Heritage Health Adult Demonstration

Medicaid Related Assistance
Medicaid & Long-Term Care

What would you like to do?

What you need to know

​In November 2018, Nebraska voters approved Initiative 427, electing the federal option to provide Medicaid coverage to otherwise ineligible adults up to 138% of the federal poverty level under the provisions of the Patient Protection and Affordable Care Act.

In order to extend coverage, the Division of Medicaid and Long-Term Care (MLTC) is seeking federal approval to create the Heritage Health Adult (HHA) expansion program. Through the HHA initiative, Nebraska Medicaid seeks to improve health outcomes and encourage life successes for Medicaid beneficiaries.

Nebraska received federal approval for the Heritage Health Adult Demonstration waiver on October 20, 2020. For more details, please see below:

  • FAQ  - Published October 20, 2020 


Full Public Notice


Federal Public Comment Period

For more information on the federal public comment period, please visit CMS's website.


State Public Comment Period

DHHS's draft waiver application is available for public review and comment. All public comments will be considered as MLTC finalizes the application. Comments will be accepted through November 26, 2019.

  • Comments and questions can be submitted via email at DHHS.HHAWaiver@Nebraska.gov;
  • Or mailed to:
    Department of Health and Human Services 
    Nebraska Medicaid
    ATTN: HHA Waiver
    301 Centennial Mall South
    P.O. Box 95026
    Lincoln, Nebraska 68509-5026

Written and verbal comments will also be accepted at the public meetings listed below. Copies of the draft application will be available at each meeting.

​Meeting Date (Agenda)​TimeLocation​Call-in Information

​Tuesday, October 29, 2019

​7 pm - 8:30 pm MDT

Board Room, Scottsbluff High School

313 E 27th St, Scottsbluff, NE 69361

​(844) 588-2804
Meeting ID: 704387476

​Wednesday, October 30, 2019

​6:45 pm - 8:15 pm CDT​South Platte Room, Kearney Public Library
2020 1st Ave, Kearney, NE 68847
​(844) 588-2804
Meeting ID: 985819573

​Thursday, November 7, 2019

​6 pm - 7:30 pm CST ​Meeting Room A, Norfolk Public Library
308 W Prospect Ave, Norfolk, NE 68701
​ --

​Tuesday, November 12, 2019

​7 pm - 8:30 pm CSTRoom 132, ​UNO College of Public Affairs and Community Service
6320 Maverick Plaza, Omaha, NE 68182
​(888) 820-1398
Attendee code: 7300221

Please note: Spoken comments will be accepted over the phone at the Kearney meeting on October 30. For the other meetings with call-in information, the phone line will be open as listen-only for callers. We would encourage those calling into the Scottsbluff or Omaha meetings to submit written comments.


Waiver Application Materials