68-2004 – Department; report; contents.
68-2004. Department; report; contents. The department shall report to the Health and Human Services Committee of the Legislature on utilization controls, including, but not limited to, the rates of initial service authorizations, reauthorizations subsequent to initial service authorizations, and denials for behavioral health services for children under nineteen years of age. The first report shall […]
68-2005 – Rules and regulations.
68-2005. Rules and regulations. The department shall adopt and promulgate rules and regulations to carry out the Children’s Health and Treatment Act. On and after April 1, 2013, the department shall not apply medical necessity criteria to determine medical necessity for children under nineteen years of age that have not been adopted and promulgated as […]
68-1921 – Quality assurance assessment; payments; form.
68-1921. Quality assurance assessment; payments; form. Each nursing facility or skilled nursing facility shall pay the quality assurance assessment to the department on a quarterly basis after the medical assistance payment rates of the facility are adjusted pursuant to section 68-1926. The department shall prepare and distribute a form on which a nursing facility or […]
68-1922 – Department; collect quality assurance assessment; remit to State Treasurer.
68-1922. Department; collect quality assurance assessment; remit to State Treasurer. The department shall collect the quality assurance assessment and remit the assessment to the State Treasurer for credit to the Nursing Facility Quality Assurance Fund. No proceeds from the quality assurance assessment, including the federal match, shall be placed in the General Fund unless otherwise […]
68-1923 – Quality assurance assessment; report; medicaid cost report; how treated.
68-1923. Quality assurance assessment; report; medicaid cost report; how treated. A nursing facility or skilled nursing facility shall report the quality assurance assessment on a separate line of the medicaid cost report of the nursing facility or skilled nursing facility. The quality assurance assessment shall be treated as a separate component in developing rates paid […]
68-1924 – Underpayment or overpayment; notice.
68-1924. Underpayment or overpayment; notice. If the department determines that a nursing facility or skilled nursing facility has underpaid or overpaid the quality assurance assessment, the department shall notify the nursing facility or skilled nursing facility of the unpaid quality assurance assessment or refund due. Such payment or refund shall be due or refunded within […]
68-1925 – Failure to pay; penalty; waiver; when; withholding authorized; collection methods authorized.
68-1925. Failure to pay; penalty; waiver; when; withholding authorized; collection methods authorized. (1) A nursing facility or skilled nursing facility that fails to pay the quality assurance assessment within the timeframe specified in section 68-1921 or 68-1924, whichever is applicable, shall pay, in addition to the outstanding quality assurance assessment, a penalty of one and […]
68-1926 – Nursing Facility Quality Assurance Fund; created; use; investment.
68-1926. Nursing Facility Quality Assurance Fund; created; use; investment. (1) The Nursing Facility Quality Assurance Fund is created. Interest and income earned by the fund shall be credited to the fund. Any money in the fund available for investment shall be invested by the state investment officer pursuant to the Nebraska Capital Expansion Act and […]
68-1927 – Application for amendment to medicaid state plan; approval; effect; resubmission of waiver application.
68-1927. Application for amendment to medicaid state plan; approval; effect; resubmission of waiver application. (1) On or before September 30, 2011, or after that date if allowable by the Centers for Medicare and Medicaid Services of the United States Department of Health and Human Services, the Nebraska Department of Health and Human Services shall submit […]
68-1928 – Department; discontinue collection of quality assurance assessments; when; return of money.
68-1928. Department; discontinue collection of quality assurance assessments; when; return of money. (1) The department shall discontinue collection of the quality assurance assessments: (a) If the waiver requested pursuant to section 68-1927 or the medicaid state plan amendment reflecting the payment rates in section 68-1926 is given final disapproval by the Centers for Medicare and […]