Nebraska Medicaid pays for in-home personal care and related services through 3 programs, including the Aged and Disabled (AD) Waiver and the Comprehensive Developmental Disabilities (CDD) Waiver. DHHS Division of Developmental Disabilities handles eligibility, service coordination and provider payment for the AD, DD and TBI waivers; Area Agencies on Aging coordinate for people 65+. Waiver and PAS services may be paid fee-for-service outside Heritage Health managed care; confirm with DHHS. Service lists come from DHHS quick guides dated July 2026.
Yes. Medicaid Personal Assistance Services (PAS) serve Medicaid recipients with a chronic condition or disability who have an assessed need to live in the community; PAS must be billed through EVV.
Which Nebraska waivers can a home care agency bill?
Each waiver below lists who it covers, the services it pays for, and how providers bill.
Aged and Disabled (AD) Waiver
Population
Nebraska Medicaid recipients who have a disability or are over age 65, meet nursing facility level of care, and need waiver services.
Services covered
personal care
LRI personal care
companion
chore
respite
adult day health
home-delivered meals
independence skills building
non-medical transportation
personal emergency response system
Billing format
HCBS providers must bill EVV services through the state EVV system (Netsmart Mobile Caregiver+) or an attested alternate system.
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
Four units equal one hour. How to convert units to hours, the common HCPCS codes, how states round partial units, and how to stay inside the authorization.
These free tools are made by the team behind Caregiver Scheduling,
caregiver scheduling software for home care agencies.
Simple pricing
From$199/month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.
