Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 477 - MEDICAID ELIGIBILITY
Chapter 25 - BUDGETING FOR THE MEDICALLY NEEDY
Section 477-25-002 - ELIGIBILITY FOR THE MEDICALLY NEEDY
Current through March 20, 2024
002.01 WHEN APPLICABLE. Children, parents or caretaker relatives, pregnant women, and the aged, blind, and disabled who have income above the limit for categorical eligibility may be eligible for Medicaid with a share of cost if a medical need exists or can be reasonably expected to exist. A medical need exists if medical costs for the financial unit exceed the Medically Needy Income Limit (MNIL) for the unit size.
002.02 BUDGET. A budget or system must be used to determine eligibility for medically needy individuals. Each month is determined separately. If an individual is eligible for one day of the month, then that person is considered to be eligible for the entire month. If at any time factors change that affect eligibility, then eligibility must be re-determined.
002.03 METHODOLOGY USED. The methodology used for the medically needy is based upon the most closely related cash assistance methodology. Income is counted in accordance with 477 NAC 22. Resources are counted in accordance with 477 NAC 23.
002.04 STANDARD LEVELS. When computing a budget for medically needy individuals, the unit or family size is determined according to 477 NAC 24.
