1. Define the Program or Service 

Personal Assistance Services (PAS) in Nebraska are designed to assist individuals with disabilities or chronic medical conditions in performing daily activities. These services enable participants to live independently in their homes by providing support with tasks such as bathing, dressing, toileting, mobility, meal preparation, and light housekeeping. Services can also include specialized medical procedures under the direction of a healthcare professional 

2. Regulations Governing the Program 

The program is governed by: 

• Federal Regulations: PAS are defined in 42 CFR 440.167 as an optional Medicaid benefit. 

• Nebraska Administrative Code (NAC): Specifically, Title 471, Chapter 15 outlines the scope, definitions, and requirements for PAS providers 

• Nebraska Revised Statutes §§68-901 et seq., which cover the Nebraska Medical Assistance Program. 

3. Licensing or Certification Requirements 

To provide Personal Assistance Services, one must be a Medicaid provider. There is no specific license required for PAS providers, but they must comply with all applicable Medicaid provider participation requirements 

4. Responsible State Agency 

The Nebraska Department of Health and Human Services (DHHS), specifically the Office of Aging and Disability Services, is responsible for overseeing the Personal Assistance Services program 

5. Application Process 

The application process involves becoming a Medicaid provider. While specific online platforms are not detailed, applications typically require original signatures and supporting documents, which may need to be mailed to DHHS. Program participants can also self-direct their care by hiring independent providers who must enroll as Medicaid providers 

6. Required Documentation 

Applicants must provide: 

• A completed Medicaid provider application. 

• Proof of compliance with all applicable Titles of the Nebraska Administrative Code. 

• Documentation showing adherence to standards as described in the Division of Medicaid and Long-Term Care Service Provider Agreement. 

• Proof of staff qualifications and training plans if applicable 

7. Timeline for Approval 

Once a complete application is received, DHHS will review it. The timeline for approval can vary based on the completeness of the application and readiness for any necessary inspections. 

8. Pre-Application Process 

There is no formal pre-license application process; however, applicants should ensure they meet all operational standards and have necessary documentation ready before submitting their application. 

9. Pre-Application Training 

While specific pre-application training is not mandated, providers must comply with all applicable regulations and standards. Training may include understanding PAS services, client rights, and reporting requirements 

10. Additional Notes 

• PAS providers cannot include spouses or parents of minor children 

• Program participants can self-direct their care by hiring family members (excluding spouses) as independent providers 

• Services are limited to a maximum of 40 hours per week unless additional hours are authorized by DHHS