PicturesAgingMedicaid Waiver InitiativePress ReleasesSearch Hospital and Pregnant Women Presumptive Eligibility Page Content Medicaid Program Home Medicaid Services Medicaid Reform Medical Assistance Advisory Committee Current Initiatives Contacts Medicaid Electronic Health Record (EHR) Incentive Program Medical Necessity Guideline and Criteria Provider Information Program Integrity CHIP Managed Care Pharmacy Services Rules and Regulations Medicaid State Plan Electronic Data Interchange Client Information Recent Web Updates Nebraska Medicaid Program Hospital and Pregnant Women Presumptive Eligibility Click to subscribe Medicaid providers must agree to make presumptive eligibility (PE) determinations for Nebraska Medicaid consistent with DHHS policies and procedures for Qualified Hospitals and Entities, in accordance with 42 CFR 435.1110, as well as state regulations as of January 1, 2014, at 477 NAC 1-000 through 477 NAC 25-000. Medicaid providers must be accepted by the DHHS Division of Medicaid and Long-Term Care prior to making PE determinations. In order to become accepted, the Medicaid provider must fulfill the following requirements. For Medicaid hospitals to be accepted as PE providers, the hospital or entity’s CEO or Executive Director must sign and submit Acknowledgment of Participation after training is successfully completed. All Medicaid providers intending to make PE determinations, including hospitals, entities, and pregnant women’s providers, must complete and submit a Confirmation of Interest to the DHHS Division of Medicaid and Long-Term Care at DHHS.MedicaidPE@nebraska.gov and include the following information: Full company or corporate name and primary contact; Proposed timeline to begin PE determinations; An estimated number of individuals who will make PE determinations within the organization; and A list of locations where determinations will be made. Each PE provider must complete DHHS Medicaid Presumptive Eligibility Training. S1 Citizenship and Eligible Aliens S2 Household Construction Chart S3 Allowable Income Deductions S4 A to Z Presumptive Determinations S5 Program Chart S6 Presumptive Eligibility Training Quiz S7 Presumptive Eligibility Training Quiz Answers Each individual that has completed the DHHS Medicaid Presumptive Eligibility Training must complete and submit a Confirmation of Training to DHHS Division of Medicaid and Long-Term Care at DHHS.MedicaidPE@nebraska.gov In accordance with Nebraska regulations all PE determinations shall be indicated on a DHHS Presumptive Eligibility Form and electronically sent to DHHS.MedicaidPE@nebraska.gov. The accepted provider shall provide each beneficiary with an agency approved Application for Medicaid and Insurance Affordability Programs. Documents in PDF format require the use of Adobe Acrobat Reader which can be downloaded for free from Adobe Systems, Inc.