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

Current through June 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.