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Family Caregiver Pay Map · Nebraska · Verified October 19, 2026

Nebraska: Who Can Be a Paid Family Caregiver Under Medicaid

Nebraska's Aged and Disabled Waiver and state-plan Personal Assistance Services let the participant choose a relative or friend as an agency or independent provider paid by the state; a spouse or the parent of a minor can be paid only through the waiver's LRI Personal Care service, which requires an extraordinary-care finding and agency employment.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
In defined cases

Who can be paid: Adult children, siblings, other relatives, friends and neighbors as independent or agency providers; a spouse or the parent of a minor child only as an agency-employed LRI Personal Care provider after an extraordinary-care assessment.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Aged and Disabled Waiver — personal care by agency or independent providers, plus LRI Personal Care

Administered by Nebraska DHHS Division of Disability and Aging.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: Capped enrollment
  • Independent providers enroll with Medicaid and are employed by the participant, paid by DHHS; legally responsible individuals only through the agency-employed LRI Personal Care service

Personal Assistance Services (state plan)

Administered by Nebraska DHHS Medicaid.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Participant chooses the provider; the spouse and the parent or guardian of a minor cannot be paid

How to apply in Nebraska

We do not yet have partner agencies in Nebraska. Start with the program's administering agency — Nebraska DHHS Division of Disability and Aging — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Nebraska

Can a spouse be paid to care for their husband or wife in Nebraska?
In defined cases. Nebraska allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in Nebraska?
Adult children, siblings, other relatives, friends and neighbors as independent or agency providers; a spouse or the parent of a minor child only as an agency-employed LRI Personal Care provider after an extraordinary-care assessment.
Is there a waitlist for Medicaid home care in Nebraska?
Aged and Disabled Waiver — personal care by agency or independent providers, plus LRI Personal Care: capped enrollment (Independent providers enroll with Medicaid and are employed by the participant, paid by DHHS; legally responsible individuals only through the agency-employed LRI Personal Care service). Personal Assistance Services (state plan): no waitlist (Participant chooses the provider; the spouse and the parent or guardian of a minor cannot be paid).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.