Nebraska Medicaid Statistics

Enrollment

  • From 2006 to 2007, 23% of women with low income were enrolled in Nebraska Medicaid.
  • In 2011, 15% of Nebraska Medicaid enrollees were individuals with disabilities.
  • In 2011, 59% of Nebraska Medicaid enrollees were children.

Costs Covered

  • Total Medicaid spending for Nebraska in 2012 was more than $1 billion.
  • 44% of Medicaid spending for Nebraska in 2011 went toward individuals with disabilities.
  • 23% of Medicaid spending for Nebraska in 2011 went toward seniors over the age of 65.

CHIP

  • In December 2013, 31,939 children were enrolled in Nebraska Medicaid.

Medicaid Expansion

  • An estimated 72,000 Nebraska residents are without health insurance or access to Medicaid.
  1. What is Medicaid?

Medicaid is a joint national and state program that provides healthcare coverage to roughly 60 million Americans with low income. Eligible individuals must meet a list of criteria, such as have a low income and fall into one of a pre-determined group category.  For example, if you are a pregnant woman or a disabled individual with low or no income, you may be qualified to apply for the program.

The Children’s Health Insurance Program (CHIP) provides coverage to eligible children under the age of 19 whereby their families have too high of an income in order to qualify for Medicaid. Every state in the country offers this program, which can also cover pregnant women and individuals with disabilities. The list of health benefits are also numerous, covering routine checkups, immunizations, doctor visits, dental care, vision examinations, mental health services, prescription drugs and more.

In 2014, due to the Affordable Care Act, Medicaid began expanding its healthcare coverage to 28 states, thus allowing more individuals to qualify and gain access to the program.  Since then, the federal government has covered all of the costs, however, this will start to change in the coming years. By 2020, the government will be responsible for 90 percent of related expansion costs.

  • How do I apply for Medicaid in Nebraska?

You can apply for Nebraska Medicaid in various ways. You may find the option of applying online most convenient for you. The ACCESSNebraska government website will allow you to complete an online assessment as well, in order to determine which program you would best qualify for.

To begin applying for NE Medicaid online, you will first have to create a personal account. Once this is complete, the application itself will contain questions about specific details, such as your current income status, your current expenses and finances, immigration status, as well as proof of identity. It is important that you take your time to fill out the application, which may take you about 20 to 30 minutes to finish.

If you would like to speak to a customer service agent, you can call the ACCESSNebraska Medicaid hotline at 1-855-632-7633. If you are located in the Lincoln area, the local number to call is 402-473-7000. For individuals in Omaha, call 402-595-1178. The Customer Service Center hours of operation are from Monday to Friday, 8 a.m. to 5 p.m.

Should you prefer to submit your Medicaid application by mail, you can send it to the address below:

ACCESSNebraska Document Imaging Center
PO Box 85801
Lincoln, NE 68501

Knowing how to apply for Medicaid in Nebraska is the first step. Your second step needs to be gathering the right documents together to fill out the application as well as possible.

  • What does Nebraska Medicaid cover?

Through Medicaid, each state is required to provide a list of mandatory healthcare benefits to better assist the individual with their medical needs, while also promoting good health. Some of these benefits include the following: home health services, laboratory testing, X-ray services, outpatient hospital services, inpatient hospital services, transportation to medical facilities, family planning services, nurse midwife services, freestanding birth center services, counseling for pregnant women to quit smoking, physician services, nursing facility services, Early and Periodic Screening, Diagnostic, and Treatment Services (EPSDT) and more.

In addition to these services, Medicaid in NE also offers optional benefits that include optometry services, case management, personal care, chiropractic services, respiratory services, speech and hearing services, occupational therapy, preventative care, diagnostic services, rehabilitative services, physical therapy, private duty nursing services, prescription drugs, and psychiatric services for those under 21.

In order to find out what benefits are covered in your plan, contact your local Medicaid office and speak with a customer service agent, who will be able to provide you with helpful resources and a slew of information. Keep in mind that Medicaid benefits may vary from those offered through the Children’s Health Insurance Program (CHIP). You can learn more about CHIP by visiting the ACCESSNebraska government website.

  • Who is eligible for Medicaid in Nebraska?

To qualify for Nebraska Medicaid, there are various requirements a person must meet. For example, the program is offered to low-income individuals, as well as those who fall within certain groups of people. You may be eligible to apply for Nebraska Medicaid if you meet any of the following below:

  • You are a blind individual.
  • You are a pregnant woman.
  • You are a disabled individual.
  • You are a parent or caretaker of dependent children.
  • You are an individual with breast cancer.
  • You are an individual with cervical cancer.

Additionally, you must be a United States citizen or a legal qualified immigrant to apply for NE Medicaid. During the application process, you will be required to present proof of your immigration status in order to confirm this. Other documentation that may be asked of you includes proof of identity, proof of income, proof of financial situation, proof of resources available to you, proof of age, etc. It is highly recommended that you keep these documents organized and on hand prior to completing your application.

As it pertains to the Children’s Health Insurance Program (CHIP), a child may receive medical benefits through the program if they are under the age of 19. Some cases also cover pregnant women and parents.

Review the 2015 Nebraska Medicaid income requirements below:

  • 1 person = $11,770
  • 2 family members = $15,930
  • 3 family members = $20,090
  • 4 family members = $24,250
  • 5 family members = $28,410
  • 6 family members = $32,570
  • 7 family members = $36,730
  • 8 family members = $40,890
  • Add $4,160 for each additional person for families with more than eight family members.
  • What is the Medicaid expansion? Did my state accept the Medicaid expansion?

There are 28 states in the nation that have implemented Medicaid expansion. Since 2014, these states have offered greater health care coverage and Medicaid access to residents, thanks to this Affordable Care Act provision. Unfortunately, Nebraska is one of the states that did not choose to expand Medicaid coverage. Since Medicaid expansion was not elected, an estimated 72,000 residents are left without health insurance or access to the program.

Many in Nebraska fall under what is referred to as the “coverage gap.” Currently, there are roughly four million Americans who make up this coverage gap and do not have health insurance. When looking at the working status of these individuals, 43 percent are full-time employees, 34 percent are unemployed and 23 percent are part-time employees. Additionally, 76 percent of individuals are adults without children and 24 percent are parents.

Amongst the states that have expanded the program are Kentucky, New Hampshire, New York, Connecticut, Pennsylvania, Rhode Island, Vermont, Delaware, California, North Dakota, Ohio, Michigan, Oregon, Arkansas, Arizona, Illinois, West Virginia, Hawaii, Maryland and New Jersey.

Since 2014, the federal government has been covering all of the costs related to this expansion. However, this will no longer be the case by 2020 when the government starts covering 90 percent of the costs instead.

  • How do I contact Nebraska Medicaid?

With so many options available to you, it is easy to contact Nebraska Medicaid either by phone, mail, fax, email or an in-person visit to one of the local Medicaid offices. If you would like to obtain information about your Medicaid eligibility requirements, you can call the Customer Service Center line toll-free at 1-855-632-7633. If you are located in Lincoln, call the direct Medicaid phone number at 402-473-7000. For individuals in Omaha, the number is 402-595-1178. Their available hours are Monday to Friday, from 8 a.m. to 5 p.m.

If you have filled out a paper application and would like to submit it by mail, the address to send it to is as follows:

ACCESSNebraska Document Imaging Center
PO Box 85801
Lincoln, NE 68501

You can also send your documentation via fax to 402-471-9209.

For those individuals who wish to submit their NE Medicaid application in person and have a professional guide them through the process, you can visit the Nebraska Department of Health and Human Services government website to find an office location near you. Once there, you will be able to browse through various counties and select the one that applies to you. Each office location will list its address, phone number and hours of operation.

You will also find information pertaining to the office location’s available resources. For example, it will state whether or not you can complete an application electronically in person and if there is a public telephone available for your use.

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