Section 202-1-004 - CLIENT'S ABILITY TO PAYThe following documents must be completed and submitted to the Department by the client, or the client's legal guardian, spouse, or parent, if applicable:
(A) Financial questionnaire detailing income, assets, and liabilities;(B) Statement of insurance coverage;(C) Signed bank release form for all accounts;(D) Signed US citizenship attestation form; and(E) Signed authorization to request a copy of the Nebraska tax return. 004.01NET ASSETS. The Department deducts liabilities from income and assets to determine available net assets eligible to pay for care. The available net assets eligible to pay for care is multiplied by a percentage to determine the amount the client has to pay. The percentages are: 004.01(A)CLIENT WITH NO DEPENDANTS. For a client with no dependents and who is receiving services, 1.5% of the available net assets eligible to pay for care is owed for care.004.01(B)CLIENT WITH DEPENDANTS. For a client with dependents and who is receiving services, 1.0% of the available net assets eligible to pay for care is owed for care.202 Neb. Admin. Code, ch. 1, § 004
Adopted effective 2/18/2020Amended effective 3/17/2020