Written by a parent, not a doctor. Nothing here is medical advice.

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Get ready to apply

Nebraska Department of Health and Human Services

Medically Needy Share of Cost

What you get

Possible Medicaid coverage after your medical expenses meet a calculated monthly amount. Open now.

Who starts it
You, with a document from your doctor
How it’s sent
Online, on their website
Your time
About 15 minutes, plus waiting for the document
Last checked
Aug 27, 2026

Before you start, check you fit

  • Cancer alone may not satisfy disability, SSI, Medicaid, developmental, caregiver, or level-of-care requirements; individual authorization and capacity rules apply.

  1. Ask your doctor for the documentStart here. This is the part that takes the longest.

    Nebraska Department of Health and Human Services needs a document from your doctor. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to Nebraska Department of Health and Human Services’s Medically Needy Share of Cost. They offer possible Medicaid coverage after our medical expenses meet a calculated monthly amount, and they are taking applications now.

They need a document from you: monthly DHHS share-of-cost form completed and signed by the healthcare provider, unless the facility/waiver direct-payment exception applies. Their form and instructions are here: https://dhhs.ne.gov/Pages/Share-of-Cost.aspx

Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their applicationIt is on their website.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Medically Needy request
    Note in the comments section of the application that you would like to be considered for Medically Needy

  3. Submit it on their websiteSend the document with your application, or the way they ask.

    • Submit the Medicaid application in iServe with the Medically Needy request in comments.

After you send

If approved, follow each monthly share-of-cost form's return instructions; facility and waiver direct-payment cases do not receive the provider form. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published