HIPAA compliant, BAA available

Measurement-Based Care for Nebraska Mental Health Teams

For certified community behavioral health clinics, regional network providers, integrated primary care and private practices from Omaha to Scottsbluff. Send validated scales by email or QR code, see them scored on submission, and chart each client's change over time, whether they live across town or three hours down the interstate. US customer data stays in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
available to HIPAA covered entities
US
regions for US data
$25
per month

Nebraska's First Certified Community Behavioral Health Clinics

  • In May 2023 the Legislature passed LB 276, the Certified Community Behavioral Health Clinic Act, and told the Department of Health and Human Services to build a Medicaid prospective payment system for these clinics before 1 January 2026. On 24 September 2025 DHHS named the first seven providers to complete certification: CenterPointe, Community Alliance, Heartland Counseling Services, Heartland Family Services, Lutheran Family Services, South Central Behavioral Services and The Well. Their programs began operating in January 2026.

    LB 276 requires each clinic to meet the federal certification criteria, or a state system substantially equivalent to them. The 2023 federal criteria from SAMHSA ask clinics to use standardized, validated and developmentally appropriate screening and assessment tools, encourage measurement-based care, and set out quality measures that include depression screening with a follow-up plan and depression remission at six months. The DHHS materials we read do not say which of those measures Nebraska will ask its clinics to report.

    Medicaid already ties part of its managed care payments to quality. Under Neb. Rev. Stat. s.68-995, each Heritage Health plan holds back 1.5% of its at-risk capitation and earns it back on performance measures. For a care team, the practical step is a validated screen at intake and the same scales repeated through treatment, kept where you can count them. HiBoop scores the PHQ-9, the GAD-7 and the C-SSRS Screener on submission and charts them for each client. It does not report to DHHS or to a health plan for you.

  • Seven Certified Clinics

    Named by DHHS in September 2025 under LB 276, operating since January 2026

  • Validated Screening Tools

    Expected by the federal CCBHC criteria that LB 276 points to, alongside depression remission measures

  • Payment Held Back for Quality

    1.5% of each Heritage Health plan's at-risk capitation is earned back on performance measures

All regions

What HiBoop Does for Nebraska Care Teams

  • Nebraska runs Medicaid through three statewide health plans, funds its public behavioural health system through six county-based regions, and is now certifying CCBHCs. HiBoop handles the measurement and leaves the clinical call with you.

  • Screening for CCBHC Intake

    Send the PHQ-9, GAD-7 and C-SSRS Screener before a first appointment and read the scored results before you meet. A standard set at every intake gives your clinic one comparable baseline across programs and sites.

  • Repeat Scales, One Chart

    Send the same scale at each visit or on a schedule and every new score lands on that client's chart. Remission becomes something your team can see and discuss, and the numbers inform your clinical judgement rather than replace it.

  • Check-Ins Without the Drive

    Clients answer on their own phone from an email link, so a rancher in the Sandhills or a student in Chadron can complete a check-in between visits. It pairs with telehealth sessions and in-person care alike.

  • Exports for Health Plan and Regional Reporting

    Export a client's score history as CSV or PDF for a treatment plan review, a records request or the measures your organization reports to a Heritage Health plan or its region. Your whole account can be exported whenever you choose.

  • Mental Health and Substance Use in One Library

    Heritage Health plans cover physical health, behavioural health and pharmacy together. Depression, anxiety and substance use scales such as the ASSIST and CAGE-AID sit in one place for co-occurring caseloads.

  • Scales for Children and Teens

    For pediatric and integrated primary care clinics, HiBoop includes the NICHQ Vanderbilt for attention and behaviour concerns, the SCARED for child anxiety and the PHQ-A for adolescent depression.

Mental health in Nebraska

Research data

  • Each figure below links to the source it comes from.

  • 24.1%

    of Nebraska adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 18.3%

    of Nebraskans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 24.3%

    of Nebraska adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

Research from Nebraska

  • Integrated pediatric behavioural health

    In 2012-2013 electronic records from integrated pediatric behavioural health clinics in Nebraska, adolescents diagnosed with attention deficit and related disorders were more likely to be male, younger, publicly insured and living in rural or remote areas, while mood disorders were more likely among older, female and urban patients.

    Watanabe-Galloway et al., Community Mental Health Journal, 2017 PMID 27250844

  • Depression among farmworkers

    In a 2013 survey of 200 migrant farmworkers in rural Nebraska, 45.8% were classed as depressed, and the economics and logistics and health stress domains correlated with depression scores.

    Ramos et al., Journal of Immigrant and Minority Health, 2015 PMID 25840517

  • Rural behavioural health workforce

    Of 2,468 behavioural health professionals practising in Nebraska in 2012, 71.2% worked in metropolitan areas, 27.3% in rural areas and 1.5% in frontier areas.

    Nguyen et al., Rural and Remote Health, 2016 PMID 27052101

  • Emergency department visits

    Nebraska's state emergency department database recorded 52,035 visits for behavioural health disorders over 3 years, with US$96.4 million in charges, and rural regions had workforce shortages and high visit numbers at relatively few emergency departments.

    Wani et al., Evidence-Based Mental Health, 2020 PMID 31907210

  • Telehealth for rural depression

    In 10 focus groups across rural Nebraska, primary care physicians and patients they had treated for depression saw behavioural telehealth as a reasonable answer to access problems, while raising concerns about keeping therapeutic relationships at a distance.

    Swinton et al., Families, Systems & Health, 2009 PMID 19630458

Where Measurement Fits in Nebraska's System

  • HiBoop is independent of these programs and does not connect to state or health plan systems. This is the context your region, health plan and licensing board will know.

  • Certified Community Behavioral Health Clinic Act

    LB 276, 2023

    The Act adds CCBHCs to the Nebraska Behavioral Health Services Act. Clinics must offer outpatient mental health and substance use care, crisis services, screening and risk assessment, person-centred treatment planning and primary care screening, among other services. Medicaid pays them through a prospective payment system with daily or monthly rates, and the Legislature intended up to $4.5 million a year from the General Fund from 2025-26.

    Prospective paymentFederal criteriaSeven clinics

  • Heritage Health

    Medicaid

    Since 1 January 2024, Molina Healthcare of Nebraska, Nebraska Total Care and UnitedHealthcare Community Plan of Nebraska each serve members statewide, with physical health, behavioural health, dental and pharmacy in one plan. The 2023 quality strategy sets targets for follow-up after an emergency department visit for mental illness (64% within 30 days, 44% within 7) and asks plans to screen new members on depression, suicide risk and trauma.

    Three statewide plansIntegrated benefitsQuality hold-back

  • Regional Behavioral Health Authorities

    Six regions

    Counties form a regional behavioral health authority by interlocal agreement, governed by a board with one county board member from each county. Counties put in one dollar for every three dollars of state General Fund money. In fiscal year 2024 the Division of Behavioral Health spent $194 million on community-based services, including $65.6 million in community aid to the regions, and 23,166 people received those services.

    County matchDivision of Behavioral HealthPublic system

  • What Nebraska Medicaid Lists for Screening and Collaborative Care

    July 2026 fee schedule

    The DHHS physician fee schedule effective 1 July 2026 lists 96127 (brief emotional or behavioural assessment) at $54.84 with telehealth modifier 95, and the psychiatric collaborative care codes 99492 at $162.78, 99493 at $150.03 and 99494 at $63.26, with general behavioural health integration (99484) at $60.17. G2214 does not appear. These are fee-for-service rates; Heritage Health plans pay under their own contracts.

    9612799492 to 9949499484

Care Teams Across Nebraska

  • HiBoop runs in the browser, so the same check-ins work in a Lincoln group practice and a clinic serving ranch country. Each line names the regional behavioral health authority DHHS lists for the area.

  • Scottsbluff and the Panhandle

    Region 1 Behavioral Health Authority is administered from Scottsbluff.

  • North Platte

    Region II Human Services is administered from North Platte.

  • Kearney

    Region 3 Behavioral Health Services is administered from Kearney.

  • Norfolk

    Region 4 Behavioral Health System is administered from Norfolk.

  • Lincoln

    Region V Systems is administered from Lincoln.

  • Omaha

    Region 6 Behavioral Healthcare is administered from Omaha.

Data sovereignty

Why Nebraska clinics choose HiBoop

  • Outcome Tracking for Nebraska Programs

    • US customer data hosted in Google Cloud US regions, encrypted in transit and at rest
    • HIPAA compliant, with a BAA for covered entities, and SOC 2 Type II certified
    • Role-based access, and a log of every view and export of client data
    • Care costs $25/month, month to month, and you can start without a credit card
    • Works in the browser, so rural satellite offices need nothing installed

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Nebraska clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Intake Screening: Depression, Anxiety and Suicide Risk

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • C-SSRS Screener (Suicide Risk)

  • Substance Use and Trauma

    • ASSIST (Substance Involvement)
    • CAGE-AID (Alcohol and Drug Use)
    • PCL-5 (PTSD)

  • Children and Adolescents

    • NICHQ Vanderbilt (ADHD and Behaviour)
    • SCARED (Child Anxiety)
    • PHQ-A (Adolescent Depression)
Browse all assessments

Nebraska Mental Health Confidentiality and Consent

  • HIPAA sets the federal floor. Nebraska adds a confidentiality duty for licensed mental health practitioners, its own rules on patients' access to their records and a higher age of majority. None of these certifies software; the duties sit with your organization, and HiBoop's part is giving you what you need to meet them.

  • What Nebraska law asks

    • Keep what a client tells a licensed mental health practitioner confidential unless the client consents in writing, the law or board rules allow disclosure, the duty to warn applies, or HIPAA permits it (Neb. Rev. Stat. s.38-2136)
    • Give patients copies of their records on request, though a treating practitioner may withhold mental health records that, in their professional judgement, would not be in the patient's best interest to release, unless a court orders it (s.71-8403)
    • Remember that majority is 19 in Nebraska, while a person aged 18 or older may consent to their own mental health services without a parent or guardian (s.43-2101)
    • For Medicaid telehealth, get the client's informed consent before the first telehealth visit and every year after, and keep the written form in the record (471 NAC 1)

  • What HiBoop provides

    • A business associate agreement for HIPAA covered entities
    • US customer data hosted in Google Cloud US regions, encrypted in transit and at rest
    • Role-based access, so each staff member sees only what their role allows, and a log of every view and export
    • SOC 2 Type II certification, with the controls behind it described on our trust page

  • Bringing HiBoop to a clinic or region?

    Our trust page sets out hosting, encryption, access controls and SOC 2 Type II. Write to us for a BAA or help with a security questionnaire.

    Visit the trust centre

Grants & funding for Nebraska mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Nebraska practitioners

  • Billing guides, compliance documentation, and clinical practice resources.

  • CCBHCHiBoop for CCBHCs

    How certified community behavioral health clinics can use HiBoop for screening and follow-up measures

  • BillingCPT 96127 Guide

    What the brief emotional and behavioural assessment code covers and how teams document it

  • Collaborative careCPT 99492 Guide

    The first month of psychiatric collaborative care, and what has to happen for it to be billed

  • DepressionPHQ-9 Clinical Guide

    Scoring, severity bands and how remission is read

Nebraska Policy, Privacy and Billing Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Nebraska require measurement-based care?

    Not as a general rule. We found no Nebraska statute or regulation that requires outpatient providers to use standardized symptom scales. The closest is LB 276: Nebraska's CCBHCs must meet the federal certification criteria or a substantially equivalent state system, and those criteria expect validated screening tools and encourage measurement-based care. Heritage Health plans also earn back held payments on quality measures. Check your own CCBHC agreement or health plan contract first.

  • Will HiBoop send our outcomes to DHHS, our region or a Heritage Health plan?

    No. HiBoop does not connect to state, regional or health plan systems. It sends and scores the scales, charts each client's change, and exports score histories as CSV or PDF, so your team can prepare whatever its region or plan asks for.

  • Can an 18-year-old consent to therapy without a parent in Nebraska?

    Yes. Majority in Nebraska is 19, but section 43-2101 lets a person aged 18 or older consent to their own mental health services without a parent or guardian. For younger clients, plan for parent or guardian consent and confirm the details with your counsel. Who sees a young client's scores follows your clinical policy, and HiBoop's role-based access lets you limit which staff can open them.

  • Is HiBoop HIPAA compliant for Nebraska practices?

    Yes. HiBoop is HIPAA compliant, and a business associate agreement is available to covered entities. Nebraska's confidentiality statute for licensed mental health practitioners, section 38-2136, allows disclosure where HIPAA permits it, alongside written client consent and its other exceptions. Whether a given disclosure is allowed still depends on your situation, so check with your counsel.

Official sources for Nebraska

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.