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

Facility Standard of Need – Effective 1/1/24 FACILITY STANDARDS NURSING HOME SON Vets Personal Needs $90 (Excl.) $75 ASSISTED LIVING WAIVER SON $868 R&B + $75 Personal Needs $943 ASSISTED LIVING (NO WAIVER) SON $392 MNIL + $1004 Remedial Care $392*

Facility Standard of Need – Effective 1/1/25 FACILITY STANDARDS NURSING HOME SON Vets Personal Needs $90 (Excl.) $75 ASSISTED LIVING WAIVER SON $892 R&B + $75 Personal Needs $967 ASSISTED LIVING (NO WAIVER) SON $392 MNIL + $1,028 Remedial Care $1,420

Facility Standard of Need – Effective 1/1/26 FACILITY STANDARDS

NURSING HOME SON Vets Personal Needs $90 (Excl.)

$75

ASSISTED LIVING WAIVER SON $919 R&B + $75 Personal Needs

$994

ASSISTED LIVING (NO WAIVER) SON $392 MNIL + $1,055 Remedial Care

$1,447

Social Security Income (SSI)

HH SIZE SSI LEVELS Federal Benefit Rate (FBR) Referral Level

2025 Effective 1/1/26 2025 Effective 1/1/26 1 967 994 987 1,014 2 1,450 1,491 1,470 1,511