Nebraska Adult Health Services Policy Manual
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The Nebraska Adult Health Services Provider Policy Manual provides a comprehensive framework for delivering state-compliant adult health services in Nebraska. This manual aligns with the Nebraska Administrative Code (Title 175, Chapter 5), Medicaid Home and Community-Based Services (HCBS) Waiver requirements, and federal regulations under 42 CFR §440.180. It ensures full compliance with licensure standards, provider qualifications, and service delivery requirements to support adults requiring structured health and social services in community-based settings.
The manual includes policies on service delivery, participant rights, individualized care planning, provider qualifications, staff training, health monitoring protocols, emergency preparedness, and quality assurance. It emphasizes person-centered care designed to promote physical health, emotional well-being, and social engagement while addressing the medical and functional needs of participants. Services may include assistance with activities of daily living (ADLs), medication administration, health education, therapeutic interventions, and transportation.
Providers must meet strict standards outlined in Title 175 NAC 5, including maintaining safe and accessible facilities, adhering to staffing ratios, and ensuring staff are trained in areas such as infection control, first aid, CPR, disaster preparedness, and client rights. The manual outlines protocols for conducting initial assessments, developing individualized service plans (ISPs), documenting daily activities and progress, and coordinating with caregivers or other healthcare providers. It also addresses reimbursement procedures under Medicaid HCBS waivers and service limitations (e.g., maximum hours of care per day).
Additionally, the manual incorporates guidelines for safeguarding participant rights, preventing abuse or neglect, maintaining confidentiality of records, and responding to medical emergencies. Providers are required to participate in regular inspections and quality improvement initiatives to ensure compliance with regulatory standards.
This policy manual serves as an essential resource for providers to deliver effective adult health services that enhance quality of life while adhering to Nebraska’s regulatory framework for Medicaid-funded programs.