NE LB1091

Excludes skilled nursing facility and nursing facility services for long-term care clients with special needs from Nebraska's Medicaid managed care program

Defines "long-term care client with special needs" as a Medicaid recipient whose medical or nursing needs are complex or intensive and exceed the usual level of staff expertise and services ordinarily provided in a nursing facility

Requires services for these clients to be administered and reimbursed through fee-for-service Medicaid or another non-risk-based delivery system rather than managed care

Prohibits the department from requiring providers to enroll with a managed care organization as a condition of serving long-term care clients with special needs

Requires the department to adopt rules and amend managed care contracts within six months of the effective date, while implementing requirements in a manner that does not increase state General Fund expenditures above projected managed care costs