State Policy · NE
Nebraska Seeks Federal Waiver to Exempt Dawson County from Medicaid Work Requirements
Nebraska Governor Jim Pillen has directed the state's Department of Health and Human Services to request federal approval for a temporary high-unemployment exemption from Medicaid work requirements in Dawson County. The county recorded the state's highest unemployment rate in April. The waiver request would suspend work requirement enforcement in the county while the broader state policy remains in effect. Federal approval from CMS is required before the exemption can take effect.
Why it mattersThis waiver request demonstrates how state-level economic conditions can trigger geographic carve-outs in Medicaid work requirement policies, potentially affecting MCO enrollment stability and administrative processes in specific service areas.