The purpose of this hearing is to receive comments on proposed changes to Title 471, Chapter 12 of the Nebraska Administrative Code (NAC) – Nursing Facility Regulations. These regulations govern nursing facility services provided by enrolled providers to eligible clients under Nebraska’s Medicaid program. The proposed changes align with current agency processes. The proposed changes remove duplicate statutory and inconsistent language in the regulations and ensure the chapter complies with the State Plan, other regulatory chapters, federal law, federal regulations, and current practices. Regulations were modified to comply with Neb. Rev. Stat. 71-2097 to 71-20,101 to provide conditions for Civil Money Penalty funds. Regulations pertaining to the rate at which providers are compensated was removed from these regulations to provide the Department with greater flexibility in the setting of rates.