Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 469 - ASSISTANCE TO THE AGED, BLIND, OR DISABLED PROGRAM
Chapter 1 - GENERAL BACKGROUND
Section 469-1-003 - APPLICANT OR RECIPEINT RESPONSIBILITIES

Universal Citation: 469 NE Admin Rules and Regs ch 1 ยง 003

Current through September 17, 2024

The applicant or recipient is required to:

(A) Provide complete and accurate information. State and federal law provides penalties of a fine, imprisonment, or both for individuals found guilty of obtaining assistance or services, for which they are not eligible, by making false statements or failing to report any changes in their circumstances within the timeframe allowed, depending upon the request and its requirements;

(B) Report a change in circumstances no later than ten days following the change. This includes reporting:

(i) Change of address;

(ii) Change in living arrangement;

(iii) Change of payee;

(iv) Change of payment method for grant such as a debit card, bank account, or facility resident account;

(v) Disability or blind status;

(vi) Monthly expenses;

(vii) Resources or other financial circumstances;

(viii) Employment status;

(ix) The composition of the household;

(x) A temporary absence from the home of any unit member; and

(xi) Changes in the amount of monthly income, including:
(1) All changes in unearned income; and

(2) Changes in the source of employment, in the wage rate, and in employment status, such as part-time to full-time or fulltime to part-time. For reporting purposes for Assistance to the Aged, Blind, or Disabled Program, 30 hours per week is considered full-time;

(C) Present his or her medical card to providers;

(D) Inform the medical provider and Department of any health insurance plan, any individual, or any group that may be liable for his or her medical expenses;

(E) Cooperate in obtaining any third party medical payments;

(F) Enroll in a health plan and maintain enrollment if:

(i) One is available to the applicant or recipient;

(ii) The applicant or recipient is able to enroll on his or her own behalf; and

(iii) The Department has determined that enrollment in the plan is cost effective;

(G) Reimburse to the Department or pay the provider any third party medical payments received directly for services which are payable by State Disability Program or the Nebraska Medicaid Program;

(H) Pay any unauthorized medical expenses;

(I) Pay any required medical copayment;

(J) Cooperate with state and federal quality control; and

(K) Contact the agency for an interview as advised by the agency.

003.01 SANCTION FOR REFUSAL TO COOPERATE. Failure to cooperate with the Department may result in a loss of benefits.

003.01(A) SANCTION FOR NON-COOPERATION WITH THE CHILD SUPPORT PROGRAM. If the applicant or recipient fails, or refuses, to cooperate and there is no good cause shown, a sanction will be applied. If the reason for the noncooperation is the applicant or recipient's failure, or refusal, to provide information about, or obtain third-party resources, the applicant or recipient is ineligible. Eligibility of a child, or the children, is not affected. Ineligibility continues for the applicant or recipient until the individual cooperates.

003.01(B) SANCTION FOR NON-COOPERATION WITH QUALITY CONTROL. The applicant or recipient is expected to cooperate with state and federal quality control as a condition of eligibility. If an applicant or recipient fails to cooperate, the individual is ineligible for one month.

Disclaimer: These regulations may not be the most recent version. Nebraska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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