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Assisted Living Services Provider Handbook
Introduction
What are Medicaid Waiver Assisted Living Services?
Provider Duties and Responsibilities
Department Responsibilities
Overview of Payment Structure
Assisted Living Rates
Billing DHHS for Payment
Appendices
A: Service Provider Agreement DHHS (DSS-9)
B: Aged and Disabled Medicaid Waiver Plan of Services and Supports Nebraska Department of Health and Human Services (DSS-12AD)
C: DHHS Assisted-Living Service Provider Addendum, HCB Waiver for Aged Persons, Adults or Children with Disabilities (MILTC-1AD)
D: DHHS Assisted Living Service Provider Checklist HCB Waiver for Aged Persons, Adults or Children with Disabilities (MILTC-1AD)
E: Aged and Disabled Waiver Assisted Living Services Client Consent for Multiple Occupancy (MILTC-21)
F: DHHS Long Term Care Facility Turnaround Billing Document (MC-4)
G: DHHS Finance and Support Manual Home and Community-Based Services Assisted Living Rates Chart (480-000-210)
H: DHHS Prior Authorization for Assisted Living Waiver Service (MC-9AD)
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Home-Community-Based-Waiver-Services
Assisted Living Services Provider Handbook
Appendices
F: DHHS Long Term Care Facility Turnaround Billing Document (MC-4)
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F: DHHS Long Term Care Facility Turnaround Billing Document (MC-4)
Appendix F
Authorization Notice
F
‹ E: Aged and Disabled Waiver Assisted Living Services Client Consent for Multiple Occupancy (MILTC-21)
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G: DHHS Finance and Support Manual Home and Community-Based Services Assisted Living Rates Chart (480-000-210) ›
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Posted January 25th, 2008
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