Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 467 - MEDICALLY HANDICAPPED CHILDREN'S PROGRAM
Chapter 6 - REFERRAL, APPLICATION, ELIGIBILITY, AND SERVICES FOR THE DISABLED CHILDREN'S PROGRAM
Section 467-6-007 - INDIVIDUAL SERVICE PLAN
Universal Citation: 467 NE Admin Rules and Regs ch 6 ยง 007
Current through September 17, 2024
An individual service plan is developed for each recipient based upon their needs assessment, service components of the program, and available funds. The plan details the services available to the recipient which are prior approved by the Department.
007.01 LOCATION OF SERVICES. Recipients are encouraged to use medical providers and facilities closest to their place of residence. If a medical provider or facility is available closer to the residence and the recipient chooses one further away, the Department is not obligated to pay for supportive services for that care or treatment.
007.02 SERVICE COMPONENTS. Service components may be covered based on identified needs and available funds.
007.02(A)
MEDICAL
MILEAGE. Medical mileage reimbursement is a covered service for
families who transport recipients to disability-related medical care or
treatment. Mileage for routine, general health care is not a covered service.
The reimbursement rate for medical mileage follows the annual Internal Revenue
Service standard mileage rate per mile driven for medical purposes.
007.02(B)
LODGING.
Lodging is a covered service for families who travel long distances for
disability-related care or treatment for the recipient. If lodging is available
through another program at no cost or minimal cost, this service may not be
available. The reimbursement rate for lodging follows the annual United States
General Services Administration Per Diem Rates based on the location of the
lodging. Additional lodging for leisure is optional and not covered.
007.02(C)
RESPITE
CARE. Respite care is a covered service to provide caregivers a
short break from taking care of the recipient with special health care needs.
The Department determines the maximum dollar amount of respite care for each
recipient based on the needs of the family and available funds, not to exceed
$125 per month, which is then included in the individual service plan. Respite
care may not be used as child care when a caregiver is working or going to
school.
007.02(C)(i)
RESPITE
PROVIDERS. Parents and legal guardians of recipients are
responsible for locating respite providers to care for the recipients. The
following are required of all respite providers:
(1) The provider must undergo a child and an
adult registry check at least once every twelve (12) months to be enrolled as a
provider. The Department may require additional registry checks when the
circumstances warrant further investigation. The Department may in its
discretion accept a child and an adult registry check completed by another
Department program within the previous twelve (12) months. Funds cannot be used
to pay providers identified on the Department's child or adult registries as a
substantiated perpetrator of abuse or neglect.
(2) The provider must be age 19 years or
older.
(3) The provider must not
reside in the household with the recipient.
(4) Non-relative providers are encouraged.
The Department has the discretion to deny payment for relative providers so
long as providers are available in the recipient's residing area.
007.02(D)
SPECIAL EQUIPMENT AND ACCESSIBILITY MODIFICATIONS.
Special equipment and accessibility modifications are covered services based on
the needs of each recipient, available funds, and individual service plans. The
maximum dollar amount is $3,600 per recipient's family per 12-month period.
Medical necessity must be documented by a health care
professional.
Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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