment (SPA) to allow rural emergency hospitals to enroll as providers with the Medicaid program. Rural emergency hospitals are licensed under state regulations at Title 175 NAC 9 and may only provide outpatient and emergency care. The State Plan pages included in this SPA also adjust the hospital peer groups to account for payments to the new hospital provider specialty types Nebraska Medicaid is proposing to add to the program in this and other SPAs.
There is no estimated change in annual aggregate expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 28, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a new hospital specialty type recognized by the Medicaid program: Long term acute care hospitals.
Effective July 1, 2024, the Division of Medicaid and Long-Term Care is submitting a state plan amendment to allow long term acute care hospitals to enroll as providers with the Medicaid program. This is a new provider specialty designation that will be available to hospitals currently licensed as general acute care hospitals and enrolled with the Medicaid program. Long Term Acute Care Hospitals focus on treating patients requiring extended hospital-level care, typically following initial treatment at a general acute care hospital. Patients treated in a Long-Term Acute Care Hospital are not generally appropriate for lower level-of-care settings but are expected to improve to lower level-of-care status.
There is no estimated aggregate change in expenditures.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 22, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a new eligibility group within the Katie Beckett Program.
Effective, July 1, 2024, the intermediate care facility (ICF) level of care is being added to the program eligibility requirements. If a child meets the ICF level of care, and all other eligibility requirements, they may be eligible for the Katie Beckett program.
The estimated increase in annual aggregate expenditures is:
FFY24: $560,551 ($328,483 Federal funds / $232,068 General funds)
FFY25: $2,740,503 ($1,576,337 Federal funds / $1,164,165 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@Nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: March 25, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a permanent discontinuance of copayments for all Medicaid beneficiaries.
Effective May 1, 2024, Nebraska Medicaid will update the Medicaid State Plan to no longer assess copayments for selected services.
The estimated increase in annual aggregate expenditures is:
FFY24: $10,568 ($8,405 Federal funds / $2,163 General funds)
FFY25: $25,364 ($20,081 Federal funds / $5,283 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: March 14, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement an extension to temporary disaster relief policies.
Effective May 1, 2024, this amendment extends temporary disaster relief policies previously implemented through emergency state plan amendments. These provisions include suspending premiums for individuals in the Transitional Medical Assistance program. This extended disaster relief policy will remain in effect through September 30, 2024.
The estimated increase in annual aggregate expenditures is:
FFY24: $316,789 ($185,639 Federal funds / $131,151 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: March 14, 2024
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement cost-sharing provisions for certain Medicaid beneficiaries enrolled in the Medicaid Insurance for Workers with Disabilities (MIWD) program.
Effective May 1, 2024, Medicaid beneficiaries enrolled in the MIWD program with income 200% or more but less than 250 percent of the Federal Poverty Level will have a monthly premium applied which must be paid in order to receive coverage. The premium schedule will be updated to reflect the updated Federal Poverty Level amounts. Nebraska's State Plan Amendment will be updated to reflect the change in the premium cap to 7.5 percent.
The estimated change in annual aggregate expenditures is:
FFY24: $0 ($0 Federal funds /$0 General funds)
FFY25: $0 ($0 Federal funds / $0 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: November 30, 2023
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan for an Expanded Adult Population
Nebraska Alternative Benefit Plan
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and serves to open the 14-day public comment period. All comments must be received by December 14, 2023.
The Nebraska Department of Health and Human Services will be integrating dental services into the managed care programs and discontinuing dental benefits provided through the dental benefits manager, MCNA Dental Insurance Company. The managed care programs will continue to be responsible for administering services to all eligible managed care recipients. The Department continues to provide services to recipients through the managed care model.
Effective January 1, 2024.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the amended SPA to the Centers for Medicare and Medicaid Services no later than March 31, 2024.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on October 12, 2023. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services.
All comments must be received by December 14, 2023.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: November 29, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will submit a state plan amendment to add a Therapeutic Family Care (TFC) program. The TFC program serves Medicaid-eligible children up to age 19 who are at the intensive plus or specialized level of foster care and meet additional needs-based criteria. This program includes crisis service maintenance and stabilization and mobile crisis services. Eligibility for the TFC program will be phased in to include Medicaid-eligible children and youth up to age 19 who are at the Intensive level of foster care and probation-involved youth.
Effective April 1, 2024, the TFC program includes crisis services and mobile crisis services.
The estimated increase in annual aggregate expenditures is:
FFY24: $1,620,810 ($949,795 / $671,015)
FFY25: $3,274,036 ($1,883,226 / $1,390,811)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: October 13, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment to eliminate the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.
The effective date is January 1, 2024.
The estimated increase in annual aggregate expenditures is:
FFY24: $1,203,750 (Federal funds $705,398 / General funds $498,352)
FFY25: $1,621,050 (Federal funds $947,342 / General funds $673,708)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: October 13, 2023
Medicaid State Plan Amendment (SPA) regarding an Alternative Benefit Plan for an Expanded Adult Population
Notice is hereby given, in accordance with 42 CFR 440.386. This notice provides a summary of the purpose of the SPA and also serves to open the 30-day public comment period. All comments must be received by November 12, 2023.
The Nebraska Department of Health and Human Services will submit a SPA to eliminate the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.
Effective January 1, 2024.
The Nebraska ABP provides eligible individuals in the Adult Expansion Group with access to the federally mandated Essential Health Benefits and all services equal to the Nebraska Medicaid State Plan. These Essential Health Benefits include the following services:
- Ambulatory patient services
- Emergency services
- Hospitalization
- Maternity and newborn care
- Mental health and substance use disorder services, including behavioral health treatment
- Prescription drugs
- Rehabilitative and habilitative services and devices
- Laboratory services
- Preventive and wellness services and chronic disease management
The Nebraska Department of Health and Human Services expects to submit the amended SPA to the Centers for Medicare and Medicaid Services no later than March 31, 2024.
Pursuant to 42 CFR 440.345, Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services will be provided in the Nebraska ABP to those eligible individuals in the Adult Expansion Group who are under age 21 as required by law and regulation, and consistent with current state policy regarding the delivery of these services.
Consistent with federal law and the Nebraska Medicaid State Plan, the State Medicaid Director provided written notice regarding the proposed SPA to the appropriate tribal contacts on October 12, 2023. In accordance with the State Plan, additional information regarding the proposed changes will be provided to the tribal contacts upon request, and consultation will occur as requested or as otherwise appropriate.
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Non-electronic copies will be made available for review at each local office of the Department of Health and Human Services. All comments must be received by November 12, 2023.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: September 6, 2023
In accordance with 42 CFR 438.340, the Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) hereby provides notice that the updated Heritage Health Quality Strategy is available for public review and comment. A copy of this document has been shared with Nebraska Tribal Representatives in accordance with the state's Tribal consultation policy, and will be discussed during the next Tribal consultation meeting on September 6th.
MLTC reviews and updates the Heritage Health Quality Strategy every three years, and in this review cycle there have been significant changes which require the opportunity for public review and comment. The draft Quality Strategy can be viewed here: https://dhhs.ne.gov/Documents/2023%20Quality%20Strategy_Draft%20for%20Public%20Comment.pdf.
Please provide all comments to MLTC by September 24th, 2023.
Comments may be submitted to:
Nebraska Department of Health and Human Services Division of Medicaid and Long-Term Care
301 Centennial Mall S
PO Box # 95026
Attn: Catherine Kearney
Lincoln, Nebraska 68509-5026
Email to DHHS.HeritageHealth@nebraska.gov, Attn: Catherine Kearney
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: July 26, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement reimbursement to a hospital for Medicaid beneficiaries admitted to an inpatient hospital who no longer meet acute inpatient level of care and discharge planning, but still require facility level of care and are unable to be transferred to a nursing facility.
The effective date is September 2, 2023.
The estimated increase in annual aggregate expenditures is:
FFY24: $77,033 ($45,141 / $31,892)
FFY25: $77,996 ($45,581 / $32,415)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: June 1, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement a state plan amendment to allow Rural Health Clinics in Nebraska to bill and be reimbursed at their encounter rate for qualifying services provided via telehealth.
The effective date of this proposed amendment is July 1, 2023.
The estimated increase in annual aggregate expenditures is:
FFY2023: $0 ($0 Federal funds / $0 General funds)
FFY2024: $0 ($0 Federal funds / $0 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 31, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement Medicaid provider rate increases for outpatient and professional services for state fiscal year 2024. The rate changes are the result of an increase in appropriations by the Nebraska Legislature via LB814 (2023). The Medicaid provider rates and fee schedules are available online for public view at the page below.
Provider Rates and Fee Schedules
The updated Medicaid payment rates are effective for services on or after July 1, 2023.
The estimated increase in annual aggregate expenditures is:
FFY23: $699,351 ($422,198 Federal funds / $277,153 General funds)
FFY24: $2,774,601 ($1,636,321 Federal funds / $1,138,280 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 31, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement Medicaid provider rate increases for inpatient services for state fiscal year 2024. The rate changes are the result of an increase in appropriations by the Nebraska Legislature via LB814 (2023). The Medicaid provider rates and fee schedules are available online for public view at the page below.
Provider Rates and Fee Schedules
The updated Medicaid payment rates are effective for services on or after July 1, 2023.
The estimated increase in annual aggregate expenditures is:
FFY23: $45,505 ($27,471 Federal funds / $18,034 General funds)
FFY24: $180,537 ($106,472 Federal funds / $74,065 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 31, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding nursing facility (NF) rates for state fiscal year 2024. The rate changes are the result of an increase in appropriations by the Nebraska Legislature via LB814 (2023), rebasing of rates based on state fiscal year 2022 audited cost reports, and the transition to a new nursing case mix system. Additionally, The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice regarding intermediate care facility for individuals with developmental disabilities (ICF-DD) rates for state fiscal year 2024. The rate changes are the result of an increase in appropriations by the Nebraska Legislature via LB814 (2023).
The updated Medicaid payment rates for both NF and ICF-DD are effective for services on or after July 1, 2023.
Nursing Facilities: For the rate period of July 1, 2023 through June 30, 2024, the inflation factor is positive 3.5%.
ICF-DD Facilities: For the rate period of July 1, 2023 through June 30, 2024, the inflation factor is positive 24.0%.
The estimated increase in annual aggregate expenditures for nursing facility and intermediate care facility rates is:
FFY2023: $3,677,277 ($2,219,972 Federal funds / $1,457,305 General funds)
FFY2024: $14,589,197 ($8,603,979 Federal funds / $5,985,218 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: May 2, 2023
In accordance with 42 CFR 431.408, the Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) hereby provides notice of the Nebraska Section 1115 Substance Use Disorder (SUD) Demonstration Waiver Renewal application. The 1115 SUD demonstration waiver, effective July 1, 2019, provides DHHS with the authority to receive federal Medicaid financial participation (FFP) for the coverage of SUD treatment-related stays in Institutions for Mental Diseases (IMDs) for adults ages 21-64. More specifically, the authority allows the state the flexibility to include in managed care capitation rate development IMD stays that exceed the 15-day limit found in 42 CFR 438.6(e). DHHS is requesting renewal of the waiver for an additional five (5) year period, July 1, 2024, through June 30, 2029.
The public hearings will be held Friday, May 12th, at 11 AM - 12 PM CST and Thursday, May 18th, at 12:30 PM - 1:30 PM CST in the Goldenrod Room, located in the lower level of the Nebraska State Office Building (301 Centennial Mall S, Lincoln, NE 68509).
| Public Hearing Date | Time | Webinar | Webinar Password |
| Friday May 12, 2023 | 11:00 AM – 12:00 PM Central Standard Time | Link to the Webinar | asEJpC9MG23 |
| Thursday May 18, 2023 | 12:30PM – 1:30 PM
Central Standard Time
| Link to the Webinar | AEazmJ42NJ4 |
DHHS is allowing 30 calendar days for public review and comment on the demonstration amendment. Please respond no later than June 1, 2023.
Comments may be submitted to:
Nebraska Department of Health and Human Services Division of Medicaid and Long-Term Care
301 Centennial Mall S
PO Box # 95026
Attn. Milla Jones
Lincoln, Nebraska 68509-5026
Fax (402) 471-9103 or e-mail to DHHS.DemonstrationWaivers@nebraska.gov
For more information on the Section 1115 SUD Demonstration Waiver or to view the renewal application for feedback, visit the Substance Use Disorder Demonstration Program website.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: April 12, 2023
In accordance with 42 CFR 431.408, the Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) hereby provides notice of two (2) public hearings for the public to ask questions and provide feedback on the Nebraska Section 1115 Substance Use Disorder (SUD) Demonstration Waiver Renewal application. The 1115 SUD demonstration waiver, effective July 1, 2019, provides Nebraska DHHS with the authority to receive federal Medicaid financial participation (FFP) for the coverage of SUD treatment-related stays in Institutions for Mental Diseases (IMDs) for adults ages 21-64. More specifically, the authority allows the state the flexibility to include in managed care capitation rate development IMD stays that exceed the 15-day limit found in 42 CFR 438.6(e). DHHS is requesting renewal for another five (5) year period, July 1, 2024, through June 30, 2029, without changes to the waiver.
The public hearings will be held Friday, May 12th, at 11 AM - 12 PM CST and Thursday, May 18th, at 12:30 PM - 1:30 PM CST in the Lower-level Public Hearing Room located at the Nebraska State Office Building (301 Centennial Mall S, Lincoln, NE 68509).
Webex Invite Links:
Friday, May 12th, at 11 AM - 12 PM CST
WebEx invite link: https://sonvideo.webex.com/sonvideo/j.php?MTID=m2db7654930f8a5e1bc6c0bf4d2c31fc9
Password: asEJpC9MG23
Thursday, May 18th, at 12:30 PM - 1:30 PM CST
WebEx invite link: https://sonvideo.webex.com/sonvideo/j.php?MTID=mc6fdc585ef52f3ce3f862bf2704d6f76
Password: AEazmJ42NJ4
Please email the Demonstration Waivers Team at DHHS.DemonstrationWaivers@nebraska.gov with any questions prior to the public hearing. For more information on the Section 1115 SUD Demonstration Waiver, visit the Substance Use Disorder Demonstration Program website.
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC NOTICE
Posted: March 29, 2023
This notice is given in compliance with 42 CFR 447.205 and Section 1902(a)(13)(A) of the Social Security Act. The Department of Health and Human Services Division of Medicaid and Long-Term Care hereby provides notice that it will implement an extension to temporary disaster relief policies.
Effective May 12, 2023, this amendment extends temporary disaster relief policies previously implemented through emergency state plan amendments. These provisions include suspending copayments and premiums and allowing for reasonable opportunity extensions to satisfactorily verify non-citizen status. These extended temporary disaster relief policies will remain in effect through April 30, 2024.
The estimated increase in annual aggregate expenditures is:
FFY23: $334,872 ($193,790 Federal funds / $141,082 General funds)
FFY24: $443,505 ($259,894 Federal funds / $183,611 General funds)
Comments pertaining to the aforementioned may be submitted to the Department of Health and Human Services Nebraska Medicaid, 301 Centennial Mall South, P.O. Box 95026, Lincoln, Nebraska 68509-5026. Fax 402-471-9092 or e-mail to DHHS.MedicaidSPA@nebraska.gov. Copies of this change are also available for viewing at each local office of the Department of Health and Human Services.