Nebraska Long-Term Care Planning — FundingDependency.com

Start Nebraska planning with the spend-down route

Nebraska’s published long-term-care income structure is medically needy share of cost, not a universal hard-income-cap rule. DHHS says a person over the income requirements may qualify through the Medically Needy program by obligating monthly income above the MNIL to medical bills, and calls the process a spenddown (Nebraska DHHS Medically Needy and Share of Cost).

For people in nursing facilities, assisted-living waivers, or in-home waivers, DHHS says the monthly share of cost is paid directly to the care or waiver provider. The first planning question is therefore the actual current Medicaid budget and service category, rather than importing a Qualified Income Trust form from a hard-income-cap state (Nebraska DHHS share-of-cost process).

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