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On October 1, 2025, Nebraska submitted an amendment to its Substance Use Disorder (SUD) Program Section 1115 Demonstration to the Centers for Medicare & Medicaid Services (CMS) seeking authority for two new proposals.

The Nebraska Department of Health and Human Services (DHHS) seeks to reimburse for short-term medically necessary residential and inpatient stays primarily for mental health treatment within settings classified as institutions for mental diseases (IMDs).

The state also seeks to reimburse for a targeted medical respite care service for beneficiaries who are homeless or at risk of homelessness and are recovering from acute or acute-on-chronic . . .

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