471 NAC 46-023. LOWER LEVELS OF CARE (LOC)

023. LOWER LEVELS OF CARE (LOC). When Nebraska Medicaid determines that a beneficiary no longer requires inpatient services but requires nursing facility care and there are no nursing beds available when the determination is made or when the transfer requires a guardian, Nebraska Medicaid will pay only for authorized medically necessary nursing care provided in an acute care hospital at a rate equal to the average rate per beneficiary day paid by Nebraska Medicaid to nursing facilities during the previous calendar year. A prior authorization is required.