Nebraska Medicaid is a program that is jointly funded by the state and the federal government to provide medical coverage to those who meet certain categorical eligibility criteria and who cannot afford to pay for medically necessary services.

Program NameNebraska Medicaid
Expanded MedicaidYes
Websitedhhs.ne.gov
Phone855-632-7633
Apply OnlineAccess Nebraska
Appeal a DenialRequest a Fair Hearing
Find a Local OfficePublic Assistance Offices

Eligibility Requirements

To be eligible for Nebraska Medical Assistance, you must be a resident of the state of Nebraska, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$17,131
2$23,169
3$29,207
4$35,245
5$41,284
6$47,322
7$53,360
8$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Ambulance servicesNurse midwife services
Chiropractic servicesNurse practitioner services
Dental servicesNursing facility services
Durable medical equipmentPersonal assistance services
Family planning servicesPhysician services
Hearing aid servicesPodiatry services
Home health agency servicesPrescribed drugs
Hospice servicesPrivate-duty nursing services
Hospital servicesScreening services (mammograms)
Laboratory and radiology servicesServices provided by clinics
Medical transportation servicesTherapies: physical, occupational, speech
Mental healthVision care services

Copayments

Certain individuals who are covered by Medicaid are required to share in the cost of Medicaid services. Copayment amounts range from $1 to $15, depending on the service you receive.

Chiropractic$1 per office visit
Dental$3 per selected services
Generic drugs$2 per prescription
Brand-name drugs$3 per prescription
Durable medical equipment$3 per specified service
Eyeglasses$2 for frames with lenses
Hearing aids$3 per hearing aid
Inpatient hospital services$15 per admission
Mental health/substance abuse$2 per specified service
Optometric$2 per office visit or eye exam
Outpatient hospital services$3 per visit
Specialty Physicians$2 per office visit
Podiatric$1 per office visit
Physical and occupational therapy$1 per office visit
Speech therapy (non-hospital based)$2 per office visit

The following groups are exempt from copayments:

  • Pregnant women
  • Children 18 years of age or younger
  • Persons in alternative care facilities
  • Institutionalized individuals
  • Home and Community-Based Medicaid Waiver recipients
  • Native Americans