Bill > LB1091

This bill amends existing law to establish specific requirements for the Department of Health and Human Services regarding long-term care clients with special needs under the medical assistance program, commonly known as Medicaid. The key provision ensures that skilled nursing facility and nursing facility services for these individuals, defined as Medicaid recipients with complex or intensive medical or nursing needs that go beyond typical nursing facility expertise, will continue to be managed and paid for through traditional fee-for-service Medicaid or other authorized systems, rather than through Medicaid managed care organizations. This aims to maintain continuity of care, program stability, and specialized oversight for these vulnerable clients, and prevents providers from being required to enroll with managed care organizations as a condition of serving them, while still allowing for coordination of other benefits or wraparound services if the managed care organization does not bear financial risk or manage utilization for the provider.

Health and Social Services

https://nebraskalegislature.gov/bills/view_bill.php?DocumentID=63278