Nebraska Barrier Removal Fund 2023

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Provider Accessibility Initiative (PAI) and Barrier Removal Fund (BRF)

General Overview/Frequently Asked Questions

WHAT is the PAI?

The goal of the PAI is to increase the number of Nebraska Total Care providers that meet minimum federal and state disability access standards by:

  1. Improving the accuracy, completeness, and transparency of provider self-reported disability access data in all products and all markets nationwide by integrating “minimum accessibility” standards into the provider application, credentialing and directory processes; and
  2. Giving participating providers in three pilot states competitive access to grant dollars through a Barrier Removal Fund (BRF). Providers that apply and are chosen for BRF awards receive an on-site disability accessibility review completed by a local Center for Independent Living (CIL) and funding to remediate priority disability access barriers.

WHO is responsible for administering the BRF?

  • Nebraska Total Care is proud to partner with the National Council on Independent Living (NCIL) on the administration of the BRF. NCIL is the longest-running national cross-disability, grassroots organization run by and for people with disabilities.
  • NCIL provides technical assistance to Nebraska Total Care and helps coordinate a local BRF Committee that selects BRF awardees. NCIL also coordinates with local Centers for Independent Living (CILs) to conduct the on-site accessibility reviews of BRF applicants, provide training, and distribute grant funds to BRF awardees to remediate priority disability access barriers identified by the local BRF Committee.

WHY are the PAI and BRF important?

  • It’s the right thing to do. Studies show that Medicaid and Medicare beneficiaries with disabilities receive less preventive care due to inaccessible exam rooms and/or diagnostic equipment;
  • Federal laws and regulations require that MCO providers have disability access and that MCO provider directories include a complete and accurate description of provider disability access.

Question: How do I submit a BRF application?

Answer: Fill out the online application at

Question: Who is eligible to submit an application for Barrier Removal Funds?

Answer: Participating providers that meet all of the following criteria are eligible to apply:

  • See Nebraska Total Care members at a physical location; and
  • Are accepting new Nebraska Total Care members; and
  • Are in the Nebraska Total Care provider directory.
  • Non-participating providers with single case agreements or other contracts, and providers (par and non-par) located in hospitals, segregated environments, and institutional settings are not eligible.

Question: What is the deadline to submit the BRF application? Can it be extended for any reason?

Answer: February 28, 2023, 5:00 p.m. (EST). Nebraska Total Care reserves the right to extend the deadline.

Question: Will there be another BRF application in the future?

Answer: We do not have information regarding future applications surrounding accessibility improvements at this time.

Question: What if I miss the deadline for submitting my application?

Answer: Unfortunately, we cannot accept additional applications beyond the deadline.

Question: Can I change my BRF application response after I have submitted it?

Answer: Changes or edits can be made through the final submission date of February 28, 2023, 5:00 p.m. (EST).

Question: How will I know if my application was received?

Answer: You will receive a confirmation email when you submit your application. You may also contact Jenny Sichel at NCIL at [email protected] or call 201-563-2342 or toll-free at 844-778-7961.

Question: How will I know if I am chosen to be awarded funds?

You will receive an email from Jenny Sichel at NCIL at [email protected].You will also be informed if your application was not selected for funding.

Question: If I have a question about the BRF application, who should I contact?

Answer: Contact Jenny Sichel at NCIL at [email protected] or call 201-563-2342 or toll-free at 844-778-7961.

Question: How much will this award fund per submission?

Answer: Award amounts will vary based on the specific number of BRF grants awarded and amount of each grant will depend on the total number of applications received, the impact applications will have on Nebraska Total Care disability access network adequacy, and the number of Nebraska Total Care members with disabilities impacted. There is no funding cap, however most grants to date have been in the range of $500 – $20,000.

Question: Are there costs for which my organization is responsible?

Answer: Nebraska Total Care will cover the cost of the accessibility site review, technical assistance, and approved modification(s). Any additional costs are the responsibility of the awardee.

Question: Can I include multiple pieces of equipment or modifications?

Answer: Yes, include all items for which you are seeking funding.

Question: I have multiple sites, do I need to submit a BRF application for each site?

Answer: Yes, please submit separate applications for each site where you serve members.

Question: How soon can I expect award funding to arrive?

Answer: This is a reimbursement grant, so grantees will complete purchases and improvements and invoice NCIL for actual costs incurred, up to the approved amount. If grantees cannot afford to pay for the work ahead of time, we will consider requests to pay vendors or contractors directly. 

Question: Will you grant dollars outside of my state, given that you have a national presence?

Answer: BRF dollars granted by the Nebraska Total Care BRF Committee are for the participating providers in Nebraska only.

Question: What happens if I choose to term with Nebraska Total Care?

Answer: You must remain in the network (and in good standing) for 1 year following grant funding or full re-payment [or return of equipment] will be required. If you leave the network after 18 months, you will repay 50%. After 2 years, fully-funded, no repayment will be due.

Question: What if the accessibility improvements cannot be completed by the timeline listed in the application due to reasons I cannot control (i.e., the part is on backorder, or the contractor is not able to start the work within the timeline)?

Answer: Contact Jenny Sichel at NCIL at [email protected] or call 201-563-2342 or toll-free at 844-778-7961 to further discuss your concerns.

Question: What happens if the accessibility improvement costs change after the contractor begins work?

Answer: The initial decisions are final. The provider is responsible for any additional costs.

Question: My question isn’t listed. Who can I contact?

Answer: Contact Jenny Sichel at NCIL at [email protected] or call 201-563-2342 or toll-free at 844-778-7961.


1. CMS Issue Brief: Physical Accessibility (PDF)

2. The 2016 Medicaid/CHIP Managed Care Final Rule states that: 1. MCO providers must provide physical access, accommodations, and accessible equipment for consumers with physical or mental disabilities by July 1, 2018 (42 CFR Section 438.206(c)(3)); 2. Provider directories must indicate the following for all physicians, hospitals, pharmacies, behavioral health providers, and LTSS providers: linguistic capabilities, completion of cultural competence training, and whether the provider’s offices, exam rooms, and equipment accommodate individuals with physical disabilities by July 1, 2017 (42 CFR Section 438.10(1)); and 3. State network adequacy standards must consider the ability of MCO network providers to ensure physical access, reasonable accommodations, culturally competent communications, and accessible equipment for Medicaid enrollees with physical or mental disabilities by July 1, 2018 (42 CFR Section 438.68(c)(1)).