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Nebraska Medicaid Application Guide: Complete Forms and Eligibility Information

Nebraska Medicaid · MILTC-53

Content verified 2026-07-17T17:43:47.808Z

Program overview

Nebraska Medicaid is a joint federal-state program providing essential healthcare coverage to qualifying low-income individuals and families throughout Nebraska. The program is administered by the Nebraska Department of Health and Human Services (DHHS) and includes coverage for medical services, prescription drugs, and long-term care through the Heritage Health managed care program.

Eligibility is primarily based on income, with limits varying by household size and category. Nebraska has expanded Medicaid to cover adults aged 19-64 with incomes up to 138% of the Federal Poverty Level. Families with children, pregnant women, seniors over 65, and individuals with disabilities may qualify under different income thresholds. U.S. citizenship or qualifying immigration status is required, along with Nebraska residency.

Nebraska Medicaid covers comprehensive healthcare services including doctor visits, hospital care, emergency services, prescription medications, preventive care, mental health services, substance abuse treatment, and dental care. The Heritage Health program coordinates physical health, behavioral health, and pharmacy services through managed care organizations to ensure integrated, quality care for members.

Applicants should be prepared for a thorough eligibility review process that may take 30-45 days. It's crucial to provide complete and accurate information on all forms, as missing documentation can delay approval. Consider applying for presumptive eligibility if you need immediate medical care while your application is processed. Keep copies of all submitted documents and maintain current contact information with DHHS to ensure you receive important notices about your coverage.

Main application form

Medicaid and Insurance Affordability Programs Application

Form MILTC-53

Download form

Additional forms

  • Application for Nebraska Medicaid for Aged and Disabled · MLTC-64

    Required for applicants over 65 or disabled seeking disability determination

    Download form →
  • Supplemental Application for Medicaid and Insurance Affordability Programs · MILTC-63

    For those over 65 or disabled in the same household as someone using MILTC-53

    Download form →
  • Additional Person Form · MILTC-51

    Required for each additional household member not included in main application

    Download form →

Where to submit

Submit applications to Nebraska Department of Health and Human Services by mail to PO Box 2992, Omaha, NE 68103-2992, fax to (402) 742-2351, hand-deliver to local DHHS office, or apply online at ACCESSNebraska.ne.gov. For assistance, call (855) 632-7633.

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Applying for Nebraska Medicaid is straightforward with the right information. Start by completing form MILTC-53, the main Medicaid and Insurance Affordability Programs application. Nebraska has expanded Medicaid to cover adults up to 138% of the federal poverty level. You'll need identification, Social Security cards, income verification, and proof of Nebraska residency. Submit your application online through ACCESSNebraska, by mail, fax, or at any local DHHS office. The process typically takes 30-45 days, but you may qualify for emergency coverage while waiting. Medicaid covers doctor visits, hospital care, prescriptions, and preventive services through the Heritage Health program. Need help? Call 855-632-7633 for free assistance with your application.

Official resources

Related guides

Frequently asked questions

How do I apply for Nebraska Medicaid in Nebraska?

To apply for Nebraska Medicaid in Nebraska, complete Medicaid and Insurance Affordability Programs Application (MILTC-53), then submit it to Submit applications to Nebraska Department of Health and Human Services by mail to PO Box 2992, Omaha, NE 68103-2992, fax to (402) 742-2351, hand-deliver to local DHHS office, or apply online at ACCESSNebraska.ne.gov. For assistance, call (855) 632-7633..

What documents do I need to apply for Nebraska Medicaid in Nebraska?

You typically need to provide: Government-issued photo identification, Social Security cards for all household members, Proof of citizenship or immigration status, Pay stubs or wage statements for past 30 days, Bank statements and financial account information, Tax returns and W-2 forms, Information about current health insurance coverage, Proof of any disability benefits or retirement income, Employment verification or unemployment documentation, Medical records if applying due to disability, Property and asset documentation, Proof of residency in Nebraska.

Where do I submit my Nebraska Medicaid application in Nebraska?

Submit your completed Nebraska Medicaid application to Submit applications to Nebraska Department of Health and Human Services by mail to PO Box 2992, Omaha, NE 68103-2992, fax to (402) 742-2351, hand-deliver to local DHHS office, or apply online at ACCESSNebraska.ne.gov. For assistance, call (855) 632-7633..

How we research and verify this information

Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.