Is Nebraska an expansion state?

Nebraska is an expansion state in the KFF tracker. Source: KFF Status of State Medicaid Expansion Decisions, as of October 2026, last checked 2026-10-15. KFF is not a government agency.

How do I report work hours in Nebraska?

Nebraska says to watch for a notice and reply within 30 days by iServe, mail, phone, or a local office. Phone (855) 632-7633. Do not type a login on this website.

Medicaid work requirements 2027 in Nebraska

Nebraska started Medicaid work requirements on May 1, 2026. That is the only early start we verified. The rule covers many adults in the expansion group. Children, pregnancy, and some caregivers are exempt. We do not guess another state's early date. This site does not approve or deny benefits. A missing figure stays blank. We do not guess it.

Simple answer

Nebraska started on May 1, 2026.

Nebraska is an expansion state in the KFF tracker. Nebraska Medicaid says the rule started May 1, 2026 for expansion members and new applicants.

How old are you?

Are you pregnant or in the postpartum Medicaid months?

Do you have Medicare?

Do you care for a child age 13 or younger, or for a person with a disability?

Do you have a serious health limit, a disability, or a substance use disorder?

Are you an American Indian, Alaska Native, Urban Indian, or California Indian person under the bulletin's definition?

Does your household get SNAP or TANF and already follow that program's work rule?

Are you under 26 and did you age out of foster care?

Are you a veteran with a total disability rating?

Are you in a drug or alcohol treatment program?

Are you in jail, or were you released in the last 90 days?

Do you already have about 80 hours a month, half-time school, or at least $580 from work in a month?

Simple answer

Type an age to see the rule.

The CMS fact sheet covers non-pregnant adults ages 19 through 64 in the expansion group or in some waiver plans.

How many hours?

The December 8, 2025 CMS bulletin says 80 hours a month of work, community service, a work program, or a mix. Half-time school can also count. The same bulletin's wage example is $7.25 times 80 hours, which is $580 in a month.

How to report

Tell the state Medicaid office. CMS does not publish one national form. Watch your mail. If the state asks for proof, the June 1, 2026 fact sheet says you get 30 days. Do not type a login, a Medicaid ID, or a card number on this website. Nebraska prints these official lines: (855) 632-7633, Lincoln (402) 473-7000, and Omaha (402) 595-1178. Mail is P.O. Box 2992, Omaha, NE 68103-2992. The state site is iServe. Use only that official site.

Medicaid guide for Nebraska Check benefits

This quiz stays on this page. It can include health and family details, so we do not save the answers. It is not an application and it is not a decision.

Expansion and start date

Nebraska is an expansion state in the KFF tracker.

Nebraska DHHS says new expansion applicants are checked starting May 1, 2026. People already enrolled are checked at renewal. The first existing group is people whose coverage period ends July 31, 2026. Members with a May or June 2026 renewal wait until the 2027 renewal.

KFF expansion tracker, last checked 2026-10-15. CMS fact sheet, last checked 2026-10-16.

Nebraska hardship counties

On 2026-10-16, the Nebraska page listed these counties for a temporary hardship: Arthur, Buffalo, Dawson, Fillmore, Gage, Garden, Grant, Howard, Jefferson, Lincoln, Morrill, Nemaha, Thayer, Thurston. The months are not the same for every county. Use the state table before you count on a hardship.

Nebraska work requirements page

Other tools in Nebraska

See Medicaid rules in Nebraska Check SNAP work rules in Nebraska Check benefits Nebraska cost and towns

Last checked: October 16, 2026

Sources

CMS fact sheet, Medicaid community engagement interim final rule Dated 2026-06-01.
CMCS informational bulletin, December 8, 2025 Dated 2025-12-08.
Nebraska DHHS Medicaid work requirements Nebraska start 2026-05-01.
KFF Status of State Medicaid Expansion Decisions, as of October 2026 KFF is not a government agency. Expansion yes or no uses this tracker.

What changed

June 1, 2026. CMS dated the community engagement fact sheet. The national start on that page is January 1, 2027.
May 1, 2026. Nebraska's health department page says its Medicaid work requirements started May 1, 2026. No other early start is verified.
December 8, 2025. CMCS dated the informational bulletin used for exclusions and the example amounts.