For notes and audio of past calls, see below. ​

Nebraska Medicaid's spending plan for the additional funds available for home and community-based services (HCBS) through the American Rescue Plan Act received conditional approval from the federal government on January 31, 2022. These funds will be available through March 31, 2025. Medicaid will submit a final spending plan report to the federal government in April 2025. 

Medicaid's most recently approved quarterly update to CMS is below:

• Quarterly Spending Plan Update (April 17, 2024)
  
• ​FFY24 Q4 ARPA Spend Plan Appendices B and C​ (April 17, 2024)​​
  
• ​HCBS Spending Plan Approval​ (August 1, 2024)
  

​DHHS contracted with CBIZ Optumas and their subcontractor Myers and Stauffer, LC to complete a rate study for the Aged and Disabled Waiver and Personal Assistance Services in 2022. The goal was to establish a rate model for services provided to the aged and individuals with disabilities.

This rate study included opportunities for direct care providers and other stakeholders to provide feedback on the cost of doing business in delivering services. Services reviewed: 

• Assisted Living
• Adult Day Health
• Personal Care
• Respite Care
• Chore
• Companion
• Extra Care for Children with Disabilities (sometimes called Disability-Related Childcare)
• Home Again Service
• Independence Skills Building
• Transport
• Home Delivered Meals
• Personal Assistance Services (PAS) through the Medicaid State Plan

October 26, 2022 presentation on draft rate model updated with stakeholder feedback:

• Presentation slides 
  
• Presentation Slides - Assisted Living Update 
• Meeting recording
  

Send questions to [email protected]. 

• Hospital Inpatient (IP) Nursing Facility (NF) Level of Care (LOC) Payment - Questions and Answers