Nebraska Medicaid Look-Back Period

Quick answer: Nebraska Medicaid reviews transfers made in the five years before a long-term care application. Gifts or sales for less than fair market value can cause a penalty unless the assets are returned.

Per DHHS's Spousal Impoverishment overview, Nebraska Medicaid reviews long-term-care applications for transfers made within the five years before the application date, checking whether assets were gifted away, transferred, or sold for less than fair market value. When an uncompensated transfer turns up, the same overview says a penalty can follow unless the assets in question are returned.

This five-year review isn't just a bookkeeping formality — it's a rule that can directly delay or block Medicaid payment. DHHS's non-MAGI resource-verification plan specifically calls out nursing-facility care, other institutional services, home- and community-based services delivered at home or in an assisted-living setting, and PACE as care settings where a deprivation penalty can be imposed if an improper transfer is found.