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:
Nebraska received federal approval for the Heritage Health Adult Demonstration waiver on October 20, 2020. The waiver was terminated on September 2, 2021.
Waiver Application Materials
Final Waiver Application (submitted to CMS December 12, 2019)
Waiver Application Draft
Public Hearing Presentation
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.
Written and verbal comments were accepted at the public meetings listed below. Copies of the draft application were available at each meeting.
Tuesday, October 29, 2019
Board Room, Scottsbluff High School
313 E 27th St, Scottsbluff, NE 69361
Wednesday, October 30, 2019
Thursday, November 7, 2019
Tuesday, November 12, 2019