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REV. MAY 8, 2026 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY HEALTH AND HUMAN SERVICES 477-000-012

Resource Limits HH SIZE RESOURCE LIMITS AABD/MA MSP/QMB SLMB/QI-1 1 4,000 9,950 2 6,000 14,910 Dependent Adult Child (DAC) Maximum for Burial Trust Effective 9/1/25 1 2,000 6,696

Spousal Impoverishment SPOUSAL IMPOVERISHMENT Reserved Amount (IM-73) Effective through 12/31/25 MIN 31,584 MAX 157,920 Reserved Amount (IM-73) Effective 1/1/26 MIN 32,532 MAX 162,660 Community Spouse 150% FPL *Effective 7/1/25 through 6/30/26 **Effective 7/1/26 2,644* 2,705** Excess Shelter Limit 794* *Effective 7/1/25 through 6/30/26 **Effective 7/1/26 812** Utility Standard *Effective through 12/31/25 **Effective 1/1/26 599* 615** Max Maintenance Allowance for Ineligible Spouse *Effective through 12/31/25 **Effective 1/1/26 3,948* 4,066**