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477-000-052

REV. MARCH 12, 2024 NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICAID ELIGIBILITY 477-000-052 – Non-MAGI Resource Verification Plan Nebraska’s Non-MAGI Resource Eligibility Verification Plan for Medicaid The Department will verify those resources declared by the client or appearing on electronic data sources. When verifying resources, the Department will also consider the possibility of ownership of resources that are not declared by the client, review past records, and, if there are resources listed, determine if they are still available. The ABD program follows SSI rules; Title 477 regulations continue to require verification of resources to determine initial and ongoing eligibility for clients with disabilities and aging adults and clients who are medically needy with a share of cost. When required, resource ownership must be verified (initially or when reported). The following information is needed for each resource that requires verification: Description (e.g., account number, policy number, or legal description), location, current value, ownership, and source of verification with the date verified. The Department can assist the client in obtaining requested information. The client should contact the Department if they are unable to obtain the requested verifications or if they wish to verify the information by phone via a conference call. The Department will review resources to determine if a deprivation has occurred. However, a deprivation penalty is only imposed if the client enters or receives institutionalized level of care such as: • Services received in a hospital; • Nursing facility; • Intermediate care facility; • Home and community-based services (HCBS) provided in the home or an assisted living facility; or • Program for all-inclusive care for the elderly (PACE) services provided in the home or in a facility. See the subsequent pages for definitions, verification sources when verification is required, and potential exemptions.