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Nebraska Medicaid Waiver Guide

Parenting a neurodivergent child can feel like trying to solve a complex puzzle with pieces that keep changing shape. The good news? You’re not alone. The Nebraska Medicaid Waiver Program is like a guiding light for Nebraska families, illuminating the path toward much-needed support. In this post, we’ll unravel the details of this program, providing you with a clearer understanding of its benefits, eligibility, and application process.

Decoding the Nebraska Medicaid Waiver Program

Before we dive more resounding, let’s clarify the Nebraska Medicaid Waiver Program. It’s a financial support system for families with neurodivergent kids, covering many services. These services could include therapy sessions, respite care, and assistive technology like Goally’s learning tablets. However, the program is a more than one-size-fits-all solution. It offers different waivers, each tailored to cater to specific needs and conditions.

Think of these waivers as different support packages, each designed to meet unique needs. Some are specifically for children with severe emotional disturbances, while others cater to individuals with intellectual or developmental disabilities. It’s all about finding the right fit for your child’s needs.

Types of Waivers

  • Developmental Disabilities (DD) Waiver: This waiver is a lifeline for individuals with intellectual or developmental disabilities. It covers services like day programs, residential habilitation, and supported employment.
  • Aged and Disabled (A&D) Waiver: This waiver provides support for elderly individuals and adults with physical disabilities. It covers personal care, home modifications, and adult day health.
  • Children’s Habilitation Intervention (CHI) Waiver: This waiver is specifically for children with severe emotional disturbances. It covers services like therapeutic foster care, respite care, and crisis intervention.

Is My Child Eligible?

Eligibility for the Nebraska Medicaid Waiver Program isn’t a guessing game. There are specific criteria that determine whether your child qualifies for a waiver. These criteria revolve around your child’s diagnosis, the level of care they require, and your financial situation. For example, to qualify for the DD Waiver, your child must have a diagnosis of an intellectual or developmental disability and require a level of care typically provided in an institution.

However, don’t let the eligibility criteria intimidate you. It’s a way for the program to ensure the resources are directed toward the most needy. Contact the Nebraska Department of Health and Human Services to clarify your child’s eligibility. They can provide guidance and help you understand the process better.

nebraska medicaid . two parents meet with a medicaid waiver specialist.
Read more: Benefits for Parents Caring for a Disabled Child

Applying for the Nebraska Medicaid Waiver Program

Applying for the Nebraska Medicaid Waiver Program might seem daunting. But breaking it down into manageable steps can make it less overwhelming. The first step is to complete an application form, which you can find on the Nebraska Department of Health and Human Services website. This form will ask for information about your child’s diagnosis, the services they require, and your financial situation.

After you’ve filled out the form, you’ll need to gather supporting documents. These could include medical records, financial statements, and other documents supporting your application. Once you’ve submitted your application, it will be reviewed, and you may need to participate in an assessment to determine the level of care your child needs.

Waiver #1: Katie Beckett Program

Waiver #2: Comprehensive Developmental Disabilities Services

Other online resources for Nebraska:

Telephone Resources

Nebraska Department of Health and Human Services should be able to help you with general questions: (402) 471-3121

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Reaping the Benefits of the Nebraska Medicaid Waiver Program

The Nebraska Medicaid Waiver Program is more than just a financial aid. It’s a gateway to services that can significantly improve the quality of life for your neurodivergent child. These services, which might otherwise be out of reach, become accessible and affordable thanks to the program. For instance, it can cover the cost of Goally’s learning tablets, designed to help neurodivergent kids learn and grow at their own pace.

But, the benefits continue beyond financial relief. The program also provides respite care, giving you a much-needed break while ensuring your child receives the necessary care. This dual benefit of financial support and respite care makes the Nebraska Medicaid Waiver Program a vital resource for Nebraska families with neurodivergent kids.

Wrapping Up

In short, the Nebraska Medicaid Waiver Program is a beacon of hope for Nebraska families navigating the challenging world of neurodivergence. It offers financial support for various services, making them more accessible and affordable. However, it is key to understand the program, its eligibility criteria, and the application process. We hope this post has shed some light on these aspects, equipping you with the knowledge you need to take the next step.

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Remember, you’re not alone in this journey. Resources are available to help, and the Nebraska Medicaid Waiver Program is one of them. It’s a lifeline that can make a difference in your child’s and yours. So, take that step, reach out, and let the Nebraska Medicaid Waiver Program guide you toward a brighter future for your neurodivergent child.

Who Can Apply?

Circumstances/Diagnosis: Any child under 19 who is diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.
Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they don’t have an income.

What do I get?

The way TEFRA waivers work is that they allow families with higher incomes to receive medicaid benefits for their child because eligibility is based on the child income. This means that you will be able to receive services like dental care, emergency and non-emergency transportation, inpatient and outpatient treatment, medical equipment, occupational therapy, pharmacy, physical therapy, and vision.

How do I apply?

Contact your local Department of Health and Human Services Office to start the application process and learn more about Nebraska’s resources.

What does the Goally Team Think?

A recent study found that Nebraska’s waiver system is outdated and has left thousands on a 6-8 year waitlist for services. No parent should have to wait this long to get the services they need for their child. Yet we still recommend getting on this waitlist because the resources that you eventually get are so important and you can have them for life if needed. While you wait, try to get on the Disabled Persons and Family Support Program that could get you $3600 a year. You can also try the Disabled Children’s Program to get additional money for respite and transportation.

This post was originally published on 02/16/2021. It was updated on 09/14/2023.