Nebraska Personal Assistance Services Policy Manual
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The Nebraska Personal Assistance Services Provider Policy Manual provides a comprehensive framework for delivering state-compliant personal assistance services to individuals with disabilities or chronic medical conditions in Nebraska. This manual aligns with the Nebraska Administrative Code (Title 471, Chapter 15), Medicaid Home and Community-Based Services (HCBS) State Plan requirements, and federal regulations under 42 CFR §440.167. It ensures full compliance with provider qualifications, service standards, and documentation requirements to support participants in maintaining their independence and safety at home.
The manual includes policies on service delivery, provider responsibilities, participant rights, individualized service planning, staff qualifications, emergency preparedness, and quality assurance. It emphasizes person-centered care designed to assist participants with activities of daily living (ADLs) and instrumental activities of daily living (IADLs), such as bathing, dressing, toileting, meal preparation, housekeeping, grocery shopping, mobility, and medication reminders. Personal assistance services may also include certain medical tasks under professional oversight (e.g., catheter administration or oxygen management).
Providers must meet strict standards outlined in Title 471 NAC 15, including maintaining confidentiality, safeguarding participant safety and property, adhering to Electronic Visit Verification (EVV) requirements, and accurately documenting services provided. The manual also outlines eligibility criteria for providers—such as passing the Nebraska Certified Nurse Aide equivalency test or demonstrating substantial experience—and addresses protocols for reporting abuse or neglect. Additionally, it includes guidelines for reimbursement procedures, service limitations (e.g., maximum weekly hours), and coordination with participants for scheduling services.
This policy manual serves as an essential resource for providers to deliver effective personal assistance services that promote independence and enhance the quality of life for individuals while adhering to Nebraska’s regulatory framework for Medicaid-funded programs.