Nebraska home care guide
Nebraska Aged and Disabled Waiver Guide
The Nebraska Aged and Disabled Waiver is designed to support eligible people who need a nursing-facility level of care but want services in the community. For many families, it can be the bridge between needing daily support and staying safely at home.
Nebraska AD Waiver at a glance
The AD Waiver is a Nebraska Medicaid HCBS program for eligible people who need a nursing-facility level of care and want to receive authorized services at home or elsewhere in the community.
- Basic eligibility
- Nebraska Medicaid, age 65 or older or a qualifying disability, nursing-facility level of care, and a need for waiver services.
- How to apply
- Apply online through iServe or submit Nebraska's HCBS waiver application. A waiver application is separate from a Medicaid application. View official details
- DHHS application help
- Call (877) 667-6266 with AD Waiver eligibility or application questions. Call DHHS
Who may qualify for Nebraska's AD Waiver
Nebraska DHHS lists four core requirements: the person must receive Nebraska Medicaid, be age 65 or older or have a disability, meet nursing-facility level of care, and need waiver services. The level-of-care assessment considers daily activities, risk factors, medical treatment, cognition, social support, medications, nutrition, and housing. DHHS makes the eligibility decision.
How to apply for the AD Waiver
Families can apply online through iServe or submit Nebraska's HCBS waiver application. Anyone may help complete the application, but the applicant, guardian, or legal representative must participate. After DHHS receives the application, it confirms Medicaid status and schedules the level-of-care assessment when the applicant has Medicaid.
What happens after eligibility
A service coordinator helps the participant build a person-centered plan, identify approved services, and coordinate providers. Covered services can begin only after eligibility is established and the plan identifies who will provide each authorized service.
Where Golden Years Health fits
Golden Years Health can discuss practical care needs and provide approved in-home support such as personal care and respite when those services match the participant's authorized plan. We do not determine waiver eligibility or promise approval, but we can help families prepare for provider coordination.
What to do next
- 1Confirm or apply for Nebraska Medicaid eligibility.
- 2Submit an HCBS waiver application; waiver enrollment is a separate decision from Medicaid eligibility.
- 3Work with the assigned service coordinator on the assessment and person-centered plan.
Important note
This guide is informational and should not be treated as an eligibility decision, legal advice, or a guarantee of coverage. Families should verify current rules with Nebraska Medicaid, DHHS, their service coordinator, or the appropriate plan administrator.
Frequently asked questions
Is the AD Waiver the same as regular Medicaid?
No. The waiver is a specific Medicaid Home and Community-Based Services pathway with its own assessment and authorization process.
Can services start before the plan is approved?
Covered waiver services generally need to be authorized before a provider can bill for them. Temporary private arrangements may be different and should be discussed directly.
Who should I call first?
Call Nebraska DHHS at (877) 667-6266 for official AD Waiver eligibility or application questions. Call Golden Years Health at (531) 217-5057 to discuss practical care needs, caregiver matching, and provider coordination.
What is the Nebraska DHHS AD Waiver phone number?
Nebraska DHHS lists (877) 667-6266 for questions about HCBS waiver eligibility or an application. Program contacts can change, so verify the number on the official DHHS eligibility page.
How do I apply for the Nebraska AD Waiver?
You can apply online through iServe or complete Nebraska's HCBS waiver application. The waiver application is separate from Medicaid, and DHHS must confirm Medicaid status before completing the level-of-care assessment.