Services are selected through person-centered planning
DHHS says the AD Waiver provides a service coordinator who helps the participant develop and oversee a person-centered service plan. The coordinator helps identify and access other resources, while the specific services must be tied to the person’s needs and waiver eligibility rather than assumed from a general service menu (Nebraska DHHS AD Waiver).
CMS’s Nebraska waiver factsheet lists adult day health, personal care, respite, assistive technology, chore, companion, home-delivered meals, home modifications, non-medical transportation, personal emergency response systems, supported residential living, and vehicle modification among the waiver’s services. It identifies people age 65 or older and people with physical disabilities age 0 through 64 who meet nursing-facility level of care as the covered populations (CMS Nebraska Waiver Factsheet).
Published waiver material says no AD waitlist is expected
Nebraska’s AD Waiver application states that the waiver provides entrance to all eligible people and that Nebraska does not have a waiting list for the Aged and Disabled Waiver. The application adds that a waitlist is not expected because slots are available, while also setting out priority rules to use if a waitlist becomes necessary (Nebraska AD Waiver application).
That statement concerns the AD Waiver and should not be generalized to every Nebraska disability program. DHHS separately describes developmental-disability waivers and their own eligibility and service-coordination structure, so a person should confirm the actual program, population, and current access at the time of application (Nebraska DHHS HCBS waivers overview).
PACE can be another home-and-community option
DHHS describes PACE as a voluntary, comprehensive and coordinated health-care and long-term-services model for people age 55 or older. The agency identifies Immanuel Pathways as Nebraska’s currently approved PACE provider and lists its service area as Douglas and Sarpy counties and parts of Cass, Dodge, Saunders, and Washington counties (Nebraska DHHS HCBS and PACE overview).
Access point: The AD Waiver’s published application says eligible people can enter without a current waitlist, but service authorization, provider availability, and the right program should be confirmed with DHHS when care is needed (
Nebraska AD Waiver application).
Not mutually exclusive. Most families combine two or three funding pillars — this one rarely stands alone.
The
Journey Assessment ranks all ten pillars against your specific situation and
recommends the top three.
