Do I Qualify For Medicaid In Nebraska


Enrolling With Nebraska Total Care

Medicaid Expansion in Nebraska

Heritage Health has an open enrollment period once each year. You can choose Nebraska Total Care during open enrollment or when you are new to Heritage Health.

The Enrollment Broker will help you make an informed choice about your health plan. Contact them at 1-888-255-2605. You can visit Heritage Health.

Coordinated System Has Three Managed Care Organizations

As of 2013, nearly 76% of Nebraskas Medicaid enrollees were in managed care programs run by Aetna, AmeriHealth, and UnitedHealthcare. The state overhauled its Medicaid managed care system in 2016, and managed care contract bids were submitted by six carriers in early January.

The overhauled program is called Heritage Health, and it combines coverage of physical health, behavioral health, and pharmacy care into one coordinated system. The new system took effect January 1, 2017. Three carriers were awarded contracts to serve as managed care plans under Heritage Health:

  • Nebraska Total Care
  • UnitedHealthcare Community Plan
  • Wellcare of Nebraska

These three carriers will also serve the new Heritage Health Adult population once Medicaid expansion takes effect in late 2020.

What Do Finances Have To Do With Medicaid Application In Ne

Are you curious about where to apply for Medicaid based on your financial situation? To answer the question, Can I apply for Medicaid? parents residing in the state of Nebraska who have dependent children and a cumulative household income up to 57 percent of the federal poverty level are eligible for Nebraska Medicaid applications. This equates to $11,280 per year for a family of three.

Pregnant women who have an income of up to 194 percent of the FPL are eligible to apply for Medicaid online or offline. Children who reside in a household with an income up to 213 percent of the FPL are eligible to learn how to apply for Medicaid in Nebraska.

Unfortunately, the state of Nebraska has not expanded the group of people who can complete an application for Medicaid, so the Medicaid application guidelines for family size and income have not changed since 2013. This means that adults who are not disabled and do not have children are not eligible to apply for Nebraska Medicaid coverage.

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How To Apply For Medicaid In Nebraska

Part of learning how to apply for Medicaid in Nebraska involves understanding the different application methods, along with where to apply for Medicaid. Prospective applicants should know that Nebraska has different options to submit Medicaid applications, whether to apply for Medicaid online, or via requesting a paper application. In conjunction with learning how to apply for Medicaid benefits, potential applicants must also learn the types of information required for a Medicaid application form in order for it to be considered complete and ready for submission. Applicants should choose the best option for filling out a Medicaid application that suits their needs and requirements. For instance, it may be easier for applicants to apply for Medicaid benefits online when they have home computers, but new applicants might choose to visit the Medicaid office, in case there are any questions that should arise. All petitioners should not only know how to apply for benefits for Medicaid, but also what types of supporting documents are necessary to accompany the application. For more information regarding the Medicaid application process, read through the information provided below.

Where do you sign up for Medicaid in Nebraska?
Information Required on the Medicaid Application Form in Nebraska
Information Not Required on Nebraska Medicaid Applications
Learn the Steps to Take After a Medicaid Application Denial in Nebraska

How Does Medicaid Provide Financial Assistance To Medicare Beneficiaries In Nebraska

Medicaid Financial Eligibility for Seniors and People with ...

Many Medicare beneficiaries receive Medicaid financial assistance that can help them with Medicare premiums, lower prescription drug costs, and pay for expenses not covered by Medicare including long-term care.

Our guide to financial assistance for Medicare enrollees in Nebraska includes overviews of these programs, including Medicaid long-term care benefits, Extra Help, and eligibility guidelines for assistance.

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How Many People Are On Medicaid

According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:

  • 78,521,263 individuals were enrolled in Medicaid and CHIP
  • 72,204,587 individuals were enrolled in Medicaid
  • 6,695,834 individuals were enrolled in CHIP

Applying For Heritage Health

Nebraska Total Care is a health plan available through the Nebraska Department of Health and Human Services Heritage Health program.

We do not decide who is eligible for the plan. If you would like information about eligibility, please contact ACCESSNebraska at 1-855-632-7633. You can visit ACCESSNebraska.

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What Services Can I Receive Under Medicaid

As a federally qualified health center, Bluestem Health participates in Nebraskas Medicaid Program. There are a variety of health services we can provide for our patients, including but not limited to those listed below, which are covered by the Nebraska Medicaid program:

  • Dental Services such as cleaning of teeth, fillings, and X-rays.

  • Complete Health Checkup for individuals age 20 and younger, including complete physical examination immunizations necessary lab tests health education hearing checkups well-baby, well-child, Head Start, school, and sports physicals.

  • Laboratory and X-ray Tests

  • Outpatient Mental Health and Substance Abuse Services for Child, Adolescent, and Adults

  • Screening Mammogram

State And Federal Spending

How Do I Apply For Medicaid?
See also: Medicaid spending and enrollment statistics

During fiscal year 2016, Medicaid spending nationwide amounted to nearly $553.5 billion. Spending per enrollee amounted to $7,067 in fiscal year 2013, the most recent year for which per-enrollee figures were available as of June 2017. Total Medicaid spending grew by 33 percent between fiscal years 2012 and 2016. The Medicaid program is jointly funded by the federal and state governments, and at least 50 percent of each state’s Medicaid funding is matched by the federal government, although the exact percentage varies by state. Medicaid is the largest source of federal funding that states receive. Changes in Medicaid enrollment and the cost of healthcare can impact state budgets. For instance, in Nebraska, the percentage of the state’s budget dedicated to Medicaid fell from 17.2 percent in 2010 to 16.9 percent in 2015. However, state cuts to Medicaid funding can also mean fewer federal dollars received by the state.

During fiscal year 2016, combined federal and state spending for Medicaid in Nebraska totaled about $2 billion. Spending on Nebraska’s Medicaid program increased by about 16.5 percent between fiscal years 2012 and 2016. Hover over the points on the line graph below to view Medicaid spending figures for Nebraska. Click on the red bar below the graph to view these figures as compared with three of Nebraska’s neighboring states.

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Why Do I Need Medicaid Coverage If I Am Low

Medical coverage through Medicaid and otherwise is meant to be preventive. One cannot seek low-cost preventive care without medical insurance. Only using emergency room services is like skipping all routine car maintenance and only receiving services when a car has had a major accident or breakdown. If you qualify for services, it is in your best interest to obtain Medicaid insurance so you can maintain good health and avoid major breakdowns in your health. For more information about Medicaid and preventive care, contact Bluestem Health at: 476-1455 or visit our website:

Our Medicaid Planning Services And Process:

To begin with, we ask you to provide a wide variety of information that will be required for us to calculate your Medicaid eligibility. It will include such things as your specific family needs and concerns, your health needs, your income and assets, your medical expenses, your Veteran status, your spouses situation if married, past transfers to others for less than fair market value, and much more.

Once we have all the information, we will analyze your situation, and issue a Comprehensive Medicaid Asset Protection Strategy Plan. Our strategy will explain the Medicaid rules, and discuss every available planning option that you might use. While there may be dozens of optional strategies, well recommend those that we think will best serve to provide for your needs while also meeting your goals for your family and assets.

Next, after youve decided which strategies youd like to use, we help you execute the plan that has been developed. It could involve one strategy or several. When the timing is right based on your chosen strategies, we will assist in the preparation of the Medicaid application materials and follow up with the appropriate administrative agencies, such as the Nebraska or Iowa Health and Human Services departments. We will assist with any hearings that might be required, and will file the annual renewal to keep your Medicaid benefits flowing.

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Apply For Medicaid In Nebraska

You can enroll online at or use the call center at 1-800-318-2596. You can also enroll online at ACCESSNebraska, or print a paper application from their website.

Eligibility: Parents with dependent children are eligible with household income up to 57% of poverty. Pregnant women with income up to 194% of poverty, and children with income up to 213% of poverty.

Nebraska Medicaid Income Limit Charts

New Family Medicine Clinic, New Providers, New Medicaid ...

The Nebraska Medicaid eligibility income limit charts are divided by groups.

For example, the first chart is focused on income limits for children who qualify for Medicaid.

Similarly, the second chart below focuses on the Medicaid income limits for adults in Nebraska who qualify for Medicaid.

Nebraska Medicaid Income Limit for Children

Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.

Nebraska Medicaid Income Limit Children
Children Medicaid Ages 0-1

How to Read the Nebraska Medicaid Income Limits Charts Above

You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.

Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.

For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 194% of the Federal Poverty Level which for a family of two is $33,795 as shown in the chart above.

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Nebraska Medicaid Income Limit

The Nebraska Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.

To qualify, you must meet the Nebraska Medicaid Income limits listed below.

Here is the Federal Poverty Level for 2021.

2021 Federal Poverty Levels for the 48 Contiguous States & D.C.
Household Size

Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:

  • Children up to age 1 with family income up to 213 percent of FPL
  • Any child age 1-5 with a family income up to 213 percent of FPL
  • Children ages 6- 18 with family income up to 213 percent of FPL
  • CHIP for children with family income up to 213 percent of FPL
  • Pregnant women with family income up to 194 percent of FPL
  • Parents of minor children with family income up to 58 percent of FPL
  • Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL

Unitedhealthcare Connected For Mycare Ohio

UnitedHealthcare Connected® for MyCare Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio information, please contact our Member Services at from 7 a.m. to 8 p.m. Monday through Friday for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio , comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al de lunes a viernes de 7 a.m. a 8 p.m. .

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How Does Nebraska Regulate Long

Medicare beneficiaries increasingly rely on long-term services and supports or long-term care which is mostly not covered by Medicare. In fact, 20 percent of Medicare beneficiaries who lived at home received some assistance with LTSS in 2015. Medicaid fills this gap in Medicare coverage for long-term care, but its complex eligibility rules can make qualifying for benefits difficult. Whats more eligibility rules vary significantly from state to state.

Applicants who are seeking Medicaid long-term care benefits have to complete an assessment.

Medicaid nursing home coverage

Income limits: The income limit is $1,063 a month if single and $1,437 a month if married. If only one spouse needs Medicaid, the income limit for single applicants is used .

However, nursing home enrollees are not allowed to keep all of their income up to this limit. Enrollees must pay nearly all their income each month toward their care, other than a small personal needs allowance and money to pay for health insurance premiums .

Assets limits: The asset limit is $4,000 if single and $6,000 if married. If only one spouse has Medicaid, the other spouse can keep up to $128,640.

Certain assets are never counted, including many household effects, family heirlooms, certain prepaid burial arrangements, and one car.

Home and Community Based Services waivers

Income limits: The income limit is $1,063 a month for a one person household and $1,437 a month for a two person household.

Estate recovery in Nebraska

How To Deliver Nebraska Medicaid Application Forms By Mail

Nebraska Medicaid Eligibility & Application

If you prefer to apply for Nebraska Medicaid by mail, download the Medicaid in NE application from the ACCESS Nebraska website, fill it out and mail it to the Medicaid office closest to your location. You can also pick up paper forms for Medicaid application in person at your local Medicaid office, fill it out and mail it back to that office. Alternatively, you can mail your completed Nebraska Medicaid application to Nebraskas central Medicaid processing center.

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Past Efforts To Expand Coverage Via Legislation Were Unsuccessful

In 2013, LB577, which would have created a modified Medicaid expansion program, was rejected by the legislature in Nebraska. A year later, the Wellness in Nebraska Act was introduced in January 2014 by Senator Kathy Campbell, but it didnt pass during the 2014 legislative session, and was indefinitely postponed in April 2014.

The Wellness in Nebraska Act would have expanded traditional Medicaid to people with incomes up to the poverty level , and would have relied on federal Medicaid funding to purchase private coverage for people with incomes between 100% and 138% of poverty. Several states are using waivers to implement unique approaches to Medicaid expansion, and New Hampshire and Arkansas both use waivers purchasing private coverage for at least some Medicaid enrollees.

In 2015, lawmakers introduced Legislative Bill 472 to expand Medicaid, but it did not pass out of committee. Also in 2015, two professors from the University of Nebraska-Kearney that found that expanding Medicaid would result in significant financial benefits for the state. After exhaustive study, the researchers concluded that expansion of Medicaid passes a rigorous cost/benefit analysis.

In January 2016, Nebraska State Senator John McCollister , introduced Legislative Bill 1032 in an effort to expand Medicaid in Nebraska. McCollister had been leading the push for Medicaid expansion in the state for almost a year at that point, but his legislation failed to advance out of committee.

Where Can You Apply For Medicaid In Nebraska Online

Where to apply for Medicaid online? is an issue that ought to be addressed, since online Medicaid applications tend to be the most convenient. If you would like to apply for Nebraska Medicaid from the comfort of your home, you can do so on the web at the ACCESS Nebraska website or through the federal governments healthcare website.

Be prepared to prove identity and residency to be considered for enrollment after an application for Medicaid has been submitted. To learn more about the application process for Medicaid, .

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How To Apply / Learn More

There are no geographic limitations on the availability of the Aged and Disabled Waiver in Nebraska. However, it was designed to accommodate a specific number of individuals. This number changes fairly frequently, and upon last review, it was approved for 7,200 individuals. Should the number of eligible applicants exceed the available slots, a waiting list may be created, or in Medicaid parlance, Services Registry. Fortunately, in past years Nebraska has not experienced much, if any, waiting periods for waiver participants.

To find additional information, . To apply for this program, contact the Nebraska Department of Health & Human Services by calling 800-358-8802. Alternatively, persons can contact their local Area Agency on Aging, a county-by-county list of which is available here.

There are several other programs available to Nebraska residents who do not qualify for the Aged and Disabled Waiver these are the SSAD, DPFS and AABD Programs. Medicaid also offers Personal Assistance Services.

Where Can Medicare Beneficiaries Get Help In Nebraska

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Nebraska State Health and Insurance Assistance Program

Free volunteer Medicare counseling is available by contacting the Nebraska State Health and Insurance Assistance Program at 234-7119.

The SHIP can help beneficiaries enroll in Medicare, compare and change Medicare Advantage and Part D plans, and answer questions about state Medigap protections. SHIP counselors may also be able to offer referrals to local agencies for services like home care and long-term care. The SHIPs website has more information on the services it offers.

Elder Law Attorneys

Elder law attorneys can help individuals plan for Medicaid long-term care benefits. The National Academy of Elder Law Attorneys has a search feature beneficiaries can use to find an elder attorney locally.

Nebraska Area Agencies on Aging

In Nebraska, Area Agencies on Aging can provide information about services to help with aging or living with a disability, and can help with planning for long-term care. This is a list of AAAs in Nebraska.

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