§ 68-901 Medical Assistance Act; act, how cited
§ 68-902 Purposes of act
§ 68-903 Medical assistance program; established
§ 68-904 Legislative findings
§ 68-905 Program of medical assistance; statement of public policy
§ 68-906 Medical assistance;state accepts federal provisions
§ 68-907 Terms, defined
§ 68-908 Department; powers and duties
§ 68-908.01 Dental services; reimbursement rates
§ 68-909 Existing contracts, agreements, rules, regulations, plan, and waivers; how treated; report required; exception; department; powers and duties
§ 68-910 Medical assistance payments; source of funds
§ 68-911 Medical assistance; mandated and optional coverage; department; submit state plan amendment or waiver; specified coverage requirements
§ 68-912 Limits on goods and services; considerations;procedure
§ 68-913 Medical assistance program; public awareness; public school district; hospital; duties
§ 68-914 Application for medical assistance; form; department; decision; notice; requirements; appeal
§ 68-915 Eligibility
§ 68-916 Medical assistance; application; assignment of rights; exception
§ 68-917 Applicant or recipient; failure to cooperate; effect
§ 68-918 Restoration of rights; when
§ 68-919 Medical assistance recipient; liability; when; claim; procedure; department; powers; recovery of medical assistance reimbursement; procedure
§ 68-920 Department; garnish employment income; when; limitation
§ 68-921 Entitlementof spouse; terms, defined
§ 68-922 Amount of entitlement; department; rules and regulations
§ 68-923 Assets; eligibility for assistance; future medical support; considerations; subrogation
§ 68-924 Designation of assets; procedure
§ 68-925 Department; furnish statement
§ 68-926 Legislative findings
§ 68-927 Terms, defined
§ 68-928 Licensed insurer or self-funded insurer; provide coverage information
§ 68-929 Licensed insurer; violation
§ 68-930 Self-funded insurer; violation; civil penalty
§ 68-931 Recovery; authorized
§ 68-932 Process for resolving violations; appeal
§ 68-933 Civil penalties; disposition
§ 68-934 False Medicaid Claims Act; act, how cited
§ 68-935 Terms, defined
§ 68-936 Presentation offalse medicaid claim; civil liability; violationof act; civil penalty; damages; costsand attorney’s fees
§ 68-937 Failure to report
§ 68-938 Charge, solicitation, acceptance, or receipt; unlawful; when
§ 68-939 Records; duties; acts prohibited; liability; costs and attorney’s fees
§ 68-940 Penalties or damages; considerations; liability; costs and attorney’s fees
§ 68-940.01 State Medicaid Fraud Control Unit Cash Fund; created; use; investment
§ 68-941 Limitation of actions; burden of proof
§ 68-942 Investigation and prosecution
§ 68-943 State medicaid fraud control unit; certification
§ 68-944 State medicaid fraud control unit; powers and duties
§ 68-945 Attorney General; powers and duties
§ 68-946 Attorney General; access to records
§ 68-947 Contempt of court
§ 68-949 Medical assistance program; legislative intent; department; duties; medicaid nursing facility rates; appropriations; reports
§ 68-950 Medicaid Prescription Drug Act, how cited
§ 68-951 Purpose of act
§ 68-952 Terms, defined
§ 68-953 Preferred drug list; department; establish and maintain; pharmaceutical and therapeutics committee; members; expenses
§ 68-954 Preferred drug list; considerations; availability of list
§ 68-955 Prescription of drug not on preferred drug list; conditions; antidepressant, antipsychotic, or anticonvulsant prescription drug; prior authorization; not required, when
§ 68-956 Department; duties; contract; pharmacy benefit manager; comply with Pharmacy Benefit Manager Licensure and Regulation Act
§ 68-962 Autism Treatment Program Act; act, how cited
§ 68-963 Purpose of Autism Treatment Program Act
§ 68-964 Autism Treatment Program; created; administration; funding
§ 68-965 Autism TreatmentProgram Cash Fund; created; use; investment
§ 68-966 Department; apply for medical assistance program waiver or amendment; legislative intent
§ 68-967 Comprehensive treatment of pediatric feeding disorders; amendment to state medicaid plan; department; duties
§ 68-968 School-based health centers; SchoolHealth Center Advisory Council; members
§ 68-969 Amendment to medicaid state plan orwaiver; children eligible for medicaid and CHIP; treatment for pregnant women;department; duties
§ 68-970 Nebraska Regional Poison Center; legislativefindings
§ 68-971 Amendment to medicaid state plan orwaiver; Nebraska Regional Poison Center; payments; use; department; duties;University of Nebraska Medical Center; report
§ 68-972 Prenatal care; legislative findings;creation of separate program; benefits provided; department; submit stateplan amendment or waiver; eligibility
§ 68-973 Medical assistance programs; improper payments; postpayment reimbursement; legislative findings; integrity procedures and guidelines; legislative intent
§ 68-974 Program integrity contractors; contracts; contents; audit procedures; powers; health insurance premium assistance payment program; contract; department; powers and duties; form of records authorized; appeal; report
§ 68-975 Department; apply for amendment to medicaid state plan; multisystemic therapy for youth
§ 68-976 Provider with high categorical risk level; fingerprint-based criminal history record information check; Nebraska State Patrol; issue report; cost; department; powers and duties
§ 68-977 Ground Emergency Medical Transport Act; act, how cited
§ 68-978 Terms, defined
§ 68-979 Legislative intent
§ 68-980 Supplemental reimbursement
§ 68-981 Supplemental reimbursement; eligibility
§ 68-982 Supplemental reimbursement; calculation and payment
§ 68-983 Intergovernmental transfer program; department; powers and duties
§ 68-984 Agreement
§ 68-985 Governmental entity; duties
§ 68-986 Department; amendment to medicaid state plan; department; powers
§ 68-987 Department; duties
§ 68-988 Increased capitation payments; commencement
§ 68-989 Disclosure by applicant; income and assets; action for recovery of medical assistance authorized
§ 68-990 Medical assistance; transfers; security for recovery of indebtedness to department; lien; notice; filing; department; duties; section null and void
§ 68-991 Medical provider; authority to apply for medical assistance
§ 68-992 Eligibility for medical assistance; expanded population; Department of Health and Human Services; duties
§ 68-993 Medical parole; protocol
§ 68-994 Long-term care services and supports; department; limitation on addition to medicaid managed care program
§ 68-995 Contracts and agreements; department; duties
§ 68-996 Medicaid Managed Care Excess Profit Fund; created; use; investment
§ 68-997 Job-skills programs; voluntary; departments; powers and duties
§ 68-998 Managed care organization; provider contract; material change; notice
§ 68-999 Direct care staff; psychiatric facilities caring for juveniles; standards
§ 68-9,100 Hospital and nursing facility services; reimbursement; rate methodology; rules and regulations
§ 68-9,101 Multiple procedure payment reduction policy; implementation; when prohibited
§ 68-9,102 Long-term acute care hospitals; enroll as providers
§ 68-9,103 Long-term acute care hospitals; coverage; state plan amendment or waiver
§ 68-9,104 Critical access hospitals; rebase inpatient interim per diem rates
§ 68-9,105 Nebraska Prenatal Plus Program; terms, defined
§ 68-9,106 Nebraska Prenatal Plus Program; created; purpose; termination
§ 68-9,107 Nebraska Prenatal Plus Program; services eligible for reimbursement
§ 68-9,108 Nebraska Prenatal Plus Program; reimbursement rate; state plan amendment or waiver
§ 68-9,109 Nebraska Prenatal Plus Program; department; report
§ 68-9,110 Nebraska Prenatal Plus Program; funding
§ 68-9,111 Pharmacy dispensing fee reimbursement; survey

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Terms Used In Nebraska Statutes > Medical Assistance Act

  • Acquire: when used in connection with a grant of power or property right to any person shall include the purchase, grant, gift, devise, bequest, and obtaining by eminent domain. See Nebraska Statutes 49-801
  • Action: shall include any proceeding in any court of this state. See Nebraska Statutes 49-801
  • Advice and consent: Under the Constitution, presidential nominations for executive and judicial posts take effect only when confirmed by the Senate, and international treaties become effective only when the Senate approves them by a two-thirds vote.
  • Allegation: something that someone says happened.
  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appellate: About appeals; an appellate court has the power to review the judgement of another lower court or tribunal.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Assets: means property which is not exempt from consideration in determining eligibility for medical assistance under rules and regulations adopted and promulgated under section Nebraska Statutes 68-921
  • At-risk mother: means a woman who is (a) eligible for medicaid, (b) pregnant, and (c) determined by her health care provider to be at risk of having a negative maternal or infant health outcome. See Nebraska Statutes 68-9,105
  • Attorney: shall mean attorney at law. See Nebraska Statutes 49-801
  • Bankruptcy: Refers to statutes and judicial proceedings involving persons or businesses that cannot pay their debts and seek the assistance of the court in getting a fresh start. Under the protection of the bankruptcy court, debtors may discharge their debts, perhaps by paying a portion of each debt. Bankruptcy judges preside over these proceedings.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Community spouse monthly income allowance: means the amount of income determined by the department in accordance with section 1924 of the federal Social Security Act, as amended, Public Law 100-360, Nebraska Statutes 68-921
  • Community spouse resource allowance: means the amount of assets determined in accordance with section 1924 of the federal Social Security Act, as amended, Public Law 100-360, Nebraska Statutes 68-921
  • Company: shall include any corporation, partnership, limited liability company, joint-stock company, joint venture, or association. See Nebraska Statutes 49-801
  • Contract: A legal written agreement that becomes binding when signed.
  • Conviction: A judgement of guilt against a criminal defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Decedent: A deceased person.
  • Deed: The legal instrument used to transfer title in real property from one person to another.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Dependent: A person dependent for support upon another.
  • Discovery: Lawyers' examination, before trial, of facts and documents in possession of the opponents to help the lawyers prepare for trial.
  • Domestic: when applied to corporations shall mean all those created by authority of this state. See Nebraska Statutes 49-801
  • Donor: The person who makes a gift.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Ex officio: Literally, by virtue of one's office.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Grantee: shall include every person to whom any estate or interest passes in or by any conveyance. See Nebraska Statutes 49-801
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Home and community-based services: means services furnished under home and community-based waivers as defined in Title XIX of the federal Social Security Act, as amended, Nebraska Statutes 68-921
  • Irrevocable trust: A trust arrangement that cannot be revoked, rescinded, or repealed by the grantor.
  • Joint tenancy: A form of property ownership in which two or more parties hold an undivided interest in the same property that was conveyed under the same instrument at the same time. A joint tenant can sell his (her) interest but not dispose of it by will. Upon the death of a joint tenant, his (her) undivided interest is distributed among the surviving joint tenants.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Life estate: A property interest limited in duration to the life of the individual holding the interest (life tenant).
  • Litigation: A case, controversy, or lawsuit. Participants (plaintiffs and defendants) in lawsuits are called litigants.
  • Mistrial: An invalid trial, caused by fundamental error. When a mistrial is declared, the trial must start again from the selection of the jury.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Mortgagee: The person to whom property is mortgaged and who has loaned the money.
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: shall include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Person shall: include bodies politic and corporate, societies, communities, the public generally, individuals, partnerships, limited liability companies, joint-stock companies, and associations. See Nebraska Statutes 49-801
  • Personal property: All property that is not real property.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Probate: Proving a will
  • Process: shall mean a summons, subpoena, or notice to appear issued out of a court in the course of judicial proceedings. See Nebraska Statutes 49-801
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Qualified applicant: means a person (a) who applies for medical assistance on or after July 9, 1988, (b) who is under care in a state-licensed hospital, a nursing facility, an intermediate care facility for persons with developmental disabilities, an assisted-living facility, or a center for the developmentally disabled, as such terms are defined in the Health Care Facility Licensure Act, or an adult family home certified by the department or is receiving home and community-based services, and (c) whose spouse is not under such care or receiving such services and is not applying for or receiving medical assistance. See Nebraska Statutes 68-921
  • Qualified recipient: means a person (a) who has applied for medical assistance before July 9, 1988, and is eligible for such assistance, (b) who is under care in a facility certified to receive medical assistance funds or is receiving home and community-based services, and (c) whose spouse is not under such care or receiving such services and is not applying for or receiving medical assistance. See Nebraska Statutes 68-921
  • Quorum: The number of legislators that must be present to do business.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Recess: A temporary interruption of the legislative business.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Revocable trust: A trust agreement that can be canceled, rescinded, revoked, or repealed by the grantor (person who establishes the trust).
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Sole ownership: The type of property ownership in which one individual holds legal title to the property and has full control of it.
  • Spouse: means the spouse of a qualified applicant or qualified recipient. See Nebraska Statutes 68-921
  • State: when applied to different states of the United States shall be construed to extend to and include the District of Columbia and the several territories organized by Congress. See Nebraska Statutes 49-801
  • Statute: A law passed by a legislature.
  • Subpoena: A command to a witness to appear and give testimony.
  • Tenancy in common: A type of property ownership in which two or more individuals have an undivided interest in property. At the death of one tenant in common, his (her) fractional percentage of ownership in the property passes to the decedent
  • Testify: Answer questions in court.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • Trust account: A general term that covers all types of accounts in a trust department, such as estates, guardianships, and agencies. Source: OCC
  • Trustee: A person or institution holding and administering property in trust.
  • Trustor: The person who makes or creates a trust. Also known as the grantor or settlor.
  • United States: shall include territories, outlying possessions, and the District of Columbia. See Nebraska Statutes 49-801
  • Verdict: The decision of a petit jury or a judge.
  • Violate: shall include failure to comply with. See Nebraska Statutes 49-801
  • Year: shall mean calendar year. See Nebraska Statutes 49-801