How Medicaid eligibility works
Nebraska Department of Health and Human Services (DHHS) runs the Nebraska Medicaid program. To qualify, you must live in Nebraska, be a U.S. citizen or qualified immigrant, have or apply for a Social Security number, and meet income limits. Some people qualify because of age, pregnancy, disability or need for long-term care. Common groups include:
- Adults ages 19 to 64 who are not on Medicaid
- Children and teens
- Pregnant women
- Caretaker relatives
- People who are 65 or older
- People who are visually impaired or who have a disability
Medicaid work requirements
Some adults in Nebraska Medicaid may need to meet work requirements to keep their health coverage. These rules are set by Nebraska Medicaid and begin in May 2026.
Who does this apply to?
Work requirements apply to some adults ages 19-64 with low income who get their health coverage through Nebraska Medicaid.
Who does NOT have to meet work requirements?
Some people do not have to meet work requirements. This may include:
- People with serious health needs
- People in treatment for substance use
- Parents or caregivers of young children or people with disabilities
- People who are pregnant or recently had a baby
- Members of recognized Native American tribes
- Some former foster youth and some veterans
Some people may also get a short-term exception because of health or other serious life events.
What are work requirements?
Work requirements mean doing certain activities, such as:
- Working
- Going to school or learning a trade
- Being in a work program
- Volunteering
Some members may need to do these activities for a certain number of hours in a month. Nebraska Medicaid reviews this as part of keeping your coverage.
How will I know if this applies to me?
Nebraska Medicaid (DHHS) will contact you if they need more information from you.
It is important to:
- Check your mail, email and texts
- Reply to DHHS if they ask for information
Not responding could affect your Medicaid coverage.
Where can I get more information?For the most up-to-date information, visit: https://dhhs.ne.gov/Pages/WorkRequirements.aspx.
