Nebraska Medicaid Program

Current Initiatives

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Estate Recovery Web Content

The Medicaid Estate Recovery Team is currently building web pages to share more about how they help the Nebraska Medicaid program. Below are forms available ahead of the launch of these new web pages.

When using the fillable forms, please download the form and enable Javascript in your PDF reader.

Estate Recovery Asset Form for Non-Probated Estates

Estate Recovery Asset Form Instructions

LB72/LB268 E.R. Waiver Release Guidance Memo

LB72/LB268 E.R. Waiver/Certification Form

LB72/LB268 E.R. Waiver/Certification HIPAA Document


Effective August 23, 2017, all notices required by LB268 (2017), including requests for waivers on restriction of transfer, must be submitted to the following e-mail address:

Notices may also be mailed to:
Department of Health and Human Services
Nebraska Medicaid Estate Recovery
P.O. Box 95026
Lincoln, Nebraska 68509-5026


Other Initiatives

Children's Mental Health and Substance Abuse Statewide Infrastructure Grant(SIG)

Deficit Reduction Act of 2005 (DRA) - Section 6032 - Employee Education About False Claims Recoveries

HIPAA Administrative Simplification - Operating Rule

ICD-10 Implementation Project

Medicaid Management Information System (MMIS) Replacement Project

Nebraska Medicaid Medical Home Pilot Program

Payment Error Rate Measurement (PERM)