Application for Nebraska Medicaid for Aged and Disabled - dhhs ne 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by checking if you need an interpreter. If so, indicate the language required.
  3. Mark all assistance options you wish to apply for, such as Medicaid or Personal Assistance Services.
  4. Fill in your personal information along with details of household members, including their relationship to you, birthdates, and Social Security Numbers.
  5. Provide your household address and contact numbers. If applicable, include a mailing address that differs from your household address.
  6. Indicate your living arrangement by selecting the appropriate option from the list provided.
  7. Answer questions regarding current expenses and income sources for yourself and other household members.
  8. Review all sections carefully before submitting the application to ensure accuracy and completeness.

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Medicaid Eligibility Customer Service Center Omaha Phone Number. (402) 595-1178. TTY Number. (402) 471-7256 ​ Fax Number. (402) 742-2351.
Benefits and Services Each program participant is eligible for up to $300 a month in assistive services. The types of services that are available include: Personal Care non-medical assistance to help individuals perform their activities of daily living, which includes bathing, grooming, dressing, eating, etc.
You may be eligible if you are: 65 years of age or older. An individual under 65 years of age who has a disability, or is visually impaired according to Social Security guidelines. An individual 18 years of age or younger.
Medicaid Eligibility Verification System You can contact the Help Desk by calling 1-866-498-4357, 402-471-9461, or DHHS.MedicaidEDI@nebraska.gov.
Under the newly expanded eligibility rules, adults with income up to 138% of the poverty level are eligible for Medicaid in Nebraska.

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