Home & Community Based Medicaid Waivers

Nebraska has several different Medicaid waivers that supports individuals who meet a "nursing home level of care." The waivers allow the state to waive traditional Medicaid services to provide services and supports in community settings (as opposed to nursing homes or institutional settings). Waivers can pay for nursing services, Personal Assistance Service (PAS), home and vehicle modifications, employment supports and habilitation, as examples.

Home & Community based Medicaid waivers resources

Participant Handbook to Home and Community Based Services

Book provides a general overview of Nebraska’s Medicaid waivers and compares the services offered under each.

Aged & Disabled Medicaid Waiver

If an individual has “nursing facility level of care” needs and wants to live at home rather than a nursing facility, this waiver will provide Medicaid funding for an array of services. For example, this waiver allows for a family to obtain nursing services, child care and respite services, and it provides funds for specialized formulas. It also can help cover the cost of home/vehicle modifications. This program also provides service coordination.  

Traumatic Brain Injury Medicaid Waiver

Program funds specialized assisted living services for persons with traumatic brain injury.

Developmental Disability Services

Nebraska’s Division of Developmental Disabilities offers two Medicaid waivers. These include the Adult Day Medicaid Waiver and the Comprehensive Medicaid Waiver. More specific information is below.