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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-034

5. If there is a monthly Share of Cost, the amount of the resource reduction should be added to the SOC amount.

a. If there is no Share of Cost, proof of out-of-pocket payment on medical bills is all that is needed.

b. Example: Application for nursing home care made on 3/15 and resources are $4,450 at the time of application. Medical is being requested effective 2/1 as there are unpaid out-of-pocket pharmacy bills totaling $700. February’s budget as a SOC of $400 to which you would add $450 for the resource reduction. The total February SOC would be $850 and the notice would state that $450 of the amount was to reduce resources.

c. If this is a Share of Cost case, the first items on the Share of Cost form would be medical items paid to reduce the resource.

6. On the Notice of Action, state the amount of bills paid by the client from excess resources that are included in the Share of Cost amount.