Medicaid Waiver

Medicaid Waiver

What is Medicaid Waiver?  Federal program by most states that provides long-term services to eligible and qualified applicants with financial limitations, enables remain living independently (at home) or in assisted living residences instead of in nursing home facilities by providing care services and skills training.

Medicaid Waiver Eligibility includes:

  • Aged
  • Autism
  • Intellectual disabilities
  • Developmental disabilities (DD)
  • etc.

Types of Medicaid Waiver

  1. Freedom of choice waiver (Section 1915(b) waiver)  Approves the state to provide managed care delivery systems but limits beneficiary’s ability to choose their own services providers with the plan.
  2. HCBS waiver: ( Section 1915(c) waiver.)  Approves the state to provide home and community based services (HCBS) to people in need of long-term care. Beneficially may stay in their own home or a community setting (relative’s home or a supported living community) instead of a nursing facility.
  3. Research and demonstration waiver: (Section 1115 waiver.)  The state is approved to test out new approaches to delivering Medicaid care and financing.

Benefits for Medicaid/ Medicaid Waiver includes:

  • Adult Day Care
  • Assisted Living (be aware the waiver does not pay for room & board)
  • Assistive Technology for the Home and Vehicle
  • Chore Services (laundry, housekeeping and shopping for essentials)
  • In-home help as: home-delivered prepared and prepared meals, cleaning, laundry, getting groceries
  • Home Modifications (up to $5,000 annually for approved modifications and assistive technology)
  • Independence Skills Training
  • Medical Appointment Transportation
  • Personal Emergency Response Service
  • Respite Care

For more details about the Medicaid waiver benefits

To apply, contact Nebraska Department of Health & Human Services by calling 800.358.8802.

Call Pride Ridge Home Care for the services at 402.915.0499 or [email protected]