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
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