State Policy · NE
Nebraska Auditor Finds Questionable Billing in Aged and Disabled Waiver Program
Nebraska State Auditor Mike Foley released a 34-page report on August 24, 2026, alleging highly questionable billing practices and weak oversight in the state's Medicaid Aged and Disabled Waiver program. The program's costs increased nearly 600% over the past decade. The audit identifies specific billing irregularities and oversight deficiencies in waiver program administration. The findings raise compliance and fiscal integrity concerns for Nebraska's HCBS waiver operations and may prompt corrective action by the state Medicaid agency.
Why it mattersState auditor findings of billing irregularities and oversight failures in a major waiver program signal potential compliance risk, federal scrutiny, and possible corrective action plans that could affect provider payments and state administrative processes.