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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 Name | Nebraska Medicaid |
| Expanded Medicaid | Yes |
| Website | dhhs.ne.gov |
| Phone | 855-632-7633 |
| Apply Online | Access Nebraska |
| Appeal a Denial | Request a Fair Hearing |
| Find a Local Office | Public 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 services | Nurse midwife services |
| Chiropractic services | Nurse practitioner services |
| Dental services | Nursing facility services |
| Durable medical equipment | Personal assistance services |
| Family planning services | Physician services |
| Hearing aid services | Podiatry services |
| Home health agency services | Prescribed drugs |
| Hospice services | Private-duty nursing services |
| Hospital services | Screening services (mammograms) |
| Laboratory and radiology services | Services provided by clinics |
| Medical transportation services | Therapies: physical, occupational, speech |
| Mental health | Vision 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
