Medicaid Eligibility

 
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Medicaid Related Assistance
Medicaid & Long-Term Care
 
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What you need to know

Changes to Expect in January 2024

Nebraska Medicaid's members and providers will notice a few changes after January 1, 2024. These changes are oriented to improve:

  • Dental care; 
  • Postpartum coverage; and
  • Continuous eligibility for children.

Resources and updates will be shared on our website as we approach January.

Questions can be sent to DHHS.MLTCExperience@Nebraska.gov.

There are Many Ways to Apply for Medicaid:

  • Fill out an application online at iServe​
  • Call one of the numbers below to apply over the phone or to request a paper application. Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday.
    • (855) 632-7633
    • In Lincoln: (402) 473-7000
    • In Omaha: (402) 595-1178
  • Visit a local DHHS office

Am I eligible for Medicaid?

You may be eligible if you are:

  • 65 years of age or older
  • An individual under 65 years of age who has a disability, or is visually impaired according to Social Security guidelines
  • An individual 18 years of age or younger
  • An adult aged 19 to 64
  • A pregnant woman
  • A parent or caretaker
  • A former foster care youth

People with Medicare can qualify for Medicaid in various ways, but not through Heritage Health Adult​. 

Individuals with disabilities who apply for Medicaid may also have to apply for disability benefits. For more information, see the page below:

What resources may I have and be eligible for Medicaid?

Some individuals have their income and resources taken into account when they apply for Medicaid. Some resources are not counted, such as:

  • Your home
  • One motor vehicle
  • Property you use to operate a trade or business (such as machinery and equipment)
  • Irrevocable burial fund
  • Resources, in addition to the above, which do not exceed:
    • $4,000 for a one-member family
    • $6,000 for a two-member family
    • $25 for each additional family member
    • Children age 18 and younger and eligible pregnant women are not subject to a resource test.

For income guidelines, see the following chart:


Enable Accounts - Save Money

Enable accounts offer checking, savings, and investment accounts for people ​who are blind or have a disability who became blind or disabled before age 26. These accounts give participants the ability to save money without it affecting their benefits (up to $100,000). 

Important Update for Parents

Nebraska Medicaid is extending continuous coverage for all children found newly eligible for Medicaid from six months to a full year. This includes one year of continuous eligibility for kids found eligible at the time of their annual renewal.  You can submit a Medicaid application for your family at any time. 

To learn more and find out if you qualify for Medicaid, please stay connected in the following ways:​

  • Fill out an application online with iServe​
  • Call one of the numbers below to apply over the phone or to request a paper application. Phone lines are open from 8:00 a.m. to 5:00 p.m., Monday through Friday
    • (855) 632-7633
    • In Lincoln: (402) 473-7000
    • In Omaha: (402) 595-1178
  • Visit a local DHHS office
More information can be found in the FAQ here​.​​ A Spanish version of the FAQ can be found here​. 

What type of care is available under Nebraska Medicaid?

For more information, see our list of covered services:

Medicaid Services

What is CHIP?  

The Children's Health Insurance Program, or CHIP, is a type of Medicaid for certain children who are without other health insurance and who do not qualify for Medicaid. It provides the same services covered under Medicaid in Nebraska.

CHIP has several benefits, namely:

  • Improved access and continuity of care for children age 18 years and younger
  • Consistent, preventive care
  • Simplify eligibility
  • Improves Medicaid's goal of easier and faster enrollment 

599 CHIP

The 599 CHIP program is designed for unborn children of pregnant women who are otherwise ineligible for coverage under Medicaid or CHIP.

For more information, see our 599 CHIP one-pager​. 

​​What if I'm determined ineligible for Medicaid?  

If you are determined ineligible for Medicaid, your application is sent to the Federal Marketplace (healthcare.gov​). The Marketplace can assist you with private insurance coverage.