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471 Neb. Admin. Code, ch. 9, § 004 - Home Health Services: Services Requirements (Home Health Aide RN Supervision)
NebraskaregulationNebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care
What this rule requires your agency to do
- 1The provider must ensure that home health aide services are supervised by a registered nurse (RN). (471 Neb. Admin. Code, ch. 9, § 004.02(B))(471 Neb. Admin. Code, ch. 9, § 004 - Home Health Services: Services Requirements (Home Health Aide RN Supervision))
- 2The provider must not bill the skilled nursing visits required for supervision of LPN or aide services as separate skilled nursing visits, because the cost of that supervision is included in the payment for the aide or LPN service. (471 Neb. Admin. Code, ch. 9, § 004.03(F))(471 Neb. Admin. Code, ch. 9, § 004 - Home Health Services: Services Requirements (Home Health Aide RN Supervision))
- 3The provider must furnish home health aide services under a physician-authorized plan of care specifying the type and frequency of services, for a period not exceeding 60 days. (471 Neb. Admin. Code, ch. 9, § 004.01(B))(471 Neb. Admin. Code, ch. 9, § 004 - Home Health Services: Services Requirements (Home Health Aide RN Supervision))
- 4The provider must limit home health aide services to no more than 56 hours per week, with a maximum of 12 hours in any 24-hour period. (471 Neb. Admin. Code, ch. 9, § 004.02(B)(i))(471 Neb. Admin. Code, ch. 9, § 004 - Home Health Services: Services Requirements (Home Health Aide RN Supervision))
Applies to: home health
Nebraska Medicaid's home health regulation requires that home health aide services be supervised by a registered nurse. The RN supervisory visits are a required component of covered aide services but may not be billed separately as skilled nursing visits; their cost is bundled into payment for the aide service. Aide services are also capped in duration and must be furnished under a physician-authorized plan of care.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.