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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-004
Eligibility Factor Verification Source Reasonable Compatibility/ Reasonable Explanation Electronic Sources to be Utilized Comments
REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY Pregnancy Self- attestation without additional documentation shall be applied for pregnancy and due date. If the attested information is not reasonably compatible with information that is known to the agency additional documentation is required. No electronic data sources are available to verify pregnancy. Paper documentation is required if the self-attested information is not reasonably compatible (i.e., a statement from a doctor verifying the pregnancy). Caretaker Relative Self- attestation without additional documentation shall be applied for caretaker relative. If the attested information is not reasonably compatible with information that is known to the agency additional documentation is required. If necessary: Vital Statistics, Office of Child Support Enforcement, or applicable information gathered from TANF. Paper documentation is required if the self-attested information is not reasonably compatible (i.e., court ordered guardianship /conservatorship papers). Medicare Electronic data sources shall be utilized to verify Medicare. If the attested information is not reasonably compatible with information that is known to the agency, additional documentation is required. SSA, SNAP, or Medicare Part D interface. If the electronic data sources listed are not available or not reasonably compatible, paper documentation is required. Application for Other Benefits Electronic data sources shall be utilized to verify application for other benefits. If the attested information is not reasonably compatible with information that is known to the agency, additional documentation is required. SSA, PARIS, or applicable information gathered from TANF. If the electronic data sources listed are not available or not reasonably compatible, paper documentation is required.