This bill amends section 68-994 of the Revised Statutes Cumulative Supplement, 2024, to establish specific requirements for long-term care clients with special needs under the medical assistance program in Nebraska. It prohibits the addition of long-term care services and supports to the Medicaid managed care program until July 1, 2023, and emphasizes the need for continuity of care and specialized oversight for these clients. The bill defines long-term care clients with special needs as Medicaid recipients with complex medical or nursing needs that exceed the usual level of care provided in nursing facilities.

Furthermore, the bill mandates that skilled nursing facility and nursing facility services for these clients be excluded from enrollment in the Medicaid managed care program and instead be administered through a fee-for-service Medicaid system. It also stipulates that providers are not required to enroll with a managed care organization to serve these clients. The department is tasked with implementing these requirements without increasing state General Fund expenditures and must adopt necessary rules and regulations within six months of the bill's effective date. The original section 68-994 is repealed as part of this legislative update.

Statutes affected:
Introduced: 68-994