471 NAC 35-001. SCOPE AND AUTHORITY

001. SCOPE AND AUTHORITY. These regulations govern services provided under the Medical Assistance Act, Nebraska Revised Statute (Neb. Rev. Stat.) §§ 68-901-68-9,101. 001.01 INTRODUCTION. Nebraska Medicaid covers rehabilitative psychiatric services to rehabilitate beneficiaries experiencing severe and persistent mental illnesses in the community and thereby avoid more restrictive levels of care . Rehabilitative psychiatric services for children age 20 and younger are covered under Early and Periodic Screening, Diagnostic and Treatment (EPSDT) treatment plans, as described in this title . Rehabilitative psychiatric services for adults age 21 and older are covered under the rules and regulations of this chapter. The services must be medically necessary and the most appropriate level of treatment for the beneficiary . This does not include treatment for a primary substance use disorder diagnosis.