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369 sections in this chapter.
Neb. Rev. Stat. § 68-981 Supplemental reimbursement; eligibility.
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Participation in the supplemental reimbursement program by an eligible provider is voluntary. A provider is eligible for supplemental reimbursement only if the provider has all of the following characteristics continuously during a fiscal year of the state: (1) Provides ground em…
Neb. Rev. Stat. § 68-982 Supplemental reimbursement; calculation and payment.
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(1) An eligible provider's supplemental reimbursement pursuant to the Ground Emergency Medical Transport Act shall be calculated and paid as follows: (a) The supplemental reimbursement shall not exceed the amount of federal financial participation received as a result of the clai…
Neb. Rev. Stat. § 68-983 Intergovernmental transfer program; department; powers and duties.
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(1) The department shall design and implement, in consultation with eligible providers as described in section 68-981, an intergovernmental transfer program relating to medicaid managed care ground emergency medical transport services, including services provided by emergency med…
Neb. Rev. Stat. § 68-984 Agreement.
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(1) An eligible provider, as a condition of receiving supplemental reimbursement, shall enter into and maintain an agreement with the department for purposes of implementing the Ground Emergency Medical Transport Act and reimbursing the department for the costs of administering t…
Neb. Rev. Stat. § 68-985 Governmental entity; duties.
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If a governmental entity elects to seek supplemental reimbursement pursuant to the Ground Emergency Medical Transport Act on behalf of an eligible provider owned or operated by the entity, the governmental entity shall: (1) Certify, in conformity with the requirements of 42 C.F.R…
Neb. Rev. Stat. § 68-986 Act; federal approvals; department; powers.
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(1) On or before January 1, 2026, the department may seek any necessary federal approvals for the implementation of the Ground Emergency Medical Transport Act. (2) The department may limit the program to those costs that are allowable expenditures under Title XIX of the federal S…
Neb. Rev. Stat. § 68-987 Department; powers and duties.
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(1) The department may submit claims for federal financial participation for the expenditures for the services described in subsection (2) of section 68-986 that are allowable expenditures under federal law. (2) The department may annually submit any necessary materials to the fe…
Neb. Rev. Stat. § 68-988 Increased capitation payments; commencement.
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To the extent federal approval is obtained, the increased capitation payments under section 68-983 may commence for dates of service on or after January 1, 2026.
Neb. Rev. Stat. § 68-989 Disclosure by applicant; income and assets; action for recovery of medical assistance authorized.
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(1) This section shall apply to the fullest extent permitted by federal law and understandings entered into between the state and the federal government. An applicant for medical assistance, or a person acting on behalf of the applicant, shall disclose at the time of application …
Neb. Rev. Stat. § 68-990 Medical assistance; transfers; security for recovery of indebtedness to department; lien; notice; filing; department; duties; section null and void.
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(1) For purposes of this section: (a) Related transferee means: (i) An individual who is related to the transferor as described in section 77-2004 or 77-2005; (ii) An entity controlled by one or more individuals described in subdivision (1)(a)(i) of this section. For purposes of …
Neb. Rev. Stat. § 68-991 Medical provider; authority to apply for medical assistance.
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A medical provider shall have the authority of a guardian and conservator for the limited purpose of making application for medical assistance on behalf of a person whom the provider is treating if the person is unconscious or otherwise is unable to apply for medical assistance a…
Neb. Rev. Stat. § 68-992 Eligibility for medical assistance; expanded population; Department of Health and Human Services; duties.
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(1) Eligibility for medical assistance shall be expanded to include certain adults ages nineteen through sixty-four whose income is equal to or less than one hundred thirty-eight percent of the federal poverty level, as authorized and using the income methodology defined by 42 U.…
Neb. Rev. Stat. § 68-993 Medical parole; protocol.
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The Division of Medicaid and Long-Term Care of the Department of Health and Human Services shall, in consultation with the Department of Correctional Services, develop a protocol to assist an individual who is eligible for medical parole pursuant to section 83-1,110.02 to apply f…
Neb. Rev. Stat. § 68-994 Long-term care services and supports; department; limitation on addition to medicaid managed care program; long-term care clients with special needs; medicaid managed care contracts; requirements.
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(1) Until July 1, 2023, the department shall not add long-term care services and supports to the medicaid managed care program. For purposes of this section, long-term care services and supports includes services of a skilled nursing facility, a nursing facility, and an assisted-…
Neb. Rev. Stat. § 68-995 Contracts and agreements; department; duties; contractor; mental health and substance use disorder services; requirements.
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(1) All contracts and agreements relating to the medical assistance program governing at-risk managed care service delivery for health services entered into by the department and existing on or after August 11, 2020, shall: (a) Provide a definition and cap on administrative spend…
Neb. Rev. Stat. § 68-996 Medicaid Managed Care Excess Profit Fund; created; use; investment.
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(1) The Medicaid Managed Care Excess Profit Fund is created. The fund shall contain money returned to the State Treasurer pursuant to subdivision (1)(c) of section 68-995. (2) The fund shall first be used to offset any losses under subdivision (1)(b) of section 68-995 and then to…
Neb. Rev. Stat. § 68-997 Job-skills programs; voluntary; departments; powers and duties.
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(1) Beginning October 1, 2020, the Department of Health and Human Services shall inform each adult applicant for medical assistance about job-skills programs within the Department of Health and Human Services, the Department of Labor, or other skill-based programs that could assi…
Neb. Rev. Stat. § 68-998 Managed care organization; provider contract; material change; notice.
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(1) For purposes of this section: (a)(i) Material change means a change to a provider contract, the occurrence and timing of which is not otherwise clearly identified in the provider contract, that decreases the provider's payment or compensation for services to be provided or ch…
Neb. Rev. Stat. § 68-999 Direct care staff; psychiatric facilities caring for juveniles; standards.
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The Division of Medicaid and Long-Term Care of the Department of Health and Human Services shall set standards required for direct care staff of inpatient psychiatric units for juveniles and psychiatric residential treatment facilities for juveniles. The standards shall require t…