Nebraska ranks near the top overall due to strong program design indicators, low improper payments, and strong provider environment scores. The state benefits from early work requirement activity, strong redetermination performance, MCO presence, strong private coverage retention, and relatively low Medicaid budget exposure. At the same time, Nebraska’s overall score is constrained by Medicaid expansion, moderate fiscal growth scores, active CON laws, and only modest MFCU enforcement activity.
Strengths
Early work requirement activity, strong redetermination performance, and MCO presence
Strong private-to-Medicaid coverage ratio
Low improper payment rate
Strong provider flexibility and IMLC participation
Weaknesses
Medicaid expansion
Active CON laws
Moderate Medicaid spending and per-enrollee cost growth
