Medicaid State Plan Amendments

 
2
 
Medicaid & Long-Term Care
No

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On this page Nebraska's SPAs pending CMS approval can be found, as well as past SPAs that have been withdrawn or denied within the last 3 years.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


23-0016: iServe Application - APPROVED

  • Submission: December 26, 2023
  • Tribal Notice: November 21, 2023
  • Approved: September 17, 2024

24-0005: Therapeutic Family Care (TFC) program

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

24-0008: Long-Term Acute Care Hospital

  • Submission: September 4, 2024 
  • Tribal Notice: May 31, 2024

24-0009: Rural Emergency Hospital

  • Submission: September 4, 2024
  • Tribal Notice: May 31, 2024

24-0010: SFY25 Outpatient and Professional Provider Rates

  • Tribal Notice: May 31, 2024​

24-0018: Discontinuance of Copayments - APPROVED

  • ​Submission​: June 20, 2024
  • Tribal Notice: March 15, 2024
  • Approved: September 9, 2024 

24-0020: Occupational Therapy, Physical Therapy, Speech Pathology, and Audiology Services - APPROVED

  • Subm​ission​: July 30, 2024
  • Tribal Notice: May 31, 2024
  • Approved: October 11, 2024​

24-0021: SFY25 ICF/DD Inflation Factor

  • Submission: September 4, 2024
  • Tribal Notice: May 31, 2024

24-0022: SFY25 Nursing Facility Inflation Factor

  • Submission​: September 4, 2024
  • Tribal Notice: May 31, 2024​​

24-0023: Interpretation Services

  • Submission: September 26, 2024
  • Tribal Notice: May 31, 2024 ​

24-0024: Prenatal Plus Program

  • Submission​: October 16, 2024
  • Tribal Notice: September 6, 2024

24-0027: DMEPOS

  • Submission: September 26, 2024
  • Tribal Notice: July 19, 2024