LINCOLN — Nebraska Medicaid would save nearly $360 million over five years under a controversial plan submitted for federal approval. The plan would create a two-tier benefits system for expanding Medicaid to some 94,000 more low-income Nebraskans. It also would end retroactive coverage for most Medicaid patients.

Together, the changes would rein in spending on adult Medicaid services by about 4.3% annually, according to state Medicaid officials. But Sarah Maresh, with Nebraska Appleseed, said the final plan poses the same barriers to health care that were part of the draft proposal. It also delays the expansion of Medicaid until Oct. 1 next year.

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