Nebraska Administrative Code

TITLE 474 - SOCIAL SERVICES FOR FAMILIES AND CHILDREN CHAPTER 1 - GENERAL PROGRAM REQUIREMENTS 001. SCOPE AND AUTHORITY. This Title describes the policies and procedures of the Nebraska Department of Health and Human Services, hereinafter, “the Department,” for administering Soci…

TITLE 474 - SOCIAL SERVICES FOR FAMILIES, CHILDREN AND YOUTH CHAPTER 2 - PROTECTION FROM DOMESTIC VIOLENCE SERVICES 001. SCOPE AND AUTHORITY. These regulations implement the Protection from Domestic Abuse Act set forth in Neb. Rev. Stat. §§ 42-901 to 42-931. 002. SERVICES. The De…

TITLE 475 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHAPTER 1 GENERAL PROVISIONS 001. GENERAL POLICIES. The Supplemental Nutrition Assistance Program is a federal low income nutrition program established by Title 7 of the United States Code (U.S.C.) Chapter 51. The program is man…

TITLE 475 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHAPTER 2 HOUSEHOLD PROCESSING 001. APPLICATION. Application forms are readily accessible to any group, organization, or private citizen who requests them. Every household expressing an interest in receiving Supplemental Nutriti…

TITLE 475 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHAPTER 3 ELIGIBILITY 001. NONFINANCIAL ELIGIBILITY STANDARDS. This section outlines the nonfinancial eligibility standards for Supplemental Nutrition Assistance Program. These include: (A) Identity; (B) Residency; (C) Citizensh…

TITLE 475 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHAPTER 4 BENEFITS 001. CALCULATING BENEFITS. Benefit levels for all households are based on each household's net income and household size. 001.01 INITIAL CERTIFICATION. Benefits are prorated from the application filing date at…

TITLE 475 - SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM CHAPTER 5 - ELECTRONIC BENEFITS TRANSFER CARD ISSUANCE AND ACCOUNTABILITY 001. CARD ISSUANCE REQUIREMENTS. At initial application, an Electronic Benefits Card will be sent to the household. The cards are sent in the United Sta…

TITLE 476 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM CHAPTER 1 - INTRODUCTION 001. SCOPE AND AUTHORITY. The Nebraska Low Income Home Energy Assistance Program is authorized by the Energy Policy Act of 2005, 42 United States Code §§ 8621-8630 and 45 Code of Federal Regulations § …

TITLE 476 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM CHAPTER 2 - APPLICATION AND ELIGIBILITY 001. APPLICATION. To apply for the Low Income Home Energy Assistance Program, a household must complete an agency-approved application or ask the Department to add a request for the Low …

TITLE 476 - LOW INCOME HOME ENERGY ASSISTANCE PROGRAM CHAPTER 3 - PAYMENTS 001. TYPES. The Department makes the following types of Low Income Home Energy Assistance Program payments: (A) Heating; (B) Cooling; (C) Crisis assistance; (D) Furnace or air conditioner repair or replace…

TITLE 477 MEDICAID ELIGIBILITY CHAPTER 1 GENERAL DEFINITIONS 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68-901 et seq. 002. DEFINITIONS. 002.01 ABS…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 10 - FAIR HEARING PROCESSES 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68-901 et seq. 002. RIGHT TO FAIR H…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 11 - LIVING ARRANGEMENTS 001. SCOPE AND AUTHORITY. The regulations govern the services provided under the Medical Assistance Act, Nebraska Revised Statutes (Neb. Rev. Stat.) §§ 68 901 et seq. 002. DEFINITIONS. The following definitions are…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 12-000 - THIRD-PARTY RESOURCES AND CHILD SUPPORT ENFORCEMENT 12-001 ASSIGNMENT OF THIRD PARTY RESOURCES: See 471 NAC 3-004. The assignment of third-party resources gives the Department the right to pursue and receive payments from any thir…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 13-000 - MEDICAID BENEFITS PROVIDED IN ERROR 13-001 MEDICAID BENEFITS PROVIDED IN ERROR: If a client has received Medicaid benefits through misrepresentation or fraud, including because of erroneously reported income, changes in income, or…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 14-000 - DEFINITIONS PERTAINING TO MAGI-BASED PROGRAMS Chapters 477 NAC 14 through 19 apply to the following: Parents/Caretaker Relatives, Children/Children in an IMD/Children and Young Adults Eligible for Non-IV-E Assistance, Pregnant Wom…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 15-000 - HOUSEHOLD OR UNIT SIZE FOR MAGI-BASED PROGRAMS Chapters 477 NAC 14 through 19 apply to the following: Parents/Caretaker Relatives, Children/Children in an IMD/Children and Young Adults Eligible for Non-IV-E Assistance, Pregnant Wo…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 16-000 - INCOME FOR MAGI-BASED PROGRAMS Chapters 477 NAC 14 through 19 apply to the following: Parents/Caretaker Relatives, Children/Children in an IMD/Children and Young Adults Eligible for Non-IV-E Assistance, Pregnant Women, 599 CHIP, F…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 17-000 - RESOURCES FOR MAGI-BASED PROGRAMS Chapters 477 NAC 14 through 19 apply to the following: Parents/Caretaker Relatives, Children/Children in an IMD/Children and Young Adults Eligible for Non-IV-E Assistance, Pregnant Women, 599 CHIP…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 18-000 - RELATIVE RESPONSIBILITY FOR MAGI-BASED PROGRAMS Chapters 477 NAC 14 through 19 apply to the following: Parents/Caretaker Relatives, Children/Children in an IMD/Children and Young Adults Eligible for Non-IV-E Assistance, Pregnant W…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 19 - MODIFIED ADJUSTED GROSS INCOME (MAGI)-BASED PROGRAMS Chapters 477 Nebraska Administrative Code (NAC) 14 through 19 apply to the following: Parents and Caretaker Relatives, Children, Pregnant Women, 599 CHIP, Former Wards, Hospital Pre…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 2-000 - OVERVIEW OF ELIGIBILITY REQUIREMENTS 2-001 PRIMARY ELIGIBILITY REQUIREMENTS: To be eligible for Medicaid, an individual must satisfy the requirements of the following eligibility criteria, as applicable: 1. Application; 2. U.S. cit…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 20 - DEFINITIONS PERTAINING TO NON-MODIFIED ADJUSTED GROSS INCOME (MAGI) PROGRAMS 001. APPLICABILITY. Chapters 477 Nebraska Administrative Code (NAC) 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (M…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 21-000 - HOUSEHOLD OR UNIT SIZE FOR NON-MAGI PROGRAMS Chapters 477 NAC 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid Insurance for Workers with Disabilities (MIWD); Women’s Cancer Pro…

TITLE 477 - NEBRASKA MEDICAL ASSISTANCE ELIGIBILITY CHAPTER 22 - INCOME FOR NON-MODIFIED ADJUSTED GROSS INCOME (NON-MAGI) PROGRAMS 001. APPLICABILITY. This chapter applies to the following Non-Modified Adjusted Gross Income (Non-MAGI) programs: Aged, blind, and disabled (ABD); me…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 23 - RESOURCES FOR NON-MODIFIED ADJUSTED GROSS INCOME (MAGI) PROGRAMS 001. APPLICABILITY. Chapters 477 Nebraska Administrative Code (NAC) 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 24-000 - RELATIVE RESPONSIBILITY AND SPONSOR DEEMING FOR ALIENS FOR NON-MAGI PROGRAMS Chapters 477 NAC 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid Insurance for Workers with Disabil…

TITLE 477 MEDICAID ELIGIBILITY CHAPTER 25 BUDGETING FOR THE MEDICALLY NEEDY Chapters 477 Nebraska Administrative Code (NAC) 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid Insurance for Workers with Disabilities (MIWD); Women’…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 26 - SPOUSAL IMPOVERISHMENT MEDICAID PROGRAM (SIMP) Chapters 477 Nebraska Administrative Code (NAC) 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid Insurance for Workers with Disabiliti…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 27 - ELIGIBILITY FOR THE AGED, BLIND, AND DISABLED; MEDICALLY NEEDY; QUALIFIED DISABLED WORKING INDIVIDUALS; MEDICAID INSURANCE FOR THE WORKERS WITH DISABILITIES; BREAST AND CERVICAL CANCER; EMERGENCY MEDICAL SERVICES ASSISTANCE; AND KATIE…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 28 - CHILDREN ELIGIBLE FOR IV-E ASSISTANCE, NON-IV-E ADOPTION SUBSIDY, FORMER FOSTER CARE CHILDREN Chapters 477 NAC 20 through 28 apply to the following: Aged, Blind, and Disabled (ABD); Medically Needy (MN); Medicaid Insurance for Workers…

TITLE 477 MEDICAID ELIGIBILITY CHAPTER 29 HERITAGE HEALTH ADULT PROGRAM 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute (Neb Rev. Stat) §§ 68‑901 et seq. …

TITLE 477 MEDICAID ELIGIBILITY CHAPTER 3 APPLICATION PROCESS 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68-901 et seq. 002. INTERVIEW. An interview…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 4 - EFFECTIVE DATE OF MEDICAID ELIGIBILITY 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68-901 et seq. 002. …

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 5 - CITIZENSHIP/ALIEN STATUS AND IDENTITY 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68 901 et seq. 002. C…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 6-000 - STATE RESIDENCY 6-001 RESIDENCE: To be eligible for assistance, an applicant/client must be a Nebraska resident. A resident is an individual living in the state voluntarily with the intent of making Nebraska his/her home. Residence…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 7-000 - AGE AND DATE OF BIRTH 7-001 AGE REQUIREMENT/AGE LIMIT: To be eligible for Medicaid or 599 CHIP, an applicant/client must meet the age requirements for the applicable Medicaid category. 1. For age requirements for Children’s Medicai…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 8-000 - SOCIAL SECURITY NUMBER 8-001 REQUIREMENT OF A SOCIAL SECURITY NUMBER: Each applicant for or recipient of Medicaid is required, as a condition of eligibility, to 1. Furnish his/her Social Security number (SSN); or 2. Apply for an SS…

TITLE 477 - MEDICAID ELIGIBILITY CHAPTER 9 - NOTIFICATION 001. SCOPE AND AUTHORITY. These regulations govern the services provided under Nebraska’s Medicaid program as defined by the Medical Assistance Act, Nebraska Revised Statute § 68-901 et seq. 002. TYPES OF NOTICES. 002.01 A…

TITLE 479 CHILD WELFARE PAYMENTS CHAPTER 1 MAINTENANCE PAYMENTS AND GUARDIANSHIP ACCOUNTS 001. SCOPE AND AUTHORITY. These regulations apply to children who are in the custody of the Department or Tribal Court that has a written agreement with the Department. These regulations set…

TITLE 479 - CHILD WELFARE PAYMENTS CHAPTER 7 - GUARDIANSHIP ASSISTANCE PROGRAM 001. SCOPE AND AUTHORITY. This chapter governs guardianship assistance agreements that may be entered into with the Department pursuant to Nebraska Revised Statute (Neb. Rev. Stat.) § 43-284.02 or Titl…

TITLE 479 - CHILD WELFARE PAYMENTS CHAPTER 8 - ADOPTION ASSISTANCE PROGRAM 001. SCOPE AND AUTHORITY. This chapter governs Adoption Assistance Agreements that may be entered into with the Department pursuant to Nebraska Revised Statute (Neb. Rev. Stat.) §§ 43-117 and 43-118 or Tit…

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 1 - EARLY INTERVENTION SERVICES COORDINATION 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Early Intervention Program as defined by Nebraska Revised Statute (Neb. Rev. Stat.) §§ 43-250…

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 2 - PROGRAM REVIEW AND ADMINISTRATION 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Medicaid program as defined by Nebraska Revised Statutes (Neb. Rev. Stat.) § 68-901 et seq. (the Med…

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 3 - PARTICIPANT ACCESS AND REQUIREMENTS 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Medicaid program as defined by Nebraska Revised Statutes (Neb. Rev. Stat.) § 68-901 et seq. (the M…

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 4 - PROVIDER REQUIREMENTS 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Medicaid program as defined by Nebraska Revised Statutes (Neb. Rev. Stat.) §§ 68-901 et seq. (the Medical Assist…

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 5 - AGED AND DISABLED WAIVER SERVICE REQUIREMENTS 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Medicaid program as defined by Nebraska Revised Statutes §§ 68-901 et seq. (the Medical …

TITLE 480 - HOME AND COMMUNITY-BASED SERVICES CHAPTER 6 - TRAUMATIC BRIAN INJURY (TBI) WAIVER SERVICE REQUIREMENTS 001. SCOPE AND AUTHORITY. The regulations govern the services provided under Nebraska’s Medicaid program as defined by Nebraska Revised Statutes (Neb. Rev. Stat.) §§…