On June 1, 2021, DHHS announced it is no longer planning to implement the Heritage 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 eligible with this change.For more details, see DHHS's press release.
Nebraska's voters approved Medicaid expansion via Initiative 427.
Read the full initiative here. “Heritage Health Adult" (HHA) is the program name for Medicaid expansion.
Medicaid coverage is available for Nebraskans age 19-64 who earn up to 138% of the federal poverty level (about $17,000 a year for a single person). People with Medicare can qualify for Medicaid in various ways, but not through Heritage Health Adult.
Coverage includes services like doctor's office visits, hospital visits, and prescription drugs. Some individuals may additionally qualify for dental, vision, and over-the-counter drug coverage.
Below are resources that cover the basics of Nebraska's Medicaid expansion.
All items above and more are included together in the toolkit below:
Medicaid expansion will cover basic and prime benefits. For more information on these benefits, and who qualifies for each, visit the
Basic and Prime Benefits page.
Many people eligible for expansion will have particular health needs that may be barriers to improving health. These people can be designated “Medically Frail" and will receive Prime benefits. Visit the
Medically Frail web page for more information about the process.
Below are updates prepared for Medicaid providers to keep them up to date on Medicaid expansion.
Medicaid's latest report to the Legislature covers the events of November 2020 and is now available. To read it, see the link below:
November 2020 Expansion Report
Today, DHHS issued a press release related to Nebraskans who currently have health insurance through the federal health insurance marketplace. Some Nebraskans who have marketplace insurance may qualify for Heritage Health Adult, and the marketplace is sending a notice to these Nebraskans. An example of this notice is available at the link below:
For more details, see the full press release.
This month's report to the Legislature covers the final month before benefits began through Medicaid expansion, September 2020. To read the report, please use the link below:
September 2020 Expansion Report
This month's report to the Legislature with updates on Medicaid expansion is now available. This report covers updates from August 2020, and can be found at the link below:
August 2020 Expansion Report
Medicaid's latest report to the Legislature covers the events of July 2020, and is now available on the Legislature's website. To read the report, use the link below:
July 2020 Expansion Report
Medicaid's most recent report to the Legislature, which covers the events of June 2020, is now available. To see the report, use the link below:
June 2020 Expansion Report
Starting tomorrow, Nebraskans can apply for Medicaid coverage through the Heritage Health Adult program. Nebraskans who are eligible, generally, are age 19-64 and earn up to 138% of the federal poverty level. That's about $17,000 a year for a single person, or $36,000 for a family of four.
There are many ways to apply for coverage. You can visit
ACCESSNebraska.ne.gov to submit an application online. You can submit an application over the phone at (855) 632-7633 or request DHHS mail you a paper application. Or, you can visit a DHHS local office for assistance. To find a local office close to you, see our
local office list.
For people who are found to be eligible for Heritage Health Adult, services will begin on October 1. At that time, eligible people will be assigned a health plan that coordinates their Medicaid benefits. Members can change plans for any reason during their first 90 days on Medicaid.
With general questions, please reach out to DHHS at
DHHS.MedicaidExpansionQuestions@Nebraska.gov. ACCESSNebraska is available for questions on applications or individual Medicaid cases.
Medicaid's latest legislative report on Medicaid expansion, which covers the events of May 2020, is now available. To read the report, please use the link below:
May 2020 Expansion Report
Medicaid's newest report to the Nebraska Legislature on Medicaid expansion is now available. This report covers the events of April 2020, and is available at the link below:
April 2020 Expansion Report
Medicaid's latest legislative report on Medicaid expansion covers the events of March 2020. To see the report, please use the link below:
March 2020 Expansion Report
On April 10, 2020, DHHS shared an update on how the COVID-19 pandemic has affected our Medicaid expansion plans. For more details, please see our
press release or take a look at our
Medicaid's most recent report to the Legislature on Medicaid expansion, which covers the events of February 2020, is now available online. To read the report, please use the link below:
February 2020 Expansion Report
Medicaid's latest Legislative report is now available! This month's report covers events and updates from January 2020, and it's available at the following link:
January 2020 Expansion Report
DHHS's newest update to the Legislature on Medicaid expansion is now available. The report, published today, covers the events of December 2019. Please use the link below to read the report:
December 2019 Expansion Report
DHHS's latest report to the Legislature on Medicaid Expansion, covering updates from November 2019, is now available online. To view the report, see the link below:
November 2019 Expansion Report
On December 17, the federal government (CMS) completed its transparency review of Nebraska's application for an 1115 Waiver for Medicaid expansion and confirmed the application is complete. With this confirmed, CMS began its federal public comment period on Nebraska's application.
CMS will be accepting comments from the public on Nebraska's application until January 17, 2020. Comments provided during this period will go straight to the federal government, rather than to MLTC. MLTC appreciates the public's interest in our 1115 waiver application, and would encourage those who are interested to share their feedback with the federal government.
For more information on the federal public comment period, including how to submit a comment, please visit
Yesterday, the Division of Medicaid and Long-Term Care (MLTC) submitted its application for a Section 1115 Demonstration Waiver for Medicaid expansion to the federal government. This waiver will allow MLTC to build the Heritage Health Adult expansion program to expand Medicaid coverage to newly eligible low-income adults.
The Heritage Health Adult expansion program will include new innovations to Medicaid, such as personal responsibility and wellness initiatives. Features like these build on top of the Medicaid program Congress originally created in the 1960s, so MLTC needs a waiver to allow for these new innovations. These innovations will lead to better and more cost-effective health outcomes for the Nebraskans we serve.
MLTC would like to thank the organizations and members of the public who provided feedback and attended our public hearings on our waiver application. This feedback helped improve the application. Soon, the federal government will have its own public comment period on MLTC's application. MLTC will share more information on this comment period when it is available.
For a copy of Nebraska's waiver application, see the link below:
Section 1115 Demonstration Waiver Application
DHHS's latest report to the Nebraska Legislature on Medicaid expansion is now available online. Among the topics discussed in the report are the Section 1115 Demonstration Waiver, staffing updates, and policy decisions. To read the report, see the link below:
October 2019 Expansion Report
DHHS's latest report to the Nebraska Legislature on Medicaid expansion is now available online. This report includes updates on Medicaid expansion from the month of September 2019. To read the report, see the link below:
September 2019 Expansion Report
Earlier this month, Medicaid shared the dates that staff will be meeting with Nebraskans across the state to listen to your feedback on DHHS's plans for Medicaid expansion. For more details, like the times and locations of the meetings, call-in information, and how you can send us written feedback if you're unable to attend, please visit our new webpage for the
demonstration waiver we're seeking from the federal government. You can also access this page at the top of 'Helpful Links' above.
As discussed in our video series above, Nebraska is currently in the process of submitting to the federal government an application for an 1115 Waiver. As we work toward submitting this application, DHHS will be traveling across the state to meet with Nebraskans and listen to feedback on the state's plans for Medicaid expansion.
Staff from DHHS will be hosting early-evening listening sessions at the following locations and dates:
DHHS will be sharing additional details about these meetings in the next two weeks. With questions, please feel welcome to contact us at
For copies of previously published items on this page, please contact Medicaid at DHHS.MedicaidExpansionQuestions@Nebraska.gov.