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Nebraska HCBS Spending Plan 

Department of Health and Human Services

Submitted July 12th, 2021

Awaiting Approval

The Nebraska Department of Health and Human Services (DHHS) is pleased to submit its initial spending plan projection and narrative for enhanced funding for Medicaid home and community based services (HCBS) through the American Rescue Plan Act (ARPA) of 2021. Nebraska estimates that as much as $90 million may be available as a result of the temporary increase to the HCBS FMAP to enhance the system of Medicaid HCBS in the state. Nebraska DHHS, Nebraska’s single state Medicaid agency, will oversee the usage of these ARPA funds.

The additional ARPA funds available for Medicaid HCBS will help strengthen Nebraska DHHS’s mission to help people live better lives. In pursuit of this mission, DHHS is focusing its HCBS spending plan on three aspects of the system of services:

1. Opportunities for Providers: pursuing new ways to provide support to service providers 2. Opportunities for Clients: improving access to and quality of services

3. Infrastructure and Delivery System Improvements: enhancing and streamlining the delivery of Medicaid services

* NASP has requested more clarification from on the statement: "DHHS plans to provide information on 3 additional opportunities in future spending plan updates. These additional opportunities include: 1) Exploring workforce development initiatives such as hiring and retention bonuses for direct care providers and case managers."  Will share answer via email once received.

Read the Submitted Plan Here

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