Medicaid is accepting public comments on proposed changes to the Traumatic Brain Injury (TBI) Waiver until March 29, 2020. For more information, please visit the HCBS Public Comments webpage or view our Public Notice.
Our services help people who are aged or have disabilities meet their needs while living where they choose.
First, a person must qualify for a program that offers the service. Each program has its own requirements. People who qualify for a program are also called participants. Not all services are available through all programs.
Participants work with a services coordinator or a Social Services worker to get the services they need. These workers assess the participant's needs and determine if they are eligible for a service or program.
Included below are services we offer:
What are Adult Day Services? Social activities, supervision, supportive services, meals, and health services that are provided in a licensed setting. Who needs Adult Day Services? Someone who has physical, emotional or cognitive impairments. Do I qualify for Adult Day Services? You may qualify if you:
You must first qualify for a DHHS program that has the Adult Day Services, and a worker must determine that you need this service.
FAQs How do I find out if I can receive Adult Day Services? Contact a local DHHS office. Adult Day Services includes a meal, but what if I am on a diabetic diet? Special diets will be accommodated as needed. What types of activities are provided? Social and recreational, both individual and group. What if I have a specific need such as help with walking? You will be helped with your individual needs. How can I find an adult day center in my area?
Contact a DHHS office, your services coordinator, view a listing of licensed Adult Day services, or locate a listing of Adult Day services in your area.
Assisted Living provides shelter, food and other services such as assistance with personal care activities, activities of daily living (ADL), instrumental activities of daily living (IADL) and health maintenance.
What is offered with Assisted Living Service?
How do I qualify for Assisted Living Service?
How do I find out if I can receive Assisted Living Service?
Are Assisted Living Facilities regulated and licensed? Yes, they are licensed through Public Health. Assisted living facilities that accept Aged and Disabled Waiver participants are also regulated by Medicaid. What does the Assisted Living Service cost through the Aged and Disabled Waiver? The participant pays the room and board costs and any share of cost when applicable. How can I find a licensed Assisted Living provider?You can search based on your location:Access Assisted Living Choices View a listing of licensed Assisted Living FacilitiesWhat if I don't qualify for the Aged and Disabled Waiver?If you don't qualify, you can apply for financial assistance with the Assistance to the Aged, Blind or Disabled (AABD) program.
Assistive Technology Supports are specialized equipment and supplies that help participants increase, maintain, or improve their functional capacities.
Home/vehicle modifications are the physical adaptations to the primary residence, automobile or van of the participant or participant's family to accommodate or improve their function.
Do I qualify for Assistive Technology Supports and home/vehicle modifications?
You may qualify if you are:
How do I find out if I can receive Assistive Technology Supports and Home/Vehicle Modifications?
What services are covered?
Aids to daily living that are vital for health and well-being, like help with:
What services are not covered?
Do I have to be a homeowner?
No, you do not have to own your home, but:
What is the Child Care for Children with Disabilities (CCCD) service? This service provides specialized care for the child or youth with disabilities up to age 18. Childcare is provided so that the usual caregiver can be employed or take training that will help the family's earning power (such as earning a degree). Who needs Child Care for Children with Disabilities? You may need this service if you are the usual caregiver for a child or youth with disabilities and you need to:
Do I qualify for CCCD?
FAQs Where is this care provided for the child? Care is provided in the child's home by a DHHS-approved provider, or in a setting approved by DHHS. How many hours of CCCD can my family receive? Care provided by this service must be more than 2 hours per week every week and average less than 12 hours per day. What is the role of the family receiving CCCD? The family, in partnership with the services coordinator:
Can CCCD take the place of school system responsibilities and services? CCCD must not be used:
Can I select anyone to be my child's CCCD provider? CCCD providers must be approved by DHHS. If you have someone in mind, give their information to your Early Development Network or DHHS services coordinator.
What are Early Development Network Services?
Services for children birth to age 3 who are not developing typically or who have been diagnosed with a health condition that will affect their development. These services are provided by the Nebraska Early Development Network.
Who needs Early Development Network Services?
Families with an infant or toddler who may need:
Does my child qualify for Early Development Network Services? Your child may qualify for services if he or she is under the age of 3 and is not developing typically or has a health condition that may affect development. Your child must be evaluated by a multi-disciplinary team (MDT) in your school district in order to qualify. To find out more about Early Development Network Services, please visit: http://edn.ne.gov/ To refer a child to the Early Development Network, call Nebraska Child Find at (888) 806-6287.
System of Payments Policy and Procedures for Part C Services
Comprehensive ChildFind System Policy
What are home-delivered meals?
Do I qualify for home-delivered meals service? You must first qualify for a DHHS program that has home-delivered meals and an authorized worker must assess that you need this service.
You may qualify for home-delivered meals service if you are:
FAQs I can fix my own meals, but I feel I need more money to buy food. Do I qualify? Probably not. Home-delivered meals service is not intended to add to a person's food budget. Rather, a DHHS worker must assess that:
Independence Skills Building (ISB) is training for aged persons and adults with disabilities in activities of daily living, instrumental activities of daily living and home management to increase independence. Training may occur in the participant home or in the community and could involve the participant and/or the caregiver.
Do I qualify for Independence Skills Building Service? You may qualify if you are:
FAQs How do I find out if I can receive Independence Skills Building Service?
What type of training can I receive? Training with skills like:
Training with home management skills like:
How long can I use the Independence Skills Building Service?
This service will continue as long as progress is being made on the outcomes identified in the plan.
What are Personal Assistance Services? Assistance with activities of daily living, such as bathing or dressing, for an individual who has a chronic medical condition or a disability.Who needs Personal Assistance Services? Individuals with a chronic medical condition or a disability who need help with daily activities. These are activities they would do for themselves if they did not have the condition or disability.Do I qualify for Personal Assistance Services? You may qualify if you are an individual of any age:
FAQs How do I find out if I can receive Personal Assistance Services? Contact your local DHHS office or visit AccessNebraska How do I know how many Personal Assistance Services I need?
Together, you and your local DHHS worker will complete an assessment to determine the amount of time you require for your specific needs.Can I choose my Personal Assistance Services provider?
Yes, you have the right to choose your provider and direct your own care.Can a family member be my paid provider?
Yes, as long as the family member is not legally responsible for you. A spouse or the parent/guardian of a minor child cannot be paid providers. The individual must be able to meet qualifications to become a provider.I have a medical procedure that needs to be done. Can the Personal Assistance Provider complete this task?
Yes, if the provider can show you that they can do the task after you or your designee trained them, and if you provide ongoing monitoring and direction for the task.Can I be employed and receive personal assistance services?
Yes, if you work at least 40 hours per month and you are paid at least minimum wage.
What is a Personal Emergency Response System (PERS)? A communication device, sometimes called lifeline, which you can use to call for help in an emergency. There are a range of devices offered to meet this need.Who may be eligible for PERS?Someone who:
Do I qualify for a PERS? You may qualify if you are:
FAQs What does the device look like? The PERS is a button that can be worn around your neck, but it can also be available to you in other ways depending on your needs. For example, it can be worn as a wristband, on a belt or carried in a pocket. Sometimes it can be adapted to a wheelchair. Will someone show me how to use the PERS?Yes, someone will meet with you to explain how to use the device.When I push the button or use the device, is someone notified?After you push the button, a signal goes to an agency who then contacts a person or responder on a list of people you choose. The responder quickly contacts you to see what you need. How do I find out if I can receive this service?Contact your local DHHS office, League of Human Dignity or Area Agency on Aging.
What is respite service? Sometimes caregivers need a temporary break from caregiving so they can come back refreshed and ready to provide good care again. Respite service pays someone to come into the home, take care of an individual with special needs and give the primary caregiver a temporary break.
FAQs Do I qualify for respite service? You may qualify for respite service if you reside with and care for someone and you are not able to pay for respite. You must first qualify for a DHHS program that has the respite service, and a need for this service must exist. Who may be eligible for respite service?
How do I find out if I can receive respite?
What does respite mean for a caregiver? Respite could mean:
How do I locate a respite provider in my area?
Contact your services coordinator at one of the following offices:
Non-Medical Transportation Service provides transportation to participants age 19 or older to and from community resources that help them remain living at home. Who needs Transportation Service?
Participants of the Aged and Disabled Waiver who:
FAQs Where can I get transportation to? Non-Medical Transportation provides the following services:
What if I need medical transportation?
You may be able to obtain transportation to most services covered by Medicaid.
What if I need transportation but I'm not on Medicaid?
You may qualify for a Social Services block grant.