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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

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 …

Category:  Health Go Health

Application for Home and Community Based Service (HCBS) …

WEBFederal Regulations, 38 CFR 1.460-1.499, 42 CFR Part 2 and Part 431, Subpart F) which prohibit you from making any . further disclosure of it without the specific written consent …

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LIFESPAN RESPITE SUBSIDY PROGRAM APPLICATION

WEBDepartment of Health and Human Services LIFESPAN RESPITE SUBSIDY PROGRAM APPLICATION (See instructions. If you need assistance completing this application: call …

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Department of Health and Human Services Disabled Persons …

WEBDepartment of Health and Human Services Disabled Persons & Family Support Program (DPFS) Service & Device Application - Self-Assessment DPF-3 Rev. 4/2021 - Page 2 of 11

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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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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 …

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Nebraska Department of Health and Human Services Division …

WEBLocal Office Worker Local Office Town Case/Social Security No. Received in Local Office (Date) To the Director of the Nebraska Department of Health and Human Services, …

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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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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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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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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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Application for Certified Copy of Marriage Certificate (Single’s …

WEBApplication for Certified Copy of Marriage Certificate (Single’s Letter) This office has been registering marriages occurring in Nebraska since 1909. (For records occurring prior to …

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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.). …

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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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Application for Certified Copy of Death Certificate

WEBIf you need to obtain a certified copy of a death certificate in Nebraska, you can download and fill out the application form from this webpage. You will also find the instructions, …

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Heritage Health Adult Medically Frail Attestation Form

WEBNebraska Department of Health and Human Services Heritage Health Adult Medically Frail Attestation Form MLTC-92 Rev. 2/2021 Purpose: Nebraska DHHS Medicaid and Long …

Category:  Medical Go Health

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