AGED & DISABLED MEDICAID WAIVER

The Aged and Disabled Medicaid Waiver service is based upon the belief that people with care needs should have options for receiving services. After thorough needs identification and service planning, eligible persons are offered the choice of receiving home and community based services, assisted living, or entering a nursing facility.

AD Waiver services help people who are aged or have disabilities. Services meet needs while the participant lives where they choose. Waiver participants receive services in the community and meet the same level of care criteria as people living in a Nursing Facility (NF). Available services are based on your age.

The following services are available to AD Waiver participants: 

Adult Day Health - Adult Day Health includes social activities, supervision, supportive services, meals, and health services provided in a licensed setting. You may need this service when you have physical, emotional, or cognitive impairments. You may qualify when you are 18 years or older (19 in some situations) and need structured activities, support, and supervision. This is to assist you with your specific needs and diet as authorized.

Assisted Living - 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. Assisted living facilities are licensed through Public Health and regulated by Medicaid and Long Term Care (MLTC). You pay the room and board and any applicable Medicaid share of cost.

Assistive Technology - Assistive Technology includes the purchase or rent of items, devices, or product systems to increase or maintain your ability to perform normal daily activities. Includes designing, fitting, adapting, and maintaining equipment, as well as training or technical assistance to use equipment. Also includes an assessment to identify the type of assistive technology you need.

Chore - Chore assists you to maintain your health and safety in your own home. Chore occurs less frequently than Companion. May include housekeeping activities such as in-home cleaning and care of household equipment, appliances, or furnishings; minor repairs of windows, screens, steps or ramps, furnishings, and household equipment; and landscaping. Landscaping includes snow and ice removal, mowing, raking, removing trash (to garbage pick-up point), pest remediation, and clearing water drains.

Companion - Companion is for adults ages 18 and older. It includes supervision and social supports provided in your home and possibly community settings. This service may include light housekeeping tasks, paying bills, errand service, essential shopping, food preparation, and laundry service.

Extra Care for Children with Disabilities - Extra Care for Children with Disabilities provides specialized care for a child or youth with disabilities under the age of 18 years. Childcare is provided so the usual caregiver(s) can be employed or take training to help the family's earning power (such as earning a degree). Provided in the child's home or in a setting approved by DHHS. This service must be more than two hours per week every week and average less than 12 hours per day.

Home Again - Home Again supports nursing facility residents to move to a more independent residence. You may qualify when over the age of 18 and a current nursing facility resident whose nursing facility services have been paid by Medicaid for at least three months. Includes non-recurring set-up expenses to move to a private residence, where you are responsible for your own living expenses. Items and services covered include essential furniture; security deposits for a lease; set-up fees or deposits for utilities; and accessibility adaptations.

Home and Vehicle Modifications - Home and Vehicle Modifications are physical changes made to a private residence, automobile, or van, to accommodate your special needs or improve your functioning.

Home Delivered Meals - Home-delivered meals are delivered to your home, using sanitary utensils and equipment, maintaining proper food temperatures, and contain onethird of the minimum daily nutrition requirement for adults, using a variety of foods from day to day. You may qualify for home-delivered meals when you are unable to prepare your own meals.

Non-Medical Transportation - Non-Medical Transportation provides transportation to and from community resources to help you continue living at your home.

Personal Care - Personal Care includes assistance with activities of daily living (ADL) and health-related tasks, and may include instrumental activities of daily living (IADL). It is provided in your home and community. This service helps you accomplish tasks you would normally do for yourself if you did not have a disability.

Personal Emergency Response System (PERS) - PERS is an electronic device used to help you contact someone in an emergency. The system is connected to your telephone and notifies a designated person or call center when you push a button.

Respite - Respite is a short-term service you can use when you cannot care for yourself. Respite is temporary relief to the usual caregiver who lives with you. Your provider helps with activities of daily living, health maintenance, and supervision.

To be eligible for AD Waiver services, you must receive Nebraska Medicaid, have a disability or be over the age of 65, meet Nursing Facility Level of Care, and have a need for waiver services. For more information on the Aged and Disabled Medicaid Waiver service, please call Blue Rivers AAA at 402-223-1376 or 888-989-9417.