Nebraska Medicaid

Definitions of Medicaid in Nebraska

Medicaid in Nebraska*

"The Nebraska Medical Assistance Program, also known as the Medicaid Program, 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. Covered services include inpatient and outpatient hospital services; nursing facility care; prescription drugs; services of physicians, dentists and other practitioners; screening and diagnostic services; home health services; mental health and substance abuse treatment; and medical supplies. "
*source: GovBenefits.gov (www.GovBenefits.gov) , Washington, D.C.

Children's Medicaid in Nebraska

• brochure: NEBRASKA MEDICAID GENERAL INFORMATION (2005)(Nebraska Health and Human Services System)
  
  source: Nebraska Library Commission
  33 pages; languages: English; NOTE: DATED MATERIAL
  from the brochure:
  "...The Medicaid Program pays for medical services for low-income persons meeting specific eligibility requirements. Certain medical services must be covered by state Medicaid programs to obtain federal financial participation. Coverage of medical services beyond those required is a state option under Medicaid. Nebraska covers 24 optional services...."

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• brochure:
  The Medicaid Program at a Glance
  
  source:The Kaiser Commission on Medicaid and the Uninsured
  file size: 2 pg.   languages: English
  This fact sheet provides an overview of the Medicaid program, the populations that it serves, the services that it covers and the expanded role it will play under the health reform law...
  • also from The Kaiser Commission on Medicaid and the Uninsured:
    brochure:
    Medicaid: A Primer
    languages: English
    from the brochure:
    "This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare..."

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• web page:
  Nebraska Medical Assistance Program (Nebraska Medicaid)
  
  source:GovBenefits.gov - Your Benefits Connection
  languages: English
  from the web page:
  " The Nebraska Medical Assistance Program, also known as the Medicaid Program, 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. Covered services include inpatient and outpatient hospital services; nursing facility care; prescription drugs; services of physicians, dentists and other practitioners; screening and diagnostic services; home health services; mental health and substance abuse treatment; and medical supplies...."

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• web page:
  Nebraska & United States State Medicaid Fact Sheets
  
  source:Kaiser Family Foundation
  languages: English
  
  

• web page
  Do I Qualify? (Nebraska Medicaid Eligibility)
  
  source:DHHS ACCESSNebraska
  languages: English
  "Online assessment to see which programs might fit your needs... Determine if you qualify for any programs"

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• brochure
  Nebraska Medicaid Eligibility Categories
  
  source:Nebraska Department of Health and Human Services
  6 pgs  languages: English
  

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• web page:
  2011 HHS Poverty Guidelines
  
  source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
  languages: English
  from the web page:
  "...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
  

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• web page:
  Medicaid Eligibility
  
  source: Centers for Medicare & Medicaid Services
  languages: English
  Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.

• web page:
  DHHS Applications
  
  source: ACCESS Nebraska (Department of Health & Human Services)
  languages: English
  from the brochure:
  "Apply for benefits..."
  Spanish version: Página de Bienvenida

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• form:
  Nebraska Medicaid Program Kids Connection Application
  
  source:Nebraska Department of Health & Human Services
  languages: English
  from the form:
  "Application for Children's Medical Programs; Effective June 1, 2005.."
  Spanish version: Solicitud de Kids Connection
  
  • also from Nebraska Department of Health & Human Services:
    publication:
    Attached Application for Benefits
    languages: English
    from the publication:
    "The attached application can be used to apply for any of the following programs...."

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• publication:
  Nebraska Every Woman Matters Program Application; Enrollment Form for Women 40-64
  
  source: Foundation for Health Coverage Education
  2 pages; languages: English
  Spanish version: PForma de Enlistamiento para Mujeres de 40 a 64 años

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• web page
  Nebraska DHHS Office Locations By County
  
  source:Nebraska Department of Health and Human Services
  languages: English
  from the web page: "DHHS has offices serving each of Nebraska's 93 counties. Click on the county where you reside to find out contact information for the office that serves your county..."

• web page
  Nebraska Medicaid Program - Managed Care
  
  source:Nebraska Department of Health and Human Services
  languages: English
  from the web page: "Certain Medicaid clients are required to participate in the Nebraska Medicaid Managed Care Program. For a listing of clients required to enroll in physical health managed care, see 482 NAC Chapter 2 Client Participation. Clients who are required to enroll in Physical Health managed care cannot opt out of managed care..."
  • also from Nebraska Department of Health and Human Services:
    brochure:
    Nebraska Health Connection Handbook
    15 pages;languages: English
    from the brochure: "Nebraska Health Connection (NHC) is the Medicaid Managed Care Program. It is how you will receive your Medicaid Health Benefits. The Nebraska Health Connection Program will provide the services you need. You will have a doctor, called your Primary Care Physician (PCP), who will coordinate your health care needs. The Nebraska Health Connection is a program designed to help you stay healthy. The Medicaid program is run by the Nebraska Department of Health and Human Services (DHHS)...."
    

• web page:
  Kids Connection Frequently Asked Questions
  
  source:Nebraska Department of Health & Human Services
  languages: English
  from the web page:
  "Where can I apply for Kids Connection? Can I take my mail-in application form to the Department of Health and Human Services local office? I received an application from school. Once it's completed and signed, do I return it to my child’s school? How will I know if my children are found eligible for Kids Connection? Do I receive a card or a notice..."
  Spanish version: Preguntas Frecuentemente Hechas
  
  • also from Nebraska Department of Health & Human Services:
    web page:
    Nebraska Medicaid Program Kids Connection
    languages: English
    from the web page:
    "Effective SEPTEMBER 1, 2009, more of Nebraska’s children will be eligible for medical assistance through the Children’s Health Insurance Program (CHIP). As a result of federal legislation (CHIPRA) and recent Legislative action (LB603)..."

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• brochure or publication:
  Nebraska MEDICAID FACTS
  
  source:AMERICAN ACADEMY OF PEDIATRICS
  languages: English
  from the web page:
  "Thirty-four percent of Nebraska’s children are enrolled in Medicaid... It costs Nebraska just $1,886 per year, on average, for each Medicaid-eligible child compared to the average costs per adult Medicaid enrollee of $8,973...."

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• Medicaid brochure:
  Nebraska Public Health Insurance for Children
  
  source:National Center for Children in Poverty (NCCP)
  languages: English, Spanish
  from the brochure:
  "...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,..."
  • also from National Center for Children in Poverty (NCCP):
    web page:
    Nebraska Public Health Insurance for Parents
    languages: English
    from the web page:
    "Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ..."
     
  • web page:
    Nebraska Demographics of Low-Income Children
    languages: English
    from the web page:
    "Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income..."
     

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• web page:
  Nebraska: CHIP Program Name and Type
  
  source:Kaiser Family Foundation statehealthfacts.org
  languages: English, Spanish
  from the web page:
  "Individual state profiles..."

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• web page:
  Nebraska Medicaid, SCHIP, & Federal Authority
  
  source:State Coverage Initiatives
  languages: English
  

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• bublication / brochure:
  Children’s Health Coverage Nebraska
  
  source:Children's Defense Fund
  languages: English
  from the web page:

  "The Kids Connection program provides free and low-cost health coverage to Nebraska children. If you are a family of four with income of ... or less, your children may be eligible. ..."

  • also from Children's Defense Fund:
    brochure:
    Health Coverage for All Children: Maryland
    2 pages; languages: English
    from the brochure:
    "Despite difficult economic times, Nebraska was one of 23 states that took steps to improve health coverage for children... In 2009, Nebraska expanded Medicaid eligibility from 185 to 200 percent of poverty...."
     

• brochure or publication:
  Nebraska Medicaid Program - Services Covered By Medicaid
  
  source:Nebraska Department of Health & Human Services
  languages: English
  from the web page:
  "This information represents a general description of services covered under the Nebraska Medicaid Program. For complete information, refer to Rules and Regulations..."

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• brochure or publication:
  Women and Medicaid in Nebraska
  
  source:National Women's Law Center
  3 pages; languages: English, Spanish
  from the brochure or publication:
  "Nationally, nearly 17 million nonelderly women— including 8 percent of those living in Nebraska—are covered through Medicaid. In fact, women comprise the majority (67 percent) of Nebraska’s adult Medicaid beneficiaries..."
  

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• web page:
  Benefits by State: Nebraska (October 2008)
  
  source:Kaiser Family Foundation
  languages: English, Spanish
  from the web page:
  "Medicaid benefits: Online database"
  

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• brochure or publication:
  Mental Health and Substance Abuse Services in Medicaid and SCHIP in Nebraska (2003)
  
  source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
  file size: 5 pg.; languages: English
  from the brochure:
  "As of July 2003, 220,023 people were covered under Nebraska's Medicaid/SCHIP programs. There were 197,378 individuals enrolled in the Medicaid program, and 22,645 enrolled in the Medicaid SCHIP expansion program. In state fiscal year 2001, Nebraska spent $1.09 billion to provide Medicaid services. In Nebraska, low income children may be enrolled into the Medicaid program or a SCHIP Medicaid expansion program based on the child’s age and their family’s income...."
  

• web page:
  Find an Oral Health Provider: Nebraska Dental Providers
  
  source:InsureKidsNow.gov
  languages: English
  

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• brochure or publication:
  Guide to Children's Dental Care in Medicaid
  
  source:Centers for Medicare & Medicaid Services
  52 pages; languages: English
  from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
  
  • also from Centers for Medicare & Medicaid Services:
    web page:
    Medicaid Dental Coverage - Overview
    languages: English
    from the web page:
    "Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit..."

• brochure:
  Nebraska Health Care Options Matrix™ Guide
  
  source:Foundation for Health Coverage Education
  2 pages; languages: English, Spanish
  from the brochure: "...hand-held guide available that outlines your state’s (Nebraska) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites..."

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• brochure:
  Consumer Guide for Getting and Keeping Health Insurance in Nebraska.
  
  source:Georgetown University Health Policy Institute
  file size: 41 pg.; languages: English
  from the brochure:
  "...Help is available to certain low-income residents of Nebraska who cannot afford to buy health insurance. Medicaid, Kids Connection, and the Every Woman Matters Program offer free or subsidized health insurance coverage, direct medical services or other help at little or no cost to you. In addition, the federal Health Coverage Tax Credit (HCTC) Program provides tax credits to early retirees...."

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• web page:
  HRSA - Find a Health Center - Search Page
  
  source:U.S. Department of Health & Human Services
  languages: English
  from the brochure:

  "Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide •checkups when you're well •treatment when you're sick •complete care when you're pregnant •immunizations and checkups for your children •dental care and prescription drugs for your family •mental health and substance abuse care if you need it..."

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• brochure:
  Nebraska Health Center Fact Sheet
  
  source: National Association of Community Health Centers (NACHC)
  languages: English
  from the brochure:"Community, Migrant, and Homeless Health Centers are non-profit, community-directed providers that remove common barriers to care by serving communities who otherwise confront financial, geographic, language, cultural and other barriers."
  • also from National Association of Community Health Centers (NACHC):
    web page:
    Find a Health Center
    languages: English
    from the web page:
    "If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish..."

• web site:The Nebraska Long Term Care Care Project
  Nebraska Medicare Medicaid Nursing Homes Directory
  languages: English
  from the web page:
  "These are Nebraska Nursing Homes in cities A - Z." In addition to the state directory described above, there are nursing home directories for principal Nebraska cities. A few examples:
  
  • Omaha Nursing Homes
  • Lincoln Nebraska Nursing Homes
  
  

• brochure:
  Medicaid Coverage of Medicare Beneficiaries (Dual Eligibles) At A Glance
  
  source:Centers for Medicare & Medicaid Services
  4 pages; languages: English
  from the brochure:
  "Individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit are often referred to as “dual eligibles.” These benefits are sometimes referred to as Medicare Savings Programs (MSPs). Dual eligibles are eligible for some form of Medicaid benefit, whether that Medicaid coverage is limited to certain costs, such as Medicare premiums, or the full benefits covered under the State Medicaid plan..."
  

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• brochure:
  Dual Eligibles: Medicaid’s Role for Low-Income Medicare Beneficiaries
  
  source:Kaiser Family Foundation: Medicaid/CHIP
  languages: English
  2 pages; from the brochure:
  "Nearly 8.8 million Medicaid beneficiaries are “dual eligibles” – low-income seniors and younger persons with disabilities who are enrolled in both the Medicare and Medicaid programs. Dual eligibles are among the sickest and poorest individuals covered by either the Medicaid or Medicare programs..."