As a participant in Medicaid Home and Community-Based Services (HCBS) Waiver services, there are many community-based services you may choose. The services available to you are based on which waiver you have. HCBS Waivers Available for Eligible People looks at the four waivers and includes a chart of services by waiver.
The Medicaid Home and Community-Based Services (HCBS) Aged and Disabled (AD) Waiver offers an array of services to support people in their homes.
For information on AD Waiver eligibility, visit the Eligibility page.
For the waiver document and regulations pertaining to the AD Waiver, visit the Regulations and Waivers page.
When you are on a waiver, a Service Coordinator provides case management to coordinate and oversee your services.
Your Service Coordinator:
When you have the AD Waiver, your Service Coordination provider is determined by your age:
AD Waiver services help people who are aged or have disabilities. Services meet needs while the participant lives where they choose.
In general terms, AD Waiver services include:
The following services are available to AD Waiver participants. Work with your AD Waiver Service Coordinator to see which services you qualify to receive.
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 are 18 years or older (19 in some situations) and need structured activities, support, and supervision. Your Service Coordinator must determine that you need this service.
FAQs 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 Service 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?
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 do not 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 assessed as needing devices, equipment, or modifications by Assistive Technology Partnership.
What services are covered? Aids to daily living vital for health and well-being. For example, you may get 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 Extra Care for Children with Disabilities? 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 Extra 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 Extra Care for Children with Disabilities? The child must be eligible for Medicaid and have care needs similar to people who live in a nursing home. There must be a need for this special service that cannot be met another way
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 Extra Care for Children with Disabilities 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 Extra Care for Children with Disabilities?The family, in partnership with the Service Coordinator:
Can Extra Care for Children with Disabilities take the place of school system responsibilities and services? No. Extra Care for Children with Disabilities must not be used for a service which is the responsibility of a school system or for a time when the child should be in school.
Can I select anyone to be my child's Extra Care for Children with Disabilities provider? Providers must be approved by DHHS. If you have someone in mind, give their information to your AD Waiver Service Coordinator.
What are home-delivered meals?
You may qualify for home-delivered meals service if you are:An adult with disabilities who is unable to prepare your own meals, or age 60 or older who is unable to prepare your own meals.
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. Your AD Waiver Service Coordinator 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.
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 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 an adult with a health need for the device, who is able to use the device properly, and have identified a person who can respond immediately.
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.
What is Respite? Sometimes caregivers need a temporary break from caregiving so they can come back refreshed and ready to provide good care again. Respite pays someone to come into the home, take care of a participant and give the primary caregiver a temporary break.
FAQs Do I qualify for Respite? You may qualify for Respite if you reside with and care for someone and you are not able to pay for respite. A need for this service must exist. You can only receive Respite from one funding source. Who may be eligible for Respite?
What does Respite mean for a caregiver? Respite could mean:
How do I locate a Respite provider in my area?Contact your AD Waiver Service Coordinator.
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 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.
You can choose the provider(s) you want to work with. There are different types of providers available for Medicaid HCBS waiver services.
The Nebraska Medicaid and Long-Term Care Home and Community-Based Services (HCBS) Waivers Unit utilizes a quality improvement system to ensure the health and well-being of participants through continuous, participant-focused monitoring and improvement.
Contact someone who can answer your questions about the following services in the Aged and Disabled Waiver:
Nursing facility level of care means you have needs which require you to receive services similar to those provided to people who live in nursing homes. For example, you may need assistance with everyday tasks, such as getting dressed, taking a bath or shower, eating, or walking safely. A few examples of other areas considered are: how much help you need to take medications, any memory problems or health conditions you have and how they are managed.
People who apply for Medicaid waivers are assessed to see if their needs are the same as those of people who live in nursing homes.
Information on the children's level of care is available on the Secretary of State's website.
There is a process to follow so that a parent's income is not counted for disabled children who meet waiver eligibility. Contact your local DHHS office to begin the Medicaid application process, and be sure to say you want your child assessed to determine if they qualify for the waiver.
Each person's needs are different, so there is not a set number of hours of assistance per day. You and your Service Coordinator will work together on a plan of services to meet your needs and keep you safe at home.
First, an assessment is completed to determine what kind of help you need to stay safely in your home. Next, staff from the waiver program will be able to connect you with a choice of providers to help you in your home. You choose who provides services for you and when they work for you. Some providers are agencies. Other providers are self-employed and do not work for an agency. If you know someone that you want to work for you as your provider, refer the person to the waiver staff.