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477-000-005

REV. APRIL 29, 2024 NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAID ELIGIBILITY 477-000-005 – Standardized CSE Referrals for Medicaid Child Support Referral: As stated in 477 NAC 12-011, Medicaid recipients are required to cooperate with Child Support Enforcement (CSE). When there is an adult/parent (including pregnant women and minor parents) eligible for medical services, a Child Support (CS) referral is required after the date eligibility is approved. Absent Parents Can Include: • Step-parents. • Biological parents. • Adoptive parents. • Alleged fathers (even if the name is unknown). • Deceased parents when the deceased parent was a non-custodial parent at the time of death. o A CS referral is not made when the deceased parent was a member of the child’s household at the time of death. • Alleged parent who lives in the home, but paternity has not been established. Paternity Establishment: If the father’s name is not on the birth certificate and the couple is unmarried, in order to legally establish paternity, the parents can either complete a notarized acknowledgment of paternity, as provided in Neb. Rev. Stat. § 43-1408.01, or bring a civil proceeding to establish paternity in district court as provided in Neb. Rev. Stat. § 43-1411.

Standardized Child Support Referral: A CS referral is completed when: • There is an adult eligible for medical services (including during the postpartum period) and there is an absent parent. • There is an adult eligible for medical services (including during the postpartum period) and the alleged father is in the home, but paternity has not legally been established. A CS referral is not required if a program closes and re-opens; however, if new information is available, a new CS referral can be sent. • CSE staff will send a questionnaire to the client. Exceptions to Referral: A referral is not made to the CSE unit for / when: 1. Only the child(ren) is receiving Medicaid. 2. An unborn child (599 CHIP). 3. An emancipated minor. 4. A child(ren) receiving Home & Community Based Services in the home of both parents. 5. A deceased parent when the parent was a member of the child’s household at the time of death.