Neb Medicaid Head Leaving Posted by John Axtell Date: January 13, 2020 6 Views LINCOLN, Neb. (AP) – Nebraska Medicaid head Matthew Van Patton is stepping down in the middle of the state’s effort to expand coverage under the federal health care law. He is leaving Feb 7 after 2 years as the director of the Medicaid and Long-Term Care program. Van Patton, appointed by Republican Gov. Pete Ricketts, was a key leader in the effort to expand coverage for low-income residents. Ricketts strongly opposed measures to expand Medicaid in the Legislature but promised to follow the wishes of voters who approved it as a ballot measure in 2018.