Nebraska Medicaid Expansion Changes Next Month


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Lincoln – Beginning October 1st, all Nebraskans covered by Medicaid will automatically receive full Medicaid benefits, which will include dental, vision, and over-the-counter medications as part of the State’s continued expansion efforts. This change to the Medicaid Expansion program follows the Department’s announcement earlier this year that it would no longer implement the Heritage Health Adult (HHA) demonstration program, which would have included a pathway to qualify for full Medicaid benefits by choosing to engage in wellness, personal responsibility, and community engagement activities.

Until October 1, Nebraskans who are currently covered by the Medicaid Expansion program and have Basic benefits will continue to receive those benefits.

A new Medicaid card will not be needed for people who have current Medicaid coverage.

Nebraskans currently covered by Medicaid Expansion who currently have Basic benefits will see an automatic increase in benefits. There will be no change in who can become eligible for Medicaid with this change. Nebraskans 19-64 years of age who earn up to 138% of the federal poverty level continue to be eligible for Medicaid. For 2021, the yearly income level is $17,774 for a single person, or $36,570 per year for a family of four.

All Nebraskans covered by Medicaid expansion received an informational letter this past month explaining these changes. Updated informational materials for the public are available on the DHHS website.

A Medicaid Expansion beneficiary will automatically receive full Medicaid benefits regardless of whether they choose to accept this additional help or not. More information on this additional assistance will be available on the DHHS website on October 1.

Those interested in coverage can apply at any time. For questions, DHHS may be contacted:

  • Online at
  • Email at
  • By phone toll free (855) 632-7633 (Omaha: (402) 595-1178; Lincoln: (402) 473-7000)
  • TDD: (402) 471-7256
  • By Fax (402) 742-2351
  • Mail: Medicaid ACCESSNebraska Document Imaging Center P.O. Box 2992 Omaha, NE 68103-2992
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Derek Nester
Derek Nester
Derek Nester was born and raised in Blue Rapids and graduated from Valley Heights High School in 2000. He attended Cowley College in Arkansas City and Johnson County Community College in Overland Park studying Journalism & Media Communications. In 2002 Derek joined Taylor Communications, Inc. in Salina, Kansas working in digital media for 550 AM KFRM and 100.9 FM KCLY. Following that stop, he joined Dierking Communications, Inc. stations KNDY AM & FM as a board operator and fill-in sports play-by-play announcer. Starting in 2005 Derek joined the Kansas City Chiefs Radio Network as a Studio Coordinator at 101 The Fox in Kansas City, a role he would serve for 15 years culminating in the Super Bowl LIV Championship game broadcast. In 2021 he moved to Audacy, formerly known as Entercom Communications, Inc. and 106.5 The Wolf and 610 Sports Radio, the new flagship stations of the Kansas City Chiefs Radio Network, the largest radio network in the NFL. Through all of this, Derek continues to serve as the Digital Media Director for Sunflower State Radio, the digital and social media operations of Dierking Communications, Inc. and the 6 radio stations it owns and operates across Kansas.

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