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Department of Health and Human ServicesApplication for Economic Assistance Benefits If you need assistance completing this application: Call the ACCESSNebraska Customer Service Center at 18003834278;.

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How to fill out the 18003834278 online

The 18003834278 form is essential for individuals seeking economic assistance benefits. This guide will walk you through the process of completing this form online, ensuring that you can navigate it with confidence and accuracy.

Follow the steps to successfully complete the 18003834278 form.

  1. Click ‘Get Form’ button to access the 18003834278 online form. This will open the form in your chosen web browser for editing.
  2. Begin by selecting the economic assistance programs you wish to apply for by checking the relevant boxes. There are options like the Supplemental Nutrition Assistance Program (SNAP) or Aid to Dependent Children (ADC), among others.
  3. Fill in your applicant information as the head of the household. Include your legal first name, middle initial, last name, Social Security number, and date of birth along with your home and mailing addresses.
  4. Provide your preferred contact number, email address, and the best time for a follow-up interview. Be sure to list any previous addresses where you have lived in the past 30 days.
  5. Confirm your understanding of the declaration regarding accuracy and authorization to share information with the Department of Health and Human Services (DHHS), and add your signature and date.
  6. Answer the additional questions about your living situation, such as your need for an interpreter, homelessness status, household incomes, and resources. These questions help DHHS assess your eligibility for various assistance programs.
  7. Complete all sections related to other household members, providing necessary information such as birthdates, social security numbers, and citizenship for those applying for benefits.
  8. If you are applying for a Child Care Subsidy, answer the additional required questions regarding immunization compliance and child care provider acceptance.
  9. Once you have filled out all required fields, review your application to confirm all information is correct. You can then save the document, download it, print it, or share it via email, depending on your preferences.

Start your application process today by filling out the 18003834278 form online!

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Related content

ACCESSNebraska Contact Information
ACCESSNebraska Document Imaging Center P.O. Box 2992. Omaha, NE 68103-2992. Developmental...
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ACCESSNebraska Contact Information
ACCESSNebraska Document Imaging Center P.O. Box 2992. Omaha, NE 68103-2992. Developmental...
Learn more

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IRS 940-PR 2016 IRS 940-PR 2015 IRS 940-PR 2014 IRS 940-PR 2013

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Contact support

Call the Medicaid claims customer service at (877) 255-3092 or (402) 471-9128. Provide the Medicaid claim number (if you have it) or your 11-digit Medicaid provider number, the client's 11-digit Medicaid ID number and the claim date of service.

Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday. (855) 632-7633. In Lincoln: (402) 473-7000. In Omaha: (402) 595-1178.

Call 855-632-7633.

​​​​​​​The Nebraska Family Helpline at (888) 866-8660​​ makes it easier for families to obtain assistance by providing a single contact point 24 hours a day, seven days a week.

Nebraska's Medicaid managed care program, Heritage Health , combines Nebraska Medicaid's physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated program for the state's Medicaid and Children's Health Insurance Program (CHIP) enrollees.

Helping People Live Better Lives Main DHHS Switchboard: (402) 471-3121. Abuse & Neglect: (800) 652-1999. Suicide Prevention: 988. Economic Assistance: (800) 383-4278. Medicaid Assistance: (855) 632-7633.

Income & Asset Limits for Eligibility 2023 Nebraska Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$1,215 / month*$4,000Medicaid Waivers / Home and Community Based Services$1,215 / month†$4,0001 more row • 7 Feb 2023

Submit an online ​change report or contact ACCESSNebraska at (855) 632-7633 to speak to a representative.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232