Medicaid Waivers - Home & Community Based Services (HCBS)

Medicaid Waivers

Nebraska has several different Medicaid Waivers that support individuals who meet an "institutional level of care." The waivers allow the state to waive mandatory Medicaid services to provide services and supports in community settings (as opposed to receiving them in institutional settings such as nursing homes). Some people also call these ‘home and community based services’ (HCBS) because the long-term services and supports are provided in home and community-based settings. Waivers can pay for nursing services, Personal Assistance Service (PAS), home and vehicle modifications, employment supports and habilitation, as examples.

Nebraska's Department of Health and Human Services

Nebraska DHHS is an excellent resource for participants and families.

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

The Nebraska Department of Health and Human Services, Developmental Disabilities Service Array offers information regarding service coordination, service options and provider options.

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.

• Guide to Developmental Disability Services An in-depth guide that provides information about all services available in both the Developmental Disabilities Comprehensive and Day Services Medicaid Waivers. 
• Participant Guide for Self-Direction Waivers allow an individual or guardian to direct their services to maximize independence and control. Self-directed services can be provided by an agency or an individual provider.
• Residential Services Provides a list of developmental disability providers across the state.
• Nebraska Developmental Disabilities Training Training occurs on an ongoing basis.