Originally presented August 4, 2026

The Nebraska Caregiver Coalition hosted an important discussion on Nebraska's new Medicaid Work Requirements. The session explored key policy updates, who may be affected, and implementation timelines.


Presenter

Jacob Kawamoto, Deputy Director of Policy & Plan Management / Tribal Liaison Medicaid & Long-Term Care
Jacob Kawamoto is the current Deputy Director of Policy and Plan Management for the Nebraska DHHS Division of Medicaid & Long-Term Care. Prior to this role, he was the Program Manager for the Medicaid Policy Team and has been with the Department for almost 7 years. Jacob played a key role in leading the policy efforts needed to support and implement the new Medicaid Work Requirements. He also serves as one of the Medicaid Division’s Tribal Liaisons. Jacob is a life-long Nebraskan and lives with his wife in Lincoln, Nebraska.

Resources shared during the presentation:

Work Requirements
https://dhhs.ne.gov/WorkRequirements

Provider Bulletin on Med Frail
https://dhhs.ne.gov/Pages/Medicaid-Provider-Bulletins.aspx#docaccess-b1aaf1c9f7f901c67209cd5459b90155

Medicaid Work Requirements Declaration Form
https://dhhs.ne.gov/Documents/Medicaid%20Work%20Requirements%20Declaration%20Form.pdf

Medically Frail and Treatment Program Exemptions
https://dhhs.ne.gov/Documents/NE%20MWR%20-%20Medically%20Frail%20and%20SUD%20Treatment%20Program%20Exemptions.pdf

28 CFR 35.108 – Definition of Disability
https://www.ecfr.gov/current/title-28/chapter-I/part-35/subpart-A/section-35.108

DHHS Customer Service Center