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Comprehensive Person-Centered State Work Incentive Initiatives:

A Resource Center for Developing & Implementing Medicaid Buy In Programs
and
Related Employment Initiatives for Persons with Disabilities


Nebraska


I. Overview of a State's Comprehensive Person-Centered Employment Initiatives

Nebraska's Medicaid Buy-In program was enacted in 1999 and was implemented beginning June 1, 1999. In 2001 Nebraska amended its Medicaid Plan to allow delivery of personal care services in the workplace to support employment. The impetus for the Medicaid Buy-In program was individuals with disabilities expressing frustration when they learned they would lose Medicaid if they increased their work effort. During the development of the Medicaid Buy-In legislation, the state convened a stakeholder meeting to discuss barriers confronting persons with disabilities who want to enter the workforce.

New – Download file of two summary charts
State’s Medicaid Buy-In Program Design Features
- Income Eligibility Criteria
- Resource Limits and Exclusions
- Cost Sharing – Minimum Income Level and Premium or Cost Share Methods
- Work Related Policies and Protections
State’s SSI and Other Medicaid Income Standards for Adults with Disabilities

 

II. What's New and Persons to Contact

New-
“Intermediary Service Organizations Providing Personal Assistance Services: Implementation Lessons”. June 2003.
A report prepared for the Nebraska Medicaid Infrastructure Project by the Public Policy Institute at the University of Nebraska
Link to download the report
http://ppc.unl.edu/reports_publications/price_pasiso_report.pdf

“The Impact of Earnings of Nebraskans with Disabilities on Their Eligibility for Selected Services and Programs” December 2002
A report prepared for the Nebraska Medicaid Infrastructure Project by the Public Policy Institute at the University of Nebraska
Link to download the report
http://ppc.unl.edu/reports_publications/price_program_integration.pdf

Persons to Contact
Joni Thomas
Disability Infrastructure Grant Coordinator
Special Services (Children and Adults)
301 Centennial Mall South, 5th Floor
P.O. Box 95044
Lincoln, NE 68508
Phone (voice): 402/471-1764
Fax: 402/471-6352
E-mail: joni.Thomas@hhss.state.ne.us

Contact in Nebraska Department of Health and Human Services:
George Kallandt, Medicaid Eligibility Specialist
402-471-9267
george.kahlandt@hhss.state.ne.us

Contact in Nebraska Legislature:
Jeff Santema
Staff Director, Human Services Committee
402-471-2622
jsantema@unicam.state.ne.us

 

III. Program Development - Past and Present

  • Executive Branch Leadership, Cross Disability Coalition Leadership and Interagency Working Groups
  • Initial Planning, Information Gathering and Program and Fiscal Estimates

    New-
    For a description of the development of the Nebraska program go to the Nebraska Case Study prepared by the George Washington University Work Incentives Project with support from ASPE at the Department of Health and Human Services and scroll down and click on to the Nebraska study in the Table of Contents
    http://aspe.hhs.gov/daltcp/reports/EIcasest.htm

    Or download a Word file of the Nebraska Case Study


    New-
    “The Impact of Earnings of Nebraskans with Disabilities on Their Eligibility for Selected Services and Programs”
    A report prepared for the Nebraska Medicaid Infrastructure Project by the Public Policy Institute at the University of Nebraska
    Link to download the report
    http://ppc.unl.edu/reports_publications/price_program_integration.pdf

 

IV. State Legislation - Adopted and Pending

Download text of Nebraska Medicaid Buy In legislation.

 

V. Current State Policies and Program Descriptions

  • State Policies: State Plans, Regulations and Waiver Requests to Federal Agencies - Pending and Adopted Programs
    New-
    Download Excerpt from Nebraska’s Medicaid State Plan Amendment on the Medicaid Buy-In program
  • Ensuring Informed Choice and Person - Centered Programs: Benefits Counseling, Work Force Investment Act Implementation and Related Educational Services
  • Descriptions for Consumers and Staff Training Activities

 

VI. Program Data and Impact

  • Medicaid Buy-In Data
    114 Medicaid Buy-In enrollees as of June 30, 3003
  • Consumer Surveys and Evaluation Studies
    New
    "Survey of Disability and Employment in Nebraska",
    Fall 2001,
    Data Analysis and Report, May 20, 2002
    Submitted to: Nebraska Health and Human Services System
    by the University of Nebraska Public Policy Center
    Download a copy of the report
    Or link to download the report
    http://ppc.unl.edu/reports_publications/price_program_integration.pdf

 

VII. Comprehensive Employment Initiatives

New-
Personal Assistance Services
Intermediary Service Organizations Providing Personal Assistance Services: Implementation Lessons. June 2003. University of Nebraska Public Policy Center.
A report prepared for the Nebraska Medicaid Infrastructure Project by the Public Policy Institute at the University of Nebraska
Link to download the report
http://ppc.unl.edu/reports_publications/price_pasiso_report.pdf


Center for the Study and Advancement of Disability Policy and Center for Health Services Research and Policy at George Washington University

Supported by a grant from the Robert Wood Johnson Foundation with additional support provided by NIDRR of the US Department of Education through the RRTC on Workforce Investment and Employment Policy at the Law, Health Policy and Disability Center at the University of Iowa. (#H133B980042) 

Website created and maintained by the Law, Health Policy and Disability Center at the University of Iowa College of Law. The opinions and analyses set out in the articles on this website are those of the authors and do not necessarily reflect the positions of the Robert Wood Johnson Foundation, the US Department of Education, George Washington University or the University of Iowa.