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Nebraska State Medicaid Waiver Program Application Guide

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  • Nebraska State Medicaid Waiver Program Application Guide




    Waiver #1: Katie Beckett Program


    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.

    Waiver #2: Comprehensive Developmental Disabilities Services

    Who Can Apply?

    Circumstances/Diagnosis: Any child or adult of all ages 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. You can view a full explanation of these requirements here.

    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?

    You can view a full list of services like assistive technology and respite provided by this waiver and other similar programs here.

    How do I apply?

    Follow the instructions in this PDF. Here is the link to ACCESSNebraska that they mention in the guide.


    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.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 1/5
    Access and requirements of qualification: 1/5
    Healthcare coverage: 2/5


    Other online resources for Nebraska:

    The ARC of Nebraska can help you with all things related to autism from advocacy to employment.
    This comprehensive guidebook for Nebraska resources
    Parent Training and Information (PTI) Nebraska can help support parents and holds workshops
    Autism Family Network has a database of resources for Nebraska

    Telephone Resources

    Nebraska Department of Health and Human Services should be able to help you with general questions: (402) 471-3121
    Last edited by Brady; 07-15-2020, 04:15 PM.
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