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On this page Nebraska's SPAs pending CMS approval can be found, as well as past SPAs that have been withdrawn or denied within the last 3 years.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

24-0001: Dental Services - Approved

  • Submission: November 27, 2023
  • Tribal Notice: October 12, 2023

24-0002: Dental Coverage ABP

24-0005: Therapeutic Family Care (TFC) program

  • Submissio​n: December 28, 2023​​
  • Tribal Notice: November 27, 2023

23-0016: iServe Application

  • Submission: December 26, 2023
  • Tribal Notice: November 21, 2023