Who is eligible for
Nebraska Medicaid?
Many groups of people are covered by
Nebraska Medicaid. Even within these groups, though, certain requirements
must be met. These may include your age; whether you are pregnant, disabled,
blind, or aged; your income and assets; and whether you are a U.S. citizen
or a lawfully admitted immigrant. When you apply for Medicaid, the
requirements listed above will be taken into account before a decision is
made.
Your child may be eligible for coverage if he or she is a U.S. citizen or a
lawfully admitted immigrant, even if you are not. Eligibility for children
is based on the child’s status, not the parent’s. In general, you should
apply for Medicaid if your income is low and you match one of the
descriptions below:
You think you are pregnant
You are a child or teenager
You are age 65 or older
You are blind
You are disabled
You need nursing home care.
What Services are Covered
Under Nebraska Medicaid?
Hospital Services
Medicaid covers inpatient, outpatient, and emergency room services,
as long as they are medically necessary. Medicaid will not cover items such
as: Private rooms; Private-duty nursing while in the hospital; Any services
not medically necessary; and Emergency room services for routine treatment.
Physician Services
Medicaid covers medical and surgical services performed at the physician's
office, your home, clinic, hospital, or other locations. Payment may also be
made for diagnostic tests, x-rays, and other procedures that are part of
your diagnosis or treatment. Medicaid will not cover services such as:
Routine physical exams for adults; Acupuncture treatment; Reversal of
sterilization; Sex change surgery; Radial keratonomy; and Weight control
programs.
Services that have special requirements, limitations, and/or require
approval from the Medicaid program include:
* Medical transplants;
* Cosmetic surgery;
* Sterilizations and hysterectomies; and
* Abortions.
Laboratory and Radiology (X-ray) Services
Payment may be made for medically necessary diagnostic tests, x-rays, and
other procedures that are part of your diagnosis or treatment.
Nurse Midwife Services
Medicaid pays for the following nurse midwife activities:
* Attending cases of normal childbirth;
* Providing prenatal, intrapartum, and postpartum care;
* Providing normal obstetrical and gynecological services for women; and
* Providing care for the newborn immediately following birth.
Nurse Practitioner Services
Nebraska Medicaid covers nursing assessments as nurse practitioner
services. The services must be medically necessary. The initial medical
diagnosis and institution of a plan of therapy or referral my also be
covered. Nebraska Medicaid also coverage the services of certified
pediatric nurse practitioners and certified family nurse practitioners, as
required by federal law.
Source:
http://www.hhs.state.ne.us/med/medserv.htm |
