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.
Basic eligibility themes
Nebraska DHHS describes AD Waiver eligibility around Medicaid enrollment, age or disability status, nursing-facility level of care, and a need for waiver services. Families should verify the current requirements directly with DHHS or their service coordinator.
Service coordination matters
A service coordinator helps develop a person-centered plan and coordinates authorized services. This plan is important because providers can only deliver services that are approved for the participant.
Where home care fits
Golden Years Health can provide approved in-home support such as personal care and respite services when those services match the person's authorized plan and care needs.
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?
You can contact DHHS for official eligibility guidance and call Golden Years Health to discuss practical care needs, caregiver matching, and provider coordination.