Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 477 - MEDICAID ELIGIBILITY
Chapter 11 - LIVING ARRANGEMENTS
Section 477-11-002 - DEFINITIONS
Current through September 17, 2024
The following definitions are used in the administration of Medicaid:
002.01 INPATIENT. A patient who has been admitted to a medical institution on the recommendation of a physician or dentist and is receiving room, board, and professional services in the institution on a continuous 24 hour-a-day basis.
002.02 INSTITUTION. An establishment which furnishes, in single or multiple facilities, food and shelter to four or more persons unrelated to the proprietor and, in addition, provides some treatment or services which meet some need beyond the basic provision of food and shelter.
002.03 INSTITUTION FOR MENTAL DISEASE (IMD). An institution of more than 16 beds which is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases. Such care includes medical attention, nursing care, and related services. Whether an institution is an institution for mental diseases is determined by its overall character as that of a facility established and maintained primarily for the care and treatment of individuals with mental diseases, whether or not it is licensed as such.
002.04 LEVEL OF CARE. A category of living arrangement. Levels of care funded by Medicaid include nursing facility (NF), intermediate care facility for individuals with developmental disabilities (ICF/DD), acute hospital, and institution for mental disease (IMD).
002.05 MEDICAL INSTITUTION. An institution which is organized to provide medical care, including nursing and convalescent care, and has the necessary professional personnel, equipment, and facilities to manage the medical, nursing, and other health needs of patients on a continuing basis in accordance with accepted standards. The institution must be authorized under state law to provide medical care.
002.06 PUBLIC INSTITUTION. An institution which is the responsibility of a governmental unit, or over which a governmental unit exercises administrative control.
002.07 PUBLICLY OPERATED COMMUNITY RESIDENCE. A publicly operated residence to serve no more than 16 residents and provide some services beyond food and shelter, such as social services, help with personal living activities, or training in socialization or life skills. Occasional or incidental medical or remedial care may also be provided.
