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369 sections in this chapter.
Neb. Rev. Stat. § 68-627 Referendum; supervision.
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The Governor or some agency or individual designated by him or her shall, at such time or times and places and in such manner as the Governor or such agency or individual shall determine, conduct and supervise referendums as provided by sections 68-621 to 68-630 among the eligibl…
Neb. Rev. Stat. § 68-629 Referendum; Governor; appointment of agency to conduct; cost; payment.
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Upon written request made by the managing authority of any referendum group, other than those referendum groups mentioned in section 68-621, and delivered to the Governor, the Governor, shall, within fifteen days after the receipt of such request, appoint the managing authority, …
Neb. Rev. Stat. § 68-630 Political subdivisions; delinquency in payment; manner of collection.
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In addition to other remedies provided for the collection or recovery of delinquent payments due under section 68-610, the state agency may, in the event of any such delinquency, notify the county treasurer of the appropriate county to withhold payment to the delinquent political…
Neb. Rev. Stat. § 68-631 Metropolitan utilities district; social security; employees; separate group; referendum; effect.
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Sections 68-601 to 68-631 and any amendments thereto shall, except as otherwise provided in this section, be applicable to metropolitan utilities districts and employees and appointees of metropolitan utilities districts. The state agency contemplated in such sections is authoriz…
Neb. Rev. Stat. § 68-703.01 Department of Health and Human Services; federal funds; expenditures; authorized.
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The Department of Health and Human Services has the authority to use any funds which may be made available through an agency of the government of the United States to reimburse any county of this state, either in whole or in part, for the following expenditures: (1) Employment of…
Neb. Rev. Stat. § 68-716 Department of Health and Human Services; medical assistance; right of subrogation.
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An application for medical assistance shall give a right of subrogation to the Department of Health and Human Services or its assigns. Subject to sections 68-921 to 68-925, subrogation shall include every claim or right which the applicant may have against a third party when such…
Neb. Rev. Stat. § 68-717 Department of Health and Human Services; assume responsibility for public assistance programs.
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The Department of Health and Human Services shall assume the responsibility for all public assistance, including aid to families with dependent children, emergency assistance, assistance to the aged, blind, or disabled, medically handicapped children's services, commodities, the …
Neb. Rev. Stat. § 68-718 Furniture, property, personnel; transferred to Department of Health and Human Services; personnel, how treated.
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All furniture, equipment, books, files, records, and personnel utilized by the county divisions or boards of public welfare for the administration of public assistance programs shall be transferred and delivered to the Department of Health and Human Services. The transferred empl…
Neb. Rev. Stat. § 68-719 Certain vendor payments prohibited.
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No payments shall be made to any vendor, under Title XIX of the Social Security Act, as reimbursement for dues for any educational or professional association.
Neb. Rev. Stat. § 68-720 Aid to dependent children; child care subsidy program; administrative disqualification; intentional program violation; disqualification period.
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(1) The Department of Health and Human Services shall establish an administrative disqualification process for the aid to dependent children program described in section 43-512 and the child care subsidy program established pursuant to section 68-1202. The department may initiate…
Neb. Rev. Stat. § 68-9,100 Hospital and nursing facility services; reimbursement; rate methodology; rules and regulations.
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The department shall adopt and promulgate rules and regulations regarding the rate methodology for reimbursement of hospital and nursing facility services. Any change to the rate methodology is considered substantive and requires a new rulemaking or regulationmaking proceeding un…
Neb. Rev. Stat. § 68-9,101 Multiple procedure payment reduction policy; implementation; when prohibited.
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(1) For purposes of this section, multiple procedure payment reduction policy means a policy used in the federal medicare program under Title XVIII of the federal Social Security Act for outpatient rehabilitation service codes where full payment is made for the unit or procedure …
Neb. Rev. Stat. § 68-9,102 Long-term acute care hospitals; enroll as providers.
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The department shall enroll long-term acute care hospitals in Nebraska as providers eligible to receive funding under the medical assistance program.
Neb. Rev. Stat. § 68-9,103 Long-term acute care hospitals; coverage; state plan amendment or waiver.
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No later than July 1, 2023, the department shall submit a state plan amendment or waiver to the federal Centers for Medicare and Medicaid Services to provide coverage under the medical assistance program for long-term acute care hospitals.
Neb. Rev. Stat. § 68-9,104 Critical access hospitals; rebase inpatient interim per diem rates.
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The department shall provide for rebasing inpatient interim per diem rates for critical access hospitals. The department shall rebase the rates every two years, and the most recent audited medicare cost report shall be used as the basis for the rebasing process within ninety days…
Neb. Rev. Stat. § 68-9,105 Nebraska Prenatal Plus Program; terms, defined.
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For purposes of sections 68-9,105 to 68-9,110: (1) At-risk mother means a woman who is (a) eligible for medicaid, (b) pregnant, and (c) determined by her health care provider to be at risk of having a negative maternal or infant health outcome; and (2) Targeted case management ha…
Neb. Rev. Stat. § 68-9,106 Nebraska Prenatal Plus Program; created; purpose.
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The Nebraska Prenatal Plus Program is created within the Department of Health and Human Services. The purpose of the Nebraska Prenatal Plus Program is to reduce the incidence of low birth weight, pre-term birth, and adverse birth outcomes while also addressing other lifestyle, be…
Neb. Rev. Stat. § 68-9,107 Nebraska Prenatal Plus Program; services eligible for reimbursement.
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Services eligible for reimbursement for at-risk mothers under the Nebraska Prenatal Plus Program include, but are not limited to: (1) Six or fewer sessions of nutrition counseling; (2) psychosocial counseling and support; (3) general client education and health promotion; (4) a m…
Neb. Rev. Stat. § 68-9,108 Nebraska Prenatal Plus Program; reimbursement rate; state plan amendment or waiver.
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The Department of Health and Human Services may reimburse eligible services for the Nebraska Prenatal Plus Program for at-risk mothers at an enhanced rate and shall file a state plan amendment or waiver, as necessary, no later than October 1, 2024, to implement the program.
Neb. Rev. Stat. § 68-9,109 Nebraska Prenatal Plus Program; department; report.
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The Department of Health and Human Services shall electronically submit a report to the Legislature on or before December 15 of each year beginning December 15, 2024, through December 15, 2034, on the Nebraska Prenatal Plus Program which includes (1) the number of mothers served,…
Neb. Rev. Stat. § 68-9,110 Nebraska Prenatal Plus Program; funding.
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It is the intent of the Legislature to use the Medicaid Managed Care Excess Profit Fund established in section 68-996 to fund the services provided under the Nebraska Prenatal Plus Program.
Neb. Rev. Stat. § 68-9,111 Pharmacy dispensing fee reimbursement; survey.
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(1)(a) Beginning with fiscal year 2024-25, contingent upon implementation of the contractual agreements with medicaid managed care organizations as described in subsection (2) of this section, the department shall establish a fee-for-service pharmacy dispensing fee reimbursement …
Neb. Rev. Stat. § 68-9,112 Waiver participants; assessment tool; clinical interviewing; department; duties; report; contents.
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(1) For purposes of this section: (a) Assessment tool means any standardized instrument, including the InterRai assessment system or successor tools, used by the department to evaluate functional eligibility, service needs, or service tier assignments for medicaid or home and com…
Neb. Rev. Stat. § 68-9,113 Doula services; reimbursement; rates; department; duties; doula; requirements.
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(1) The Legislature finds that: (a) Doula services have been proven to reduce the cost of birthing and improve outcomes for mothers and infants; (b) one of the most effective services to improve labor and delivery outcomes is the continuous presence of support personnel such as a…
Neb. Rev. Stat. § 68-901 Medical Assistance Act, how cited.
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Sections 68-901 to 68-9,113 shall be known and may be cited as the Medical Assistance Act.
Neb. Rev. Stat. § 68-902 Purposes of act.
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The purposes of the Medical Assistance Act are to (1) reorganize and recodify statutes relating to the medical assistance program, (2) provide for implementation of the Medicaid Reform Plan, (3) clarify public policy relating to the medical assistance program, (4) provide for adm…
Neb. Rev. Stat. § 68-903 Medical assistance program; established.
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The medical assistance program is established, which shall also be known as medicaid.
Neb. Rev. Stat. § 68-904 Legislative findings.
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The Legislature finds that (1) many low-income Nebraska residents have health care and related needs and are unable, without assistance, to meet such needs, (2) publicly funded medical assistance provides essential coverage for necessary health care and related services for eligi…
Neb. Rev. Stat. § 68-905 Program of medical assistance; statement of public policy.
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It is the public policy of the State of Nebraska to provide a program of medical assistance on behalf of eligible low-income Nebraska residents that (1) assists eligible recipients to access necessary and appropriate health care and related services, (2) emphasizes prevention, ea…
Neb. Rev. Stat. § 68-906 Medical assistance; state accepts federal provisions.
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For purposes of paying medical assistance under the Medical Assistance Act and sections 68-1002 and 68-1006, the State of Nebraska accepts and assents to all applicable provisions of Title XIX and Title XXI of the federal Social Security Act. Any reference in the Medical Assistan…
Neb. Rev. Stat. § 68-907 Terms, defined.
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For purposes of the Medical Assistance Act: (1) Committee means the Health and Human Services Committee of the Legislature; (2) Department means the Department of Health and Human Services; (3) Medicaid Reform Plan means the Medicaid Reform Plan submitted on December 1, 2005, pur…
Neb. Rev. Stat. § 68-908 Department; powers and duties.
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(1) The department shall administer the medical assistance program. (2) The department may (a) enter into contracts and interagency agreements, (b) adopt and promulgate rules and regulations, (c) adopt fee schedules, (d) apply for and implement waivers and managed care plans for …
Neb. Rev. Stat. § 68-908.01 Dental services; reimbursement rates.
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It is the intent of the Legislature to increase reimbursement rates by twelve and one-half percent for fiscal year 2024-25 for dental services provided under the Medical Assistance Act.
Neb. Rev. Stat. § 68-909 Existing contracts, agreements, rules, regulations, plan, and waivers; how treated; department; powers and duties.
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(1) All contracts, agreements, rules, and regulations relating to the medical assistance program as entered into or adopted and promulgated by the department prior to July 1, 2006, and all provisions of the medicaid state plan and waivers adopted by the department prior to July 1…
Neb. Rev. Stat. § 68-910 Medical assistance payments; source of funds.
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(1) Medical assistance shall be paid from General Funds, cash funds, federal funds, and such other funds as may qualify for federal matching funds under federal law. General Fund appropriations for the program shall be based on an assessment by the Legislature of General Fund rev…
Neb. Rev. Stat. § 68-911 Medical assistance; mandated and optional coverage; department; submit state plan amendment or waiver; specified coverage requirements.
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(1) Medical assistance shall include coverage for health care and related services as required under Title XIX of the federal Social Security Act, including, but not limited to: (a) Inpatient and outpatient hospital services; (b) Laboratory and X-ray services; (c) Nursing facilit…
Neb. Rev. Stat. § 68-912 Limits on goods and services; considerations; procedure.
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(1) The department may establish (a) premiums, copayments, and deductibles for goods and services provided under the medical assistance program, (b) limits on the amount, duration, and scope of goods and services that recipients may receive under the medical assistance program su…
Neb. Rev. Stat. § 68-913 Medical assistance program; public awareness; public school district; hospital; duties.
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(1) Each public school district shall annually, at the beginning of the school year, provide written information supplied by the department to every student describing the availability of children's health services provided under the medical assistance program. (2) Each hospital …
Neb. Rev. Stat. § 68-914 Application for medical assistance; form; department; decision; notice; requirements; appeal.
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(1) An applicant for medical assistance shall file an application with the department in a manner and form prescribed by the department. The department shall process each application to determine whether the applicant is eligible for medical assistance. The department shall provi…
Neb. Rev. Stat. § 68-915 Eligibility.
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The following persons shall be eligible for medical assistance: (1) Dependent children as defined in section 43-504; (2) Aged, blind, and disabled persons as defined in sections 68-1002 to 68-1005; (3) Children under nineteen years of age who are eligible under section 1905(a)(i)…
Neb. Rev. Stat. § 68-916 Medical assistance; application; assignment of rights; exception.
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The application for medical assistance shall constitute an automatic assignment of the rights specified in this section to the department or its assigns effective from the date of eligibility for such assistance. The assignment shall include the rights of the applicant or recipie…
Neb. Rev. Stat. § 68-917 Applicant or recipient; failure to cooperate; effect.
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Refusal by the applicant or recipient specified in section 68-916 to cooperate in obtaining reimbursement for medical care or services provided to himself or herself or any other member of the assistance group renders the applicant or recipient ineligible for assistance. Ineligib…
Neb. Rev. Stat. § 68-918 Restoration of rights; when.
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If the applicant or recipient or any member of the assistance group becomes ineligible for medical assistance, the department shall restore to him or her the rights assigned under section 68-916.
Neb. Rev. Stat. § 68-919 Medical assistance recipient; liability; when; claim; procedure; department; powers; recovery of medical assistance reimbursement; procedure.
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(1) The recipient of medical assistance under the medical assistance program shall be indebted to the department for the total amount paid for medical assistance on behalf of the recipient if: (a) The recipient was fifty-five years of age or older at the time the medical assistan…
Neb. Rev. Stat. § 68-920 Department; garnish employment income; when; limitation.
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The department may garnish the wages, salary, or other employment income of a person for the costs of health services provided to a child who is eligible for medical assistance pursuant to the medical assistance program if: (1) The person is required by court or administrative or…
Neb. Rev. Stat. § 68-921 Entitlement of spouse; terms, defined.
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For purposes of sections 68-921 to 68-925: (1) Assets means property which is not exempt from consideration in determining eligibility for medical assistance under rules and regulations adopted and promulgated under section 68-922; (2) Community spouse monthly income allowance me…
Neb. Rev. Stat. § 68-922 Amount of entitlement; department; rules and regulations.
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For purposes of determining medical assistance eligibility and the right to and obligation of medical support pursuant to sections 68-716, 68-915, and 68-916, a spouse may retain (1) assets equivalent to the community spouse resource allowance and (2) an amount of income equivale…
Neb. Rev. Stat. § 68-923 Assets; eligibility for assistance; future medical support; considerations; subrogation.
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If a portion of the aggregate assets is designated in accordance with section 68-924: (1) Only the assets not designated for the spouse shall be considered in determining the eligibility of an applicant for medical assistance; (2) In determining the eligibility of an applicant, t…
Neb. Rev. Stat. § 68-924 Designation of assets; procedure.
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A designation of assets pursuant to section 68-922 shall be evidenced by a written statement listing such assets and signed by the spouse. A copy of such statement shall be provided to the department at the time of application and shall designate assets owned as of the date of ap…
Neb. Rev. Stat. § 68-925 Department; furnish statement.
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The department shall furnish to each qualified applicant for and each qualified recipient of medical assistance a clear and simple written statement explaining the provisions of section 68-922.