Nebraska Aged & Disabled Medicaid Waiver: Qualifications and Services

Page Reviewed / Updated - Mar. 2014

What is a Medicaid Waiver?
For persons with limited financial resources, Medicaid pays for nursing home care. For those who wish to live at home or in assisted living, sometimes Medicaid will pay for care in those locations if it can be obtained at a lower cost than in a nursing home. It does this through "Medicaid Waivers" which are also called Home and Community Based Services (HCBS Waivers) or Waiver Funded Services.

Waiver Description

This Nebraska Medicaid waiver is designed to help the elderly remain living independently or in assisted living residences instead of in nursing home facilities by providing care services and skills training. Institutional care is extremely expensive to the state of Nebraska as well as less desirable for care recipients, therefore the Aged and Disabled Waiver achieves the dual objectives of reducing costs for the state and increasing the participant's quality of life.

Provided under this waiver are services such as adult day care, chore services and financial assistance for assistive technology for one's home or vehicle.  All of these are intended to make it easier to care for a loved one at home or to help an elderly person to care for themselves.

The A&D Waiver allows for consumer or participant direction in which the individual receiving care services has the option to select their own care providers. The care providers are managed by the care recipient but paid by the state. Adult children can be hired to care for aging parents however spouses are not eligible to become paid caregivers. This model is sometimes referred to as Cash and Counseling.

Did You Know?  Nebraska is ranked in the Top 5 states for the highest rate of persons living to the age of 100.


Eligibility Guidelines

In addition to being 65+ years old (or younger if officially disabled), Nebraska residents must require nursing home level care and be financially qualified to receive Medicaid. Financial guidelines are complicated and change frequently, one can read the latest here.

A rule of thumb for 2014 institutional (long term care) Medicaid in Nebraska has a monthly income limit of $2,163 for a single applicant. HCBS Waivers, such as Nebraska's Aged and Disabled Waiver, usually use this criteria. The countable asset limit for a single applicant is approximately $2,000. However, that figure should be considered flexible as it depends on the applicant's marital status and type of Medicaid for which they are applying.

There are public and private Medicaid planning experts that help families prepare for the Medicaid application process. If one is unsure regarding their financial eligibility, it is recommended they find assistance qualifying for Medicaid prior to application.  Read about assistance options.


Benefits and Services

While individual services are determined case by case, potential benefits include the following:

  • Adult Day Care
  • Assisted Living
  • Assistive Technology for the Home and Vehicle
  • Chore Services (laundry, housekeeping and shopping for essentials)
  • Home Delivered, Hot and Prepared Meals
  • Home Modifications
  • Independence Skills Training
  • Medical Transportation
  • Personal Emergency Response Service
  • Respite Care


How to Apply / Learn More

There are no geographic limitations on the availability of the Aged and Disabled Waiver in Nebraska. However, it was designed to accommodate a specific number of individuals. Should the number of eligibility applicants exceed the available slots, a waiting list may be created or in Medicaid parlance "Services Registry".  Fortunately, in past years Nebraska has not experienced much, if any, waiting periods for waiver participants.

To find additional information, click here. To apply for the program, contact Nebraska Department of Health & Human Services by calling 800-358-8802.  One can also download a list of local offices by county.

There are several other programs available to Nebraska residents who do not qualify for the Aged and Disabled Waiver; these are the SSAD, DPFS and AABD Programs