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 […]
68-1929 – Aggrieved party; hearing; petition.
68-1929. Aggrieved party; hearing; petition. A nursing facility or skilled nursing facility aggrieved by an action of the department under the Nursing Facility Quality Assurance Assessment Act may file a petition for hearing with the director of the Division of Medicaid and Long-Term Care of the department. The hearing shall be conducted pursuant to the […]
68-1930 – Rules and regulations.
68-1930. Rules and regulations. The department may adopt and promulgate rules and regulations to carry out the Nursing Facility Quality Assurance Assessment Act. Source Laws 2011, LB600, § 30.
68-2001 – Act, how cited.
68-2001. Act, how cited. Sections 68-2001 to 68-2005 shall be known and may be cited as the Children’s Health and Treatment Act. Source Laws 2012, LB1063, § 1.
68-2002 – Purposes of act.
68-2002. Purposes of act. The purposes of the Children’s Health and Treatment Act are to: (1) Require that the guidelines and criteria that the Department of Health and Human Services utilizes to determine medical necessity for services under the medical assistance program be published by the department on its website and websites of its contractors […]
68-2003 – Terms, defined.
68-2003. Terms, defined. For purposes of the Children’s Health and Treatment Act: (1) Department means the Department of Health and Human Services; and (2) Medical assistance program means the program established pursuant to section 68-903. Source Laws 2012, LB1063, § 3.
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 […]