Nebraska Home Health Service Policy Manual

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The Nebraska Home Health Service Provider Policy Manual provides a comprehensive framework for delivering home health services in compliance with Nebraska state regulations, Medicaid guidelines, and federal standards. This manual aligns with the Nebraska Administrative Code (471 NAC, Chapter 9), Nebraska Department of Health and Human Services (DHHS) requirements, and Medicare Conditions of Participation (42 CFR Part 484) to ensure regulatory adherence and high-quality service delivery.
The manual includes policies on provider licensing, patient eligibility verification, service authorization, clinical documentation, billing procedures, and quality assurance. It outlines the scope of home health services, including skilled nursing care, physical therapy, occupational therapy, speech-language pathology, medical social services, and home health aide services. Providers must follow physician-approved care plans developed by registered nurses or qualified professionals and ensure regular updates to the plan based on patient needs.
The manual also addresses durable medical equipment (DME), medical supplies reimbursement methodologies, and prior authorization processes for covered services. Additionally, it includes provisions for coordination of multiple services to ensure seamless care delivery.
Designed to support providers in meeting state licensure, Medicaid certification, and Medicare accreditation requirements, this manual serves as a vital resource for ensuring safe and effective home health services within Nebraska’s regulatory framework.