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

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

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

1. CONSTRUCT A MEDICAID/CHIP HOUSEHOLD FOR EACH APPLICANT.

 DOUG expects to file taxes and he does not expect to be claimed as a tax dependent. Therefore his Medicaid eligibility will be determined under Nebraska Parent/Caretaker Relative standards. Doug’s household consists of the taxpayer, all persons who the taxpayer expects to claim as a tax dependent, and the number of expected unborns.  DOUG’S MEDICAID HOUSEHOLD = Doug + Elizabeth + 2 Unborns

 ELIZABETH is not expected to file taxes and she is claimed as a tax dependent by her father Doug. Elizabeth’s Medicaid eligibility will be determined under Nebraska’s standards for children age 6 through 18. However, if Elizabeth fails Medicaid eligibility under children’s standards, she may be eligible as a pregnant minor under pregnant women’s standards.  None of the exceptions for tax dependents listed at 1-B-ii apply to Elizabeth.  Elizabeth’s household is the same as Doug’s, the taxpayer claiming her as a dependent, and this includes the number of infants Elizabeth expects to deliver. And because Elizabeth is married and living with her spouse, her household also includes Andrew.  ELIZABETH’S MEDICAID/CHIP HOUSEHOLD = Elizabeth + Doug + Andrew + 2 Unborns

 ANDREW expects to file taxes and he does not expect to be claimed as a tax dependent. Therefore his Medicaid eligibility will be determined under Nebraska Parent/Caretaker Relative standards. Andrew’s household consists of the taxpayer, a spouse living with the taxpayer, and all persons who the taxpayer expects to claim as a tax dependent.  ANDREW’S MEDICAID HOUSEHOLD = Andrew + Elizabeth + Samuel + 2 Unborns

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