Nebraska
Nebraska’s Medicaid agency and its state plan are the official source for these rules. This page summarizes them as researched in October 2026; check the state’s own documents, listed under Sources, before relying on them.
At a glance
- Rate method
- Cost-based
- Case-mix level
- Resident-level
- Classification
- PDPM
- Rate updates
- Twice a year
- Managed care (LTC)
- No
- Quality program
- Quality Measures Component
- Paid outside the rate
- Small
- Bed hold
- Hospital and leave
- Published rates
- Rates only
- Assisted living
- Covered
- Personal needs allowance
- $75 / month
Overview
- Nebraska pays each home a cost-based prospective rate from a base-year FA-66 cost report (rebased at least every 5 years), with a separate rate for every PDPM nursing level of care.
- The rate is: direct nursing cost per weighted day x the resident's PDPM nursing weight (floor 77%, cap 105% of the urban or rural median), plus support services (floor 72%, cap 100% of median), plus fixed cost (cap $27/day before property taxes), plus the provider-tax pass-through, plus a star-rating Quality Measures add-on of $0-$10/day.
- Residents in the two lowest groups (PA1, PA2) are paid the assisted-living waiver rate instead.
- In the 7/1/2026 file (178 homes) the median rate is $115.77 for PA1, $253.20 for CA1 and $620.54 for ES3.
What matters in Nebraska
- Every home has 26 rates, one per PDPM nursing level; each resident is paid by their own assessment, not a home average.
- Lowest-acuity residents (PA1, PA2) get the assisted-living rate: median $115.77/day versus $253.20 for the next group up.
- Nursing home care is fee-for-service; Heritage Health managed care plans do not pay long-term nursing home days.
- Direct nursing is capped at 105% of median and floored at 77%, so most homes get close to their own cost.
- The provider tax rose from $3.50 to $9.00 per non-Medicare day in 2024; it is passed back per day in every rate.
- Quality add-on pays $10.00, $6.75 or $3.50 a day for 5, 4 or 3 CMS QM stars; 1-2 stars get nothing.
Frequently asked
Does Nebraska Medicaid pay one nursing home rate per facility or per resident?
Per resident. Each home has a separate rate for each of 25 PDPM nursing groups plus a short-stay default, and each resident's rate follows their own MDS. In the 7/1/2026 file the median runs from $115.77 (PA1) to $620.54 (ES3).
How does Nebraska pay for the lowest-acuity nursing home residents?
Residents in PDPM groups PA1 and PA2 (levels 201-202) are paid the Aged and Disabled Waiver assisted-living rate plus the provider-tax and quality components, about $104-$123/day, less than half the next group's rate.
Do Heritage Health managed care plans pay Nebraska nursing homes?
No. Heritage Health plans (Nebraska Total Care, UnitedHealthcare, Molina) cover physical, behavioral and pharmacy care, but nursing home long-term care and hospice room-and-board are paid fee-for-service by DHHS.
How much is paid outside the posted rate in Nebraska?
Small: only city/county homes and IHS homes can draw cost settlements above the caps; no managed care or directed payments.
What does Nebraska Medicaid pay on Medicare coinsurance days?
Lesser-of: Medicaid pays only the amount by which its rate exceeds Medicare's payment, capped at the coinsurance.
Does Nebraska require a minimum share of spending on care?
None found; no minimum share of the rate must be spent on care or staff.
How is the Nebraska nursing home provider tax charged?
$9.00 per non-Medicare day; veterans homes, homes with 26 or fewer beds and CCRCs are exempt; high-Medicaid homes pay less.
How the rate is set
How the method got here
| Effective | From | To | Change | Headline | Source |
|---|---|---|---|---|---|
| 2011-07-01 | Facility cost-based per diems with RUG levels and no provider tax | Same method plus a Nursing Facility Quality Assessment Component funded by a new $3.50/day provider tax | LB600 (2011) created the NF quality assurance assessment, passed back through a per-day rate component. | Nursing facility provider tax created | https://nebraskalegislature.gov/laws/statutes.php?statute=68-… |
| 2020-07-01 | Annual rebasing on the cost report from two years earlier; caps at 125% (direct nursing) and 115% (support) of median; no floors; no quality add-on (2019 baseline) | Semiannual rate periods from a base-year cost report (rebased at least every 5 years); caps at 105%/100% of median with 77%/72% floors; star-based Quality Measures Component; one-year Transition Component | Nebraska moved from annual rebasing to a base-year system with tighter caps, new floors and a star-rating quality add-on (SPA NE 20-0001; quality component later revised by NE 21-0008). | Base-year rates, narrower caps, quality add-on | https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19… |
| 2023-07-01 | RUG-based levels of care 101-180, with RUG levels 101-104 paid the assisted-living rate | PDPM nursing levels 201-272 with CMS nursing CMIs, short-stay level 280 (0.59), and PA1/PA2 (201-202) paid the assisted-living rate | Nebraska replaced RUG levels with per-resident PDPM nursing groups (SPA NE 23-0008). | Case mix moves from RUG to PDPM nursing | https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19… |
Verified October 11, 2026
Cost basis
- Uses cost reports
Yes
- Cost report
Nebraska Form FA-66 'Long Term Care Cost Report' (state form), filed every year for the July 1-June 30 report period. Medicare HIM-15 principles apply, except chapter 15 (change of ownership).
- Base year and rebasing
Rates come from a base-year cost report (report period ending June 30). The base year is updated 'no less frequently than every 5 years' (4.19-D p.15, NE 25-0015). The inflation factor is updated every year. Component medians, caps and floors are set from audited full-year reports after desk audit and are not revised later. The current base year was not stated in the posted plan.
- Components
Component Method Notes Direct Nursing Base-year allowable direct nursing cost (FA-66 lines 94-103) / base-year weighted resident days, x inflation factor, x the level-of-care weight. Floor 77%, cap 105% of the Care Classification (urban/rural) median. Waivered homes (24-hour RN waiver) have the median and cap cut 2%. Medians use homes with an average census of 40 or more, excluding waivered and part-year reports. Urban = Douglas, Lancaster, Sarpy and Washington counties. Support Services Base-year allowable support cost (admin, dietary, plant, laundry, housekeeping, social services, medical transportation, respiratory therapy) / total inpatient days, x inflation factor. Floor 72%, cap 100% of the Care Classification median. Median excludes hospital-based, waivered and part-year homes. Fixed Cost Home's own interest, depreciation, amortization, rent/lease and property taxes / inpatient days, capped at $27.00/day (excluding personal property and real estate taxes). An exception can be requested if total fixed costs rise 20%+ over the base year. No inflation. For homes bought on or after 7/1/2020 the asset basis is the lesser of purchase price or the seller's Medicaid net book value (no step-up). Interest on debt above 80% of asset cost is not allowed (except government homes). Nursing Facility Quality Assessment Component Anticipated provider-tax payments for the rate year / total anticipated patient days (including bed-hold and Medicare days), from the four most recent quarters. Not subject to any cap. $0 for exempt homes. Added to every level of care, including the assisted-living levels 201-202. Quality Measures Component Flat per-day amount by the home's CMS Care Compare Quality Measures star rating: 5 stars $10.00, 4 stars $6.75, 3 stars $3.50, 1-2 stars or not rated $0. See quality_incentive. - Inflation
State-set inflation factor, updated every year and applied to the Direct Nursing and Support Services components from the base year. It is set to spend the appropriation: Neb. Rev. Stat. 68-949(4) (LB130, 2024) says the total amount appropriated for NF rates must be used in the rate calculation, including the annual inflation factor, and DHHS must report how it was calculated by August 1. SFY2026 (7/1/2025-6/30/2026): +1.49% (NE 25-0015). For comparison, SFY2019 was -7.17% (2019 baseline). The SFY2027 factor was not found.
Verified October 11, 2026
Case mix
- System
PDPM
- Applied at
Resident-level
- How it works
Each home has a separate per diem for each level of care (4.19-D p.13: 'one rate corresponding to each level of care'), and a resident's claim pays the rate for their own PDPM nursing group from their latest MDS. The 7/1/2026 file lists 26 rates per home (levels 201-280).
- Classification
PDPM nursing component, 25 groups (levels 201-272) with the CMS nursing CMIs: PA1 0.66 up to ES3 4.06. Plus level 280 'Short-Term Stay' (0.59) for stays under 14 days with no full admission MDS (admissions from 7/1/2023). Default with no MDS is level 280. Levels 201 (PA1) and 202 (PA2) are paid the assisted-living rate (see low_acuity_rates).
- Applies to
Direct Nursing component only (cost is divided by weighted days, then multiplied by each level's weight). Support, fixed, provider-tax and quality components are the same for every level.
- Acuity measured from
For setting the direct nursing per diem, all residents' MDS days at each level x the weight, scaled to the cost report's total resident days, give 'Weighted Resident Days'. For payment, the resident's own level applies. A level is effective from the first day of the month of the assessment if received by the 10th of that month; audit changes are retroactive.
- Updated
Per resident with each MDS assessment (admission, quarterly, annual, significant change); the per-level rates change semiannually (July 1 and January 1).
- Move to PDPM
Moved from RUG-based levels (101-180) to PDPM nursing levels (201-280) effective 7/1/2023 (SPA NE 23-0008, approved 11/1/2023), with a 'federally approved patient driven payment-model grouper'.
Verified October 11, 2026
Low-acuity residents
Yes. Residents in the two lowest PDPM nursing groups, PA1 (level 201) and PA2 (level 202), are paid 'the applicable rate in effect for assisted living services under the Home and Community-Based Waiver Services for Aged Persons or Adults or Children with Disabilities adjusted to include the nursing facility quality assessment component and quality measures component' (4.19-D p.2 and p.15a, NE 23-0008, eff. 7/1/2023). The urban/rural single-occupancy assisted-living standard rate is $3,167/month (about $104/day) for SFY2027. In the 7/1/2026 file, levels 201/202 pay $104.12-$123.12 (median $115.77), against a median $253.20 for CA1 (level 240) and $219.17 for the short-stay level 280. Before PDPM the same rule applied to RUG levels 101-104 (2019 baseline). Separately, short stays (under 14 days, no admission MDS) are paid at level 280 (weight 0.59).
Verified October 11, 2026
Capital
Actual cost, capped: fixed cost per day (interest, depreciation, amortization, rent/lease, property taxes) / inpatient days, up to $27.00/day excluding property taxes. No fair rental value. No step-up in basis on purchases from 7/1/2020. Exceptions are possible for 20%+ fixed-cost growth. Special-needs units have a $54/day fixed cost cap (2019 baseline).
Verified October 11, 2026
Budget adjustment factor
No explicit across-the-board cut. The annual inflation factor is the budget lever: it is set to spend the NF appropriation (Neb. Rev. Stat. 68-949(4)). It was -7.17% for SFY2019 and +1.49% for SFY2026. Caps were also tightened from 125%/115% of median (2019) to 105%/100%, with new 77%/72% floors.
Verified October 11, 2026
Add-ons and money outside the rate
Paid outside the posted rate
- Level
small
- Estimate
Under 5% of base, by elimination. The only payments outside the posted rates are the cost-settlement payments for city/county-owned and IHS homes (the federal share of their costs above the rates or caps). There are no MCO directed payments or minimums, and the provider-tax and quality money is inside the posted per diems. Dollar amounts for the government-home settlements were not found.
- Components
City/county NF FFP cost settlement: size unknown. IHS NF special funding: size unknown.
Verified October 11, 2026
Payments by owner type
- Applies
yes
- Detail
City- and county-owned and operated NFs can receive the federal share of allowable costs above the rates paid for direct nursing, support and fixed cost for all Medicaid residents; homes with a 40%+ Medicaid mix can recover the federal share of costs above the component caps. Settled after audit, within the UPL. IHS/tribal NFs have a similar provision with quarterly interim payments. Government homes are also exempt from the 80%-of-cost loan interest limit. The number of qualifying homes and amounts were not found.
- Funding
Only the federal share is paid (the public owner's own spending on costs above the caps acts as the non-federal share; certified public expenditure in effect). No lease or management arrangement rules were found.
Verified October 11, 2026
Quality program
- Active
Yes
- Program
Quality Measures Component of the NF per diem (4.19-D p.15a)
- Funding
Part of the regular per diem, inside the NF appropriation; no separate pool or provider-tax earmark stated.
- Size
Not stated. Per-day amounts: $10.00 / $6.75 / $3.50 / $0.
- Paid as
Per-diem add-on to every level of care (including assisted-living levels 201-202).
- Measures
Measure Source Weight How points are earned CMS Care Compare Quality Measures domain star rating MDS QM (CMS Five-Star) 100% 5 stars = $10.00/day; 4 = $6.75; 3 = $3.50; 1, 2 or not rated = $0 - Scoring period
Rating published as of May 1 sets the July 1-December 31 rate; rating as of November 1 sets the January 1-June 30 rate.
- Payment formula
Flat tier by star level.
- Eligibility
All NFs paid under the standard method, including homes without a base-year cost report.
- Cadence
Semiannual.
- Scores published
The CMS star ratings are public on Care Compare; amounts are built into the posted per-level rates.
- Notes
The plan text still says the component 'applies to all nursing facility care levels (101-180)', the old RUG numbering.
Verified October 11, 2026
Provider tax
- Charged
per non-Medicare day
- Standard amount
$9.00 per resident day (including bed-hold days, less Medicare days) for the preceding quarter, per Neb. Rev. Stat. 68-1917 as amended by LB130 (approved 4/10/2024; was $3.50). Operative date and the CMS waiver approval date for the $9.00 rate were not confirmed.
- Tiers
Who Test Amount State-operated veterans homes public exempt Nursing facilities with 26 or fewer licensed beds size exempt Continuing care retirement communities ccrc exempt Certain high-volume Medicaid NFs or high patient-volume NFs, reduced to pass the 42 CFR 433.68(e)(2) redistribution test (68-1919) medicaid_utilization reduced; the amount and threshold are not in statute and were not found - Lower for high-Medicaid homes
yes
- Returned in the rate
Nursing Facility Quality Assessment Component on every per diem = anticipated tax payments for the rate year / total anticipated patient days (including bed-hold and Medicare days), from the four most recent quarters (4.19-D p.15). So Medicaid repays its share of each home's own tax, with no cap or revenue offset. Exempt homes get $0. Remaining fund proceeds plus federal match are used to raise the inflation factor (68-1926(3)(c)).
Verified October 11, 2026
Provider tax notes
Nursing Facility Quality Assurance Assessment (Neb. Rev. Stat. 68-1914 to 68-1927, LB600 2011): $9.00 per resident day, including bed-hold days, less Medicare days (LB130, 2024; was $3.50). Returned through the Nursing Facility Quality Assessment Component of every per diem; fund proceeds also raise the inflation factor (68-1926(3)(c)).
Verified October 11, 2026
Supplemental payments
(1) City- and county-owned and operated NFs can receive the federal share (FFP) of allowable costs above the rates paid for the Direct Nursing, Support Services and Fixed Cost components. Homes with a 40%+ Medicaid mix can receive the FFP share of costs above the component caps. Settled after desk audit, within the 42 CFR 447.272 upper payment limit. (2) IHS/tribal NFs get the same FFP share above rates, with quarterly interim payments. (3) No MCO directed payments (NF is outside managed care). Annual dollar amounts were not found.
Verified October 11, 2026
Other add-ons
(1) Quality Measures Component ($0-$10/day). (2) Provider-tax component. (3) Separately billed by the NF on a fee schedule: non-standard wheelchairs and seating, air-fluidized and low-air-loss beds, negative pressure wound therapy. (4) Hospice in a NF: a separate 'Hospice in NF' rate table (about 95% of the NF rate) paid FFS. The 2013-2016 DME add-on has ended. The 2020-21 Transition Component has ended.
Verified October 11, 2026
Units paid separately
Long-term care clients with special needs (ventilator-dependent, complex medical/rehabilitative, pediatric, extended brain injury rehabilitation) get prospective rates negotiated from the latest FA-66 or Medicare cost report, with a $54/day fixed cost cap. Prior authorization and team review are required. 7/1/2026 rates: Madonna (Lincoln) complex medical $1,796.26 and ventilator $1,940.69; Ambassador Lincoln ventilator $1,120.71; Ambassador Omaha ventilator $1,010.17 and pediatric $1,055.10; Quality Living brain injury $1,145.04. Out-of-state NFs are paid their home state's rate. Homes with 1,000 or fewer Medicaid days, new homes and CHOWs after the base year get the urban/rural average components.
Verified October 11, 2026
Payment rules
Managed care for long-term care
- Status
no
- Detail
Nursing facility care is carved out of Heritage Health and paid FFS by DHHS (Heritage Health Provider FAQ). Residents stay enrolled in an MCO for their medical, behavioral and pharmacy care; MCOs also pay crossover claims for those services.
Verified October 11, 2026
Who pays
fee_for_service. Heritage Health (managed care since 2017: Nebraska Total Care, UnitedHealthcare Community Plan, Molina) covers physical, behavioral and pharmacy services for nursing home residents, but 'long-term care services (LTC) continue to be managed and reimbursed through the fee-for-service program', including nursing homes, ICF/DD and HCBS waivers. Hospice room-and-board in a NF is also FFS.
Verified October 11, 2026
Managed care rate floor
Not applicable: MCOs do not pay nursing facility per diems (Heritage Health Provider FAQ, https://dhhs.ne.gov/Documents/Heritage%20Health%20Provider%20…).
Verified October 11, 2026
Included in the daily rate
Included: room, dietary, nursing, social services, minor supplies, oxygen and oxygen equipment, standard DME (walkers, standard wheelchairs, pressure pads), nutritional supplements and enteral/parenteral supplies, laundry, injection supplies, respiratory therapy, maintenance therapy, and therapist consulting. Billed separately by others: legend and OTC drugs (bulk OTC may be facility cost), physician, dental, therapy (PT/OT/SLP billed by the licensed provider), lab and radiology, eyeglasses and hearing aids, orthoses/prostheses, ambulance. Billed separately by the NF: non-standard wheelchairs, specialty beds, NPWT.
Verified October 11, 2026
Bed hold
- Hospital stays
Paid at the assisted-living waiver rate (not the NF per diem), for up to 15 days per hospitalization. Not for hospital swing beds or after a Medicare SNF stay.
- Leave days
Paid at the assisted-living waiver rate, up to 18 days per calendar year (prorated for admissions after January 1). Up to 6 more days can be requested for an approved rehab program. Must be in the care plan.
- Occupancy rule
None, but the held bed must be vacant and counted in the census, within licensed capacity. Paid only if the home holds beds for private-pay residents too.
- Notes
Assisted-living standard rate is $3,167/month (about $104/day) for SFY2027. Special-needs units have their own bed-hold levels at the full rate (rate file). ICF/IID: full per diem.
Verified October 11, 2026
Personal needs allowance
- Per month
75
- Effective
LB227 (2023), operative three calendar months after the 2023 session adjourned (about September 2023)
- Notes
Neb. Rev. Stat. 68-1006.01 sets a $75/month personal needs allowance in the aged, blind and disabled standard of need for people in alternative living arrangements, including long-term care facilities and assisted living (was 'at least $60'). Not indexed. Whether DHHS applies exactly $75 in Medicaid NF share-of-cost budgeting was not checked against the eligibility manual.
Verified October 11, 2026
Medicare coinsurance days
- Method
lesser_of
- Rule
Supplement 1 to 4.19-B (NE 17-0007, eff. 7/1/2017): for state-plan services, if Medicare's payment equals or exceeds the state plan rate, Medicaid pays $0. Otherwise it pays the lesser of (Medicaid rate minus Medicare paid) or the Medicare coinsurance and deductible. Applies to QMBs and other duals for Part A and B. Medicare Advantage cost-sharing treatment for NF days was not found.
- Effect
Medicare's SNF rate is well above Nebraska's per-resident Medicaid rate (median $253-$311/day for mid-acuity groups), so homes usually receive $0 of the day 21-100 coinsurance.
Verified October 11, 2026
Required care spending
- Applies
no
- Rule
No direct-care spending floor, recoupment or minimum share of rate found in 4.19-D or the QAA statutes. The 77% direct nursing floor raises low-cost homes' rates and does not require spending.
Verified October 11, 2026
Occupancy rules
- Applies
no
- Rule
Existing homes' components use actual base-year inpatient days (including bed-hold days); no minimum-occupancy divisor. Two narrow uses: (1) a home without a base-year cost report can ask for a fixed-cost exception only if its fixed cost per day at an assumed 85% occupancy is 20%+ above the urban/rural average; (2) medians are computed only from homes with an average census of 40 or more. ICF/DDs (not NFs) use an 85% minimum.
Verified October 11, 2026
MDS accuracy penalties
MDS data are audited through DHHS Public Health survey and certification; a level change from an audit is retroactive to the assessment's effective date (4.19-D p.30-32). Missing MDS defaults to level 280 (0.59). No separate penalty schedule found.
Verified October 11, 2026
Published rates and changes
How often rates change
- A home's rate changes
semiannual
- When
Rate periods July 1-December 31 and January 1-June 30. July 1: new inflation factor and provider-tax component (and rebase when the base year changes, at least every 5 years). Both periods: Quality Measures Component reset from the May 1 / November 1 star rating; fixed-cost exceptions take effect. Per resident, the level of care (and so the rate paid) changes with every MDS, from the first of that month.
Verified October 11, 2026
When rates change
July 1 (state fiscal year) and January 1.
Verified October 11, 2026
Posted rates
- Home-level rates published
Yes
- Format
xlsx ('7-1-2026 LTC Rates.xlsx': tabs 'NF Rates' and 'Hospice in NF Rates' by level of care 201-280, and 'Special Needs Rates')
- Cadence
Semiannual
- History
Only the 7/1/2026 file is linked on the fee-schedule page; older NF rate files were not found there.
- Home identifier
11-digit Nebraska Medicaid provider number plus city and facility name (no CCN or NPI)
Verified October 11, 2026
Rate build-ups
- Published
No
- Where
Not found. The posted file gives final per-level rates only.
- What they show
Final per diem for each home and level of care; no component build-up, medians, caps or base-year costs.
- Format
xlsx
Verified October 11, 2026
Recent changes
| Effective | Change | Headline | Direction | Size | Source |
|---|---|---|---|---|---|
| 2023-07-01 | Levels of care switched from RUGs to PDPM nursing groups, paid per resident; a 0.59 short-stay level was added for stays under 14 days without an admission MDS. Approved 11/1/2023. | Per-resident case mix switched to PDPM nursing | structural | https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19… | |
| 2023-09 | The personal needs allowance for residents of long-term care facilities rose from $60 to $75 a month (LB227, operative three months after the 2023 session adjourned). | Personal needs allowance raised to $75 | structural | $60 -> $75/month | https://nebraskalegislature.gov/FloorDocs/108/PDF/Slip/LB227.pdf |
| 2024 | LB130 raised the provider tax from $3.50 to $9.00 per non-Medicare day and required that the full NF appropriation be used in rates, including the inflation factor. The higher tax is passed back through each home's per diem. | Provider tax raised to $9.00 per day | increase | tax $3.50 -> $9.00 per non-Medicare day | https://nebraskalegislature.gov/FloorDocs/108/PDF/Slip/LB130.pdf |
| 2025-07-01 | Inflation factor of +1.49% applied to the direct nursing and support components for SFY2026 (SPA NE 25-0015, approved 12/15/2025). | SFY2026 inflation factor set at 1.49% | increase | +1.49% | https://dhhs.ne.gov/Medicaid%20State%20Plan/Attachment%204.19… |
| 2026-07-01 | Assisted living waiver rates were not raised for SFY2027 ('no rate increase appropriations'), so the PA1/PA2 nursing home levels tied to them stay flat apart from the tax and quality components. | Assisted living rates frozen for SFY2027 | structural | $3,167/month standard rate unchanged | https://dhhs.ne.gov/Medicaid%20Practitioner%20Fee%20Schedules… |
Verified October 11, 2026
Assisted living
Medicaid assisted living
- Covered
yes
- Program
Aged and Disabled (AD) Waiver, 1915(c) (480 NAC 5), and the Traumatic Brain Injury Waiver: assisted living service. Paid fee-for-service (not Heritage Health).
- What is paid
Services only. Medicaid pays the services share; the resident pays a set room-and-board share ($919/month in SFY2027).
- Rate
Effective 7/1/2026 (SFY2027, no increase from SFY2026): single occupancy, rural or urban, standard $3,167/month = Medicaid $2,248 + resident $919. Multiple occupancy (prior approval) $2,583 = Medicaid $1,664 + $919. Admission/discharge months are paid daily: $73.91 (single) or $54.71 (multiple) Medicaid net per day.
- Limits
Waiver eligibility and NF level of care required; service must be pre-authorized by the services coordinator. Waiver caps or waitlists were not checked.
Verified October 11, 2026
Sources
- Nebraska Medicaid State Plan Attachment 4.19-D, Rates for Nursing Facility Services (TNs NE 23-0008, NE 25-0015, NE 20-0001, NE 21-0008) · state plan
- Nebraska Medicaid State Plan Attachment 4.19-C, Bedholding (NE 18-0003) · state plan
- Supplement 1 to Attachment 4.19-B, Payment of Medicare Part A and B Deductible/Coinsurance (NE 17-0007) · state plan
- Nebraska DHHS 7-1-2026 LTC Rates (NF rates by level of care, hospice in NF, special needs) · rate file
- Nebraska DHHS Medicaid Provider Rates and Fee Schedules page · agency page
- AD and TBI Waiver Assisted Living Rates, effective July 1, 2026 (SFY2027) · rate file
- Heritage Health Provider FAQ (Nebraska DHHS) · agency page
- Neb. Rev. Stat. 68-1917 (QAA $9.00 per day), 68-1918 (exemptions), 68-1919 (reduced high-volume tier), 68-1926 (fund use) · statute
- LB130 (2024): QAA $3.50 -> $9.00; NF appropriation intent (68-949) · statute
- Neb. Rev. Stat. 68-1006.01, personal needs allowance · statute
- LB227 (2023), sec. 62 (PNA $60 -> $75) and sec. 117 (operative dates) · statute
- MACPAC 2019 compendium, Nebraska tab (baseline only, for 'from' side of history) · secondary
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