Nebraska Medicaid Program

Nebraska Medicaid Reform

Unlike Medicare which is 100% federally funded, Medicaid is a federal state partnership that was authorized the same year as Medicare - 1965.  The federal government pays approximately 60% of the cost of Medicaid, the State of Nebraska pays about 40%.

The Federal Centers for Medicare and Medicaid Services (CMS) is the federal agency that is responsible for this program and it sets minimum requirements.

If we choose to be in Medicaid, which every state has done, there is a mandatory population to cover as well as an optional population. There are also mandatory services as well as optional services. States are given the liberty to select the optional populations and the optional services they will cover. As a result, Nebraska’s Medicaid program is not as exactly the same as any other Medicaid program in the United States. It’s one of the reasons it’s our responsibility to deal with our own program.

What is Medicaid?

PDFThe Definition

PDFThe Programs

PDFThe National Numbers

PDFComparison of NE Medicaid and National Medicaid Totals

PDFA Comprehensive Picture of NE Medicaid must:

If we as a state want to make changes from the standard requirements whether it’s mandatory or optional, we have to ask for a CMS waiver. In other words, we have to ask permission.

Not knowing what changes might occur at the federal level, if CMS makes changes in mandatory or optional requirements that we don’t believe fit our needs, Nebraska will have to ask for a waiver which CMS may or may not grant.

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