007.02(J) MEDICAL PAYMENTS.
Medical payments may be made to alleviate current needs of a family who are in a crisis situation because of a catastrophic illness and only if the family is not eligible for Medicaid. The illness must require hospitalization. Any member of the family may have the illness. Medical services related to the illness, such as physician’s fees and ambulance charges, are included. Funeral expenses are not covered. If insurance or third party liability is involved, every effort must be made to resolve issues of liability before Emergency Assistance payment is made. If it is impossible to resolve liability issues within 60 days from the date of Emergency Assistance application, payment may be made but the insurance company must be notified of the Department’s right of subrogation. All payments for medical care must be made at rates no higher than those paid by the Nebraska Medicaid program.