Omaha’s Medicaid Waiver Home Care: Who Qualifies and How to Apply

Omaha’s Medicaid Waiver Home Care: Who Qualifies and How to Apply

As the cost of senior care continues to rise, many families in Omaha are searching for ways to afford high-quality support for aging loved ones—without breaking the bank. Fortunately, Nebraska offers Medicaid Waiver Home Care programs that allow eligible seniors and individuals with disabilities to receive personalized care at home—fully or partially covered by Medicaid.

If you’re exploring Medicaid waiver home care in Omaha, this guide breaks down what it is, who qualifies, and exactly how to get started.

🏠 What Is Medicaid Waiver Home Care?

Medicaid waiver programs—also known as Home and Community-Based Services (HCBS) Waivers—allow states to “waive” certain Medicaid rules and fund services that help people receive care at home or in a community setting, instead of in a nursing home.

In Nebraska, this program is called the Aged and Disabled Waiver (AD Waiver). It’s designed to:

  • Support older adults, disabled adults, and children with special needs

  • Prevent or delay nursing home placement

  • Help individuals stay in their own home or with family while receiving assistance

✅ What Services Are Covered?

Under the Medicaid Waiver in Omaha, in-home care services can include:

  • Personal care (bathing, dressing, grooming)

  • Light housekeeping and laundry

  • Meal preparation and feeding assistance

  • Medication reminders and administration

  • Transportation to medical appointments

  • Adult day care programs

  • Respite care for family caregivers

  • Assistive technology and home modifications (e.g., grab bars, ramps)

These services can be provided by a licensed in-home care agency like XTRAKARE, or—depending on the waiver setup—even by a family member who gets paid to be a caregiver.

👥 Who Qualifies for Medicaid Waiver Home Care in Omaha?

To qualify for the Aged and Disabled Waiver in Nebraska, applicants must meet both financial and medical eligibility requirements.

1. Residency & Citizenship

  • Must be a resident of Nebraska

  • Must be a U.S. citizen or legal resident

2. Age or Disability Criteria

  • Must be age 65 or older, OR

  • Have a qualifying disability (any age)

3. Level of Care

  • Must require a nursing home level of care (as determined by the state) but prefer to receive it at home

4. Income Limits (as of 2025)

  • Monthly income limit: approx. $2,829/month (300% of the Federal Benefit Rate for an individual)

  • Asset limit: approx. $4,000 in countable resources (excluding home, car, personal belongings)

Note: Income limits and rules may change, so always verify with the Nebraska DHHS.

📋 How to Apply for the AD Waiver in Omaha

The application process can feel overwhelming—but with the right guidance, it’s very manageable. Here's a step-by-step breakdown:

Step 1: Apply for Nebraska Medicaid

If your loved one is not yet enrolled in Medicaid:

  • Visit ACCESSNebraska.gov to apply online

  • Or apply by phone: 1-855-632-7633

  • Be prepared to submit documents like income, assets, ID, and proof of residency

Step 2: Request a Waiver Assessment

After Medicaid is approved, request a Level of Care Assessment to determine if your loved one qualifies for the AD Waiver. A caseworker from Nebraska DHHS or a partner agency will:

  • Conduct an in-person or phone interview

  • Ask about the person’s ability to perform daily tasks (bathing, dressing, mobility, etc.)

  • Review medical conditions and current support systems

Step 3: Choose a Home Care Provider

Once approved, you’ll choose a Medicaid-approved provider. In Omaha, XTRAKARE is one of the trusted in-home care agencies helping families make the most of their waiver benefits.

We’ll help you:

  • Create a personalized care plan

  • Match your loved one with a compassionate caregiver

  • Coordinate services with your Medicaid caseworker

  • Provide ongoing updates and care assessments

💡 Can Family Members Get Paid to Provide Care?

Yes! Through Nebraska’s self-directed care option, eligible family members may be able to get paid through the Medicaid waiver program to care for a loved one. This is a life-changing benefit for many families.

Contact your Medicaid caseworker or reach out to XTRAKARE for help navigating this option.

📍 Why Choose XTRAKARE for Medicaid Waiver Home Care in Omaha?

  • ✅ We are a Medicaid-approved in-home care agency

  • ✅ We help families navigate the application process

  • ✅ We provide culturally sensitive, bilingual, and compassionate caregivers

  • ✅ We offer flexible schedules—whether you need care a few hours a day or 24/7

Serving Omaha and surrounding areas, XTRAKARE is here to keep your loved ones safe, comfortable, and independent at home.

📝 Final Thoughts: Is the Medicaid Waiver Right for You?

If your loved one needs help with daily living activities but wishes to remain at home, Medicaid Waiver Home Care in Omaha may be the perfect fit. It removes the financial burden while providing the quality care every senior deserves.

Don’t let the paperwork stand in the way. With the right team, you can access life-changing support that keeps your loved one where they’re happiest—at home.

📞 Need Help Applying for the Medicaid Waiver?

At XTRAKARE, we help Omaha families understand their options, qualify for programs, and get started with care quickly.

👉 Call us at 5313257170
👉 Contact us

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