Tribal Health Members

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Medicaid & Long-Term Care
 
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What you need to know

​​​​​​Nebraska MLTC is dedicated to providing Medicaid members of the Tribes with access to comprehensive healthcare coverage while recognizing the unique healthcare needs and cultural considerations of Tribal members. The program aims to provide tribal communities with the necessary resources to address preventative healthcare and essential medical treatment. 

​There are numerous federal laws, regulations, and treaties that impact the administration of healthcare for American Indians and Alaska Natives. This section of the Medicaid website has useful information for Tribal Medicaid beneficiaries. The program plays a crucial role in making sure that the distinct needs and Federal protections for American Indians and Alaska Natives under Medicaid and CHIP are fully considered.

Learn more about services for Medicaid's clients.

All Nations Crisis Hotline

All Nations Crisis Hotline is a free text-based crisis hotline run by and for Native American populations within the State of Nebraska. Those who are experiencing issues like depression, domestic abuse, economic worries, homelessness, or loneliness. Text "SUPPORT" to 33464 for assistance.​

Resources​

Client Copayment

American Indians and Alaska Natives don't pay premiums, copayments, coinsurance, or deductibles under Medicaid. 

This does not exclude American Indians and Alaska Natives from having to contribute toward and pay for share of cost programs, also known as spend-down programs. For such programs, expenses are paid as a part of meeting eligibility requirements.​

Share of Cost Programs

People with incomes too high for traditional Medicaid can sometimes qualify for Medicaid benefits through a share of cost program. Through these programs a beneficiary's medical expenses can be counted against their income, allowing them to qualify for benefits that they otherwise would not be eligible for.

In some cases, a spend-down (or share of cost) needs to be paid before an individual is eligible to receive Medicaid. Individuals who receive long-term care services are also often required to pay a share of cost toward their monthly services.

Learn more about Share of Cost.

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Children's Health Insurance Program (CHIP)

Tribal members have special benefits under CHIP, which is a program that provides coverage for minors in need of health care.

If you're eligible for services from the Indian Health Service (also known as an Indian hospital or Public Health Service), tribal health programs, or urban Indian programs, including Contract Health Services:

  • You don't have to pay Medicaid premiums or enrollment fees.
  • You don't have to pay out-of-pocket costs like copayments, coinsurance, and deductibles for Medicaid services.
  • In CHIP, you have no out-of-pocket costs.
  • Certain Indian resources and payments aren't counted for Medicaid and CHIP eligibility, making it easier for some people to qualify.  

Non-Emergency Medical Transportation

In order to schedule a trip please contact your Health Plan. Transportation for an emergency situation is a separate service.

Learn more about how to schedule non-emergency medical transportation.

If you have questions about non-emergency medical transportation, please email DHHS.MedicaidNEMT@nebraska.gov.

Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics (CCBHCs) are providers enrolled in Medicaid that provide a range of mental health and substance use disorder services to vulnerable individuals.  

CCBHCs in Nebraska

Health Insurance Marketplace

The Health Insurance Marketplace is a resource where people who are over-income for Medicaid can enroll in a health insurance plan that meets their needs. There are resources available that may be helpful for Tribal members.

Advanced Premium Tax Credits

    • A tax credit you can use to lower your monthly insurance payment (called your “premium") when you enroll in a plan through the Health Insurance Marketplace. Learn more.

Limited Cost Sharing Plan

    • A plan is available to members of federally recognized Tribes and Alaska Native Claims Settlement Act ​(ANCSA) Corporation shareholders regardless of income or eligibility for premium tax credits. Learn more.

Additional Resources

Tribal Health Resource Map ​

This map details Indian Health Service (IHS) facilities, Tribally operated (638) facilities, and Urban Indian Health Programs. If you are a provider that fits this description and would like to be added to this map, please contact DHHS.MedicaidCommunications@nebraska.gov.