Section 471-1-003 - FEDERAL AND STATE REQUIRMENTSThe Department is required by federal and state law to meet certain provisions in the administration of Medicaid.
003.01MEDICAL ASSISTANCE ADVISORY COMMITTEE. The Medicaid Director will appoint an advisory committee to advise the Director in the development of health and medical care services policies. Members of the committee include: physicians and other representatives of the health professions who are familiar with the medical needs of low-income population groups and with the resources available and required for their care; members of consumers' groups, including Medicaid clients; and consumer organizations, such as labor unions, cooperatives, consumer-sponsored prepaid group practice plans, and others; the of Director Public Health and the Chief Executive Officer of Health and Human Services. Members are appointed on a rotating basis to provide continuity of membership.003.02UTILIZATION REVIEW. Any individual or entity must provide the Department with any documentation or information requested as part of the Department's utilization review.471 Neb. Admin. Code, ch. 1, § 003
Amended effective 11/8/2016.Amended effective 9/21/2020