Nebraska Aged & Disabled Medicaid Waiver – Qualifications and Services
What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes. For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost. These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
Aged & Disabled 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 as well as less desirable for the care recipient, therefore the Aged and Disabled Waiver achieves the dual objectives of reducing costs and increasing the participant's quality of life.
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.
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 2013 institutional (long term care) Medicaid is a monthly income limit of $2,130 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 their Medicaid applications. If one is unsure regarding their financial eligibility, it is recommended they find assistance qualifying for Medicaid in Nebraska
prior to application.
Services / Benefits
While individual services are determined case by case, potential benefits include the following:
-Adult Day Care
-Assistive Technology for the Home and Vehicle
-Chore Services (laundry, housekeeping and shopping for essentials)
-Home Delivered, Hot and Prepared Meals
-Independence Skills Training
-Personal Emergency Response Service
Waiver Availability / How to Apply
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. 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
There are several other programs available to Nebraska residents who do not qualify for the Aged and Disabled Waiver; these are the SSAD
Use our Locator Tool to Find Other Options for which You're Eligible.
Page Reviewed / Updated - Feb. 2013