Medicaid entitlement for 37 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Nebraska Department of Health and Human Services $179.485 million on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778, Block Grant 2605NE5ADM) for the fiscal year ending September 30, 2026. This is a Medicaid entitlement award providing financial assistance to Nebraska for medical assistance payments on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically-eligible groups meeting income and resource requirements, as well as for Medicare premiums, copayments, and deductibles of qualified Medicare beneficiaries meeting certain income thresholds. Work is performed in Nebraska.

The Nebraska Department of Health and Human Services passes funding through sub-awards to multiple Area Agencies on Aging and service providers, including Midland Area Agency on Aging, West Central Nebraska Area Agency on Aging, Northeast Nebraska Area Agency on Aging, Eastern Nebraska Human Services Agency, South Central Nebraska Area Agency on Aging, Aging Office of Western Nebraska, and Blue Rivers Area Agency on Aging. These sub-recipients deliver Older Americans Act services including nursing facility preadmission screening for Medicaid-eligible individuals, case management for aged and disabled waiver participants, congregate and home-delivered meals, nutrition programs, and food purchasing assistance. The Nebraska Department of Education receives sub-award funding to conduct Environmental Modification Assessments for Medicaid Home and Community Based Services Waiver participants and coordinate home modifications, vehicle modifications, and assistive technology. United Way of the Midlands receives sub-award funding to provide information, referrals, and medical assistance to Nebraskans aged sixty and older, people with disabilities, family members, caregivers, and advocates through Aging and Disability Resource Center resources.