Medicaid Expansion changes coming next month

Department of Health and Human Services

Beginning Oct. 1, 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 Oct. 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 to 64 years of age who earn up to 138 percent 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 Oct. 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