Paying for in-home care
HOME CARE RESOURCES
Understanding how to pay for in-home care can feel complicated. Depending on your circumstances and eligibility, care may be paid for privately or through programs such as Nebraska Medicaid and veterans benefits. Some family members may also qualify to be paid for providing care.
Private pay
Pay directly for the amount and schedule of care that works for you or your loved one.
Nebraska Medicaid
Eligible individuals may receive in-home care through Nebraska Medicaid Home and Community-Based Services programs.
Family caregiver options
Certain family members may be able to receive pay for providing approved care to an eligible loved one.
Veterans benefits
Eligible veterans may have benefits available to help cover qualifying in-home care services.
Private pay
Private pay gives individuals and families the flexibility to arrange in-home care based on their needs and schedule without relying on eligibility for a government program. Care can range from a few hours of help to more consistent support at home.
Private pay may be a good fit when:
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You need care without waiting for program eligibility or approval
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You want flexibility in the amount or schedule of care
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You need additional care beyond what another program covers
Nebraska Medicaid
Eligible Nebraskans may be able to receive in-home services through Medicaid Home and Community-Based Services (HCBS) waivers. These programs are designed to help people who qualify receive care and support in their homes and communities rather than in an institutional setting.
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Safe at Home provides approved services for individuals participating in Nebraska’s Aged and Disabled (AD) Waiver and Traumatic Brain Injury (TBI) Waiver. Eligibility and the amount and type of care authorized are determined through Nebraska Medicaid and the individual’s service planning process.
Programs we work with:
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Aged and Disabled (AD) Waiver
For eligible older adults and people with disabilities.
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Traumatic Brain Injury (TBI) Waiver
For eligible individuals with a qualifying traumatic brain injury.
Can a family member be paid to provide care?
In some situations, yes. Nebraska Medicaid allows certain family members to be paid for providing approved care to an eligible loved one, allowing the person to receive care from someone they already know and trust.
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For spouses and parents of minor children, Nebraska’s Legally Responsible Individual (LRI) Personal Care service may allow payment for qualifying extraordinary care that goes beyond the support a spouse or parent would ordinarily be expected to provide. Eligibility, approved services and authorized hours are determined through Nebraska Medicaid and the individual’s service planning process.
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Safe at Home is an approved LRI provider and works with eligible families to employ the family caregiver and provide the support required through the program.
Veterans benefits for in-home care
Eligible veterans may be able to receive assistance with in-home care through U.S. Department of Veterans Affairs programs. The VA’s Homemaker and Home Health Aide Care program can provide help with daily activities such as bathing, dressing, personal grooming, eating and mobility, helping veterans continue living safely at home.
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Eligibility and the amount of care provided are determined by the VA based on the veteran’s needs and whether the service is available in their area. Veterans or their families can talk with their VA social worker or care team to learn what services may be available.