Page 2

Official source

REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-033

1. Hardship Waiver Denial 1. The client/representative may appeal the denial. Do not open the case for other than the notified 30 day/month temporary period if an appeal is filed. 2. Hardship Waiver Approval a. Local Office will open the case. b. Local Office will notify in comment section of the approval notice of action that the client is “required to immediately and continuously pursue recovery of the transferred resources, including, but not limited to, full cooperation with Adult Protective Services, Attorney General Fraud Unit, and any court proceedings. Failure to take action to recover or cooperate will immediately end Medicaid eligibility."

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Page 2

Official source

REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-033

1. Hardship Waiver Denial 1. The client/representative may appeal the denial. Do not open the case for other than the notified 30 day/month temporary period if an appeal is filed. 2. Hardship Waiver Approval a. Local Office will open the case. b. Local Office will notify in comment section of the approval notice of action that the client is “required to immediately and continuously pursue recovery of the transferred resources, including, but not limited to, full cooperation with Adult Protective Services, Attorney General Fraud Unit, and any court proceedings. Failure to take action to recover or cooperate will immediately end Medicaid eligibility."