Nebraska Skilled Nursing Services Provider Policy Manual
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The Nebraska Skilled Nursing Services Provider Policy Manual provides a comprehensive framework for delivering state-compliant skilled nursing care to individuals in Nebraska. This manual aligns with the Nebraska Administrative Code (Title 471, Chapter 12), Medicaid Home and Community-Based Services (HCBS) Waiver requirements, and federal regulations under 42 CFR §440.80 and §484 (Conditions of Participation for Home Health Agencies). It ensures full compliance with licensure standards, provider qualifications, and documentation requirements to support individuals requiring medically necessary nursing care.
The manual includes policies on service delivery, clinical documentation, patient rights, individualized care planning, provider qualifications, infection control, emergency preparedness, and quality assurance. It emphasizes person-centered care aimed at addressing complex medical needs through skilled interventions such as wound care, medication administration, intravenous therapy, respiratory care, and monitoring of chronic conditions. Services may be delivered in the patient’s home or other approved community-based settings.
The manual outlines protocols for conducting initial assessments, developing individualized care plans, ensuring continuity of care, and maintaining accurate clinical documentation. It also addresses reimbursement procedures under Medicaid HCBS waivers and Medicare when applicable.
Additionally, the manual incorporates guidelines for safeguarding patient rights, preventing abuse or neglect, implementing infection control measures, and responding to medical emergencies. Providers are required to participate in regular audits and quality improvement initiatives to ensure adherence to best practices in skilled nursing care.
This policy manual serves as a vital resource for providers to deliver effective skilled nursing services that enhance health outcomes while adhering to Nebraska’s regulatory framework for Medicaid-funded programs and healthcare services.