Medicaid State Plan Amendments

Medicaid & Long-Term Care

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What you need to know

​​​​​​​​​​​The Division of Medicaid and Long-Term Care must periodically update Nebraska's Medicaid State Plan to reflect changes in the program. These changes, called State Plan Amendments (SPAs), must be approved by the Centers for Medicare and Medicaid Services (CMS) before going into effect.

On this page Nebraska's SPAs pending CMS approval can be found, as well as past SPAs that have been withdrawn or denied within the last 3 years.

Approved SPAs will be removed from this page and reflected in the main Medicaid State Plan. Details may vary between SPAs according to relevant state and federal guidelines.

Questions regarding State Plan Amendments may be sent to

20-0016: Medicaid Behavioral Health Rates: APPROVED

Submission: September 30, 2020​

Approv​ed: March 24, 2021

21-0003: Medication-Assisted Treatment: PENDING

Submission​: March 30, 2021

Public Notice: February 26, 2021

Tribal Notice: February 26 - March 28, 2021