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REV. DECEMBER 17, 2025 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY

HEALTH AND HUMAN SERVICES 477-000-044

477-000-044 – ABD Standard of Need

The ABD Standard of Need is used to determine when a referral is needed for payment and for remedial care calculation for a Nebraska Medicaid budget.

Figures listed are representative of dollar amounts ABD Standard of Need

Number in Unit 2025 2026 (Effective 01/01/2026) 1 737 764 2 1,146 1,187 3 1,454 1,509 4 1,767 1,836 5 2,080 2,163 6 2,393 2,490 7 2,706 2,817 8 3,019 3,144 9 3,332 3,471 10 3,645 3,798 Each additional person 313 327

Standard of Need Nursing Home, Public Institution for the Treatment of Mental Diseases

Effective 9/1/23: 75 Effective 9/1/23: Personal Needs Allowance of $75 is included in the living arrangements listed:

Effective 1/1/25 Effective 1/1/26 Maximum Board and Room *Drug Treatment Centers are budgeted as Board and Room unless Medicaid is paying. If Medicaid is paying, use $64. 982 1,009 Maximum for Licensed or Non-Licensed Boarding Home (providing board and room) 982 1,009 Certified Adult Family Home 1,110 1,137 Licensed Assisted Living Facility 1,420 1,447 Assisted Living Waiver 967 994 Licensed Group Home for Children and/or Child Caring Agency 1,046 1,073 Licensed Center for the Developmentally Disabled 982 1,009 Licensed Mental Health Center 1,420 1,447