Heritage Health Adult Demonstration Program

Medicaid Related Assistance
Medicaid & Long-Term Care

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Update to Medicaid Expansion Program

On June 1, 2021, DHHS announced it is no longer planning to implement the Heriage Health Adult Demonstration program. As a result, everyone who is eligible for Medicaid through expansion will receive equal benefits coverage, including dental, vision, and over-the-counter medication coverage, effective October 1, 2021. There will be no change to who can become Medicaid eligibile with this change.

For more details, see DHHS's press release​.   

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.

The Division of Medicaid and Long-Term Care (MLTC) received approval to create the Heritage Health Adult (HHA) Demonstration Program, which allows individuals in the expansion category to qualify for additional benefits by completing certain activities. Through the HHA Demonstration Program, Nebraska Medicaid seeks to improve health outcomes and encourage life successes for Medicaid beneficiaries. 

On September 2, 2021, the federal government approved Nebraska's request to terminate the Heritage Health Adult Demonstration waiver. For more details, see the letter below:


Approval Materials

Nebraska received federal approval for the Heritage Health Adult Demonstration waiver on October 20, 2020. The waiver was terminated on September 2, 2021. 

  • FAQ  - Published October 20, 2020 

Pre-Approval Materials

Waiver Application Materials

Final Waiver Application (submitted to CMS December 12, 2019)

Waiver Application Draft

Public Hearing Presentation

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 was available for public review and comment. All public comments were considered as MLTC finalized the application. Comments were accepted through November 26, 2019.

  • Comments and questions could 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 were accepted at the public meetings listed below. Copies of the draft application were 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 CDTSouth 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

Demonstration Waivers
DHHS Medicaid & Long-Term Care
Mailing Address
P.O. Box 95026, Lincoln, Nebraska 68509-5026