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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-006

 KELLY:  Nebraska’s Parent/Caretaker Relative income maximum is*:

* Federal Poverty Levels and federal tax filing thresholds are subject to change yearly.

 Kelly’s Medicaid household income of $1,500/month for a household size of 2 exceeds the maximum of $704/month, so Kelly is not eligible for Medicaid based on MAGI. But she may be eligible for premium tax credits and cost sharing reductions through the Marketplace.

 ISSAC (Kelly’s son):  Nebraska’s Medicaid income standard for children ages 6 through 18 is 133% FPL, and the CHIP standard is 213% FPL.  With a Medicaid/CHIP household income of 116% FPL, Isaac is eligible for Medicaid. Even if he was not eligible for Medicaid he may be eligible for CHIP. If Isaac had not been eligible for Medicaid, he may have been eligible for CHIP because he is uninsured and his FPL percentage is below the CHIP income standard.

 STANLEY:  Nebraska’s Parent/Caretaker Relative income maximum is*:

* Federal Poverty Levels and federal tax filing thresholds are subject to change yearly. By household size/month: 1 - $569 2 - $704 3 - $841 4 - $976 5 - $1,112 6 - $1,247 7 - $1,383 Add- on for each additional family member - $133 By household size/month: 1 - $569 2 - $704 3 - $841 4 - $976 5 - $1,112 6 - $1,247 7 - $1,383 Add- on for each additional family member - $133