Nebraska Medicaid Program Overview
Enrollment, funding, and managed care facts for Nebraska Medicaid.
Get Nebraska's Medicaid Fee Schedule →Enrollment
Nebraska Medicaid covered approximately 0.33-0.35M people. Two independent sources give close but different-period figures for total Nebraska Medicaid/CHIP enrollment: KFF's state indicator (332,232, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (351,141 total Medicaid enrollees, July 1, 2024). Consistent with continued post-pandemic 'unwinding' enrollment decline between mid-2024 and mid-2026, not a data error. Reported as a range rather than a single false-precision number.
Funding & federal match
Nebraska has adopted ACA Medicaid expansion, effective 2020-10-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Nebraska's Federal Medical Assistance Percentage (FMAP) is 55.94%.
Delivery system & managed care
A large share of Nebraska Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 99.7-99.8% of Medicaid enrollees.
Waivers
Nebraska operates Medicaid managed care under the Nebraska Heritage Health Managed Care Program, a Section 1915(b) demonstration waiver. Mandatory statewide Medicaid managed care program integrating physical health, behavioral health, dental, and pharmacy benefits through three MCOs (Nebraska Total Care, Molina Healthcare/WellCare, and UnitedHealthcare Community Plan). Operates under Section 1915(b) waiver authority; current approval period runs through September 30, 2027 (MCO contracts run January 1, 2024 - December 31, 2028, with two optional one-year extensions).
Frequently Asked Questions
Get Nebraska's Free Medicaid Fee Schedule
Request actual Nebraska Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910), Table 1
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 6 (FMAPs and E-FMAPs by State, FYs 2023-2026)
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in Nebraska
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
- Medicaid.gov - Nebraska Section 1915(b) Waiver Proposal (Health Connection, NE-0003)
- Nebraska DHHS - Heritage Health Program Overview
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.