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
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 →