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Organization Overview

WEBOrganization Overview. The N-FOCUS System includes a file of Organizations of interest to the Nebraska Department of Health and Human Services.

Actived: 5 days ago

URL: https://public-dhhs.ne.gov/nfocus/Windows/Organizations/organizations/organization_overview.htm

Heritage Health Adult Expansion

WEBHeritage Health Adult covers Nebraska residents, age 19 through 64, whose income is at or below 138 percent of the federal poverty level. For 2021, this is an annual income of …

Category:  Health Go Health

Service Need Assessment Overview

WEBService Need Assessment Overview. The Service Needs Assessment tool is used by the worker to assess the client's need for Personal Assistance Services (PAS) under the …

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Federally Facilitated Marketplace (FFM)

WEBThe Account Transfer information is converted to a Healthcare Marketplace (HCMP) Electronic Application. The corresponding PDF will have the same look and feel of the …

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Nebraska Department of Health and Human Services Children …

WEBa.Provider understands that an inspection of the facility may involve a full walk-through of the building where care is provided to allow program administration to monitor for health …

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Application for Certified Copy of Birth Certificate

WEBHHS-88 6/21 The Office of Vital Records has been registering births for persons born in Nebraska since 1904. PLEASE TYPE OR PRINT LEGIBLY Full name at birth _____

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Nebraska Department of Health and Human Services Health …

WEBNebraska Department of Health and Human Services Health Insurance Premium Payment (HIPP) Health Insurance Verification Form HIPP Program: P.O. Box 95026 Lincoln, NE …

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Terms and Abbreviations

WEBTerms, Abbreviations, and Acronyms. A. AAA Area Agency(ies) on Aging.. AABD Assistance to the Aged (65+), Blind, or Disabled (for longer term disabilities).. ABAWD …

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Application for Nebraska Medicaid for Aged and Disabled

WEBMILTC-64 (48103) 1/2020 Page 3 11. Is anyone in your household covered by personal or employer-provided health insurance, Public Health Service,

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Physical Examination Report

WEBFH-42 Rev. 11/21. Department of Health and Human Services . Physical Examination Report . Name of School (if desired) The school board shall require evidence of (a) a …

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MEMBER INFORMATION

WEBNebraska Department of Health and Human Services MEMBER REIMBURSEMENT FORM You can use this form if you have medical or pharmacy costs that you paid for yourself.

Category:  Medical Go Health

SERVICES PROGRAMS

WEBThe Nebraska Department of Health and Human Services (DHHS) is a state agency with offices across Nebraska. This brochure provides a brief description of some of the …

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Authorization for Disclosure of Protected Health Information

WEBFailure to sign this form will not affect treatment or payment, however it may affect enrollment, or eligibility for certain benefits provided by

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Wheelchair and Wheelchair Seating System Equipment …

WEB9. Other Equipment Considered that Might Meet Client’s Needs and Rationale for Elimination: List Equipment 10. Is nursing facility wheelchair available to meet client’s …

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Office/Unit Authorization for Release of Information

WEBOffice/Unit Last Name First Name Middle Initial(s) Street or Mailing Address City State Zip Code Case Number/Social Security Number I authorize the release of information …

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Frequently Asked Questions

WEBMLTC-OTH-54 11/2023 Q. What coverage is available through the marketplace, and how do I apply? A. Health coverage through the marketplace covers things like prescription …

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Mandatory Licensed Health Professional Self-Reporting

WEBOffice of Professional & Occupational Investigations . P.O. Box 94722, Lincoln, Nebraska 68509 . Phone: 402-471-0175 . Fax: 402-742-8335 . Email: DHHS

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Heritage Health Adult Expansion

WEBMLTC-OTH-27 Rev. 1/2022 A D U L T E X P A N S I O N I receive benefits or services through another DHHS program (such as EWM, Ryan White, Refugee, Disability, etc.). …

Category:  Health Go Health

NOTICE OF SELF-QUARANTINE

WEBThis letter is intended to be a convenient way to provide employees the ability to print documentation to provide their employers notification and confirmation of their …

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