How to Pay for In-Home Care
How to Pay for Home Care in Nebraska
Jump to a state to see its Medicaid programs, waivers, and other ways to help pay for in-home care.
This directory lists Nebraska-specific and federal payment sources that can pay for, reimburse, offset, or help plan for home care. Some are direct payment sources; others are indirect supports that reduce the amount of private home care a family must buy. Nebraska's strongest state-specific pathways include the Aged and Disabled Waiver, Personal Assistance Services, Disabled Persons & Family Support, Lifespan Respite, the Nebraska Caregiver Tax Credit, and PACE/Immanuel Pathways, and VA benefits are broken out because they can be one of the strongest payment pathways for eligible Nebraska veterans and surviving spouses.
Updated August 2026
Reviewed by Valerie VanBooven, RN, BSN
Nebraska Medicaid / LTSS
Aged and Disabled (AD) Waiver
Direct home-care payerHelps pay for: Primary Nebraska Medicaid HCBS waiver for older adults and people with disabilities; can authorize a broad package of services to help someone remain at home.
Who qualifies: Nebraska Medicaid; age 65+ or disability; nursing-facility level of care; need for waiver services.
How to start: Apply for Medicaid and the AD Waiver through iServe / DHHS.
Good to know: Family caregiver payment: Sometimes.
AD Waiver Personal Care
Direct home-care payerHelps pay for: Hands-on or cueing assistance with ADLs, health-related tasks and some IADLs in the home/community.
Who qualifies: AD Waiver eligibility; assessed need and service authorization.
How to start: Ask the AD Waiver service coordinator to assess personal-care needs.
Good to know: Family caregiver payment: Yes, depending on provider relationship/rules.
AD Waiver LRI Personal Care
Direct home-care payerHelps pay for: Allows certain legally responsible individuals to provide authorized personal care under Nebraska waiver rules.
Who qualifies: AD Waiver eligibility; LRI service must be approved and provider requirements met.
How to start: Ask the service coordinator whether LRI Personal Care is appropriate.
Good to know: Family caregiver payment: Yes, subject to LRI rules.
AD Waiver Companion
Direct home-care payerHelps pay for: Supervision and social support; may include light housekeeping, bill paying, errands, shopping, food preparation and laundry.
Who qualifies: Age 18+; AD Waiver eligibility; intended for supervision/support rather than hands-on ADL care.
How to start: Ask the service coordinator about Companion services.
Good to know: Family caregiver payment: Sometimes.
AD Waiver Chore
Offsets care costHelps pay for: Can cover heavier or less frequent household tasks such as cleaning, minor repairs, snow removal, mowing and pest remediation when no other resource is available.
Who qualifies: AD Waiver eligibility; household cannot perform/pay and no other responsible source is available.
How to start: Discuss home-safety/chore needs with the service coordinator.
Good to know: Family caregiver payment: No.
AD Waiver Respite
Direct home-care payerHelps pay for: Pays a provider to temporarily care for the participant so an unpaid caregiver can take a break.
Who qualifies: AD Waiver eligibility; caregiver need must exist; respite cannot be duplicated from another funding source.
How to start: Ask the service coordinator to assess respite.
Good to know: Family caregiver payment: No direct stipend to primary caregiver.
AD Waiver Adult Day Health
Yes / substitute for some home hoursHelps pay for: Licensed adult-day services with supervision, activities, meals and health supports.
Who qualifies: AD Waiver eligibility; age/need criteria and service authorization.
How to start: Ask the service coordinator about Adult Day Health.
Good to know: Family caregiver payment: No.
AD Waiver Home-Delivered Meals
Offsets care costHelps pay for: Can provide nutritionally adequate meals when the participant cannot safely prepare food and no free source is available.
Who qualifies: AD Waiver criteria; service coordinator assessment.
How to start: Ask the service coordinator to assess meal eligibility.
Good to know: Family caregiver payment: No.
AD Waiver Home Modifications
Offsets care costHelps pay for: Can fund qualifying ramps, grab bars, widened doorways, bathroom modifications and other adaptations of direct medical/remedial benefit.
Who qualifies: AD Waiver eligibility; modification must be necessary and approved in the plan.
How to start: Request home-modification assessment through the service coordinator.
Good to know: Family caregiver payment: No.
AD Waiver Assistive Technology
Offsets care costHelps pay for: Purchase/rental, fitting, adaptation, maintenance and training for approved assistive technology.
Who qualifies: AD Waiver eligibility and assessed need.
How to start: Ask the service coordinator about assistive technology.
Good to know: Family caregiver payment: No.
AD Waiver Personal Emergency Response System (PERS)
Offsets care costHelps pay for: Emergency alert system that can reduce the need for continuous paid supervision for appropriate participants.
Who qualifies: AD Waiver eligibility; health/safety need and responder requirements.
How to start: Ask the service coordinator about PERS.
Good to know: Family caregiver payment: No.
AD Waiver Non-Medical Transportation
Offsets care costHelps pay for: Transportation to waiver services and community activities when the participant cannot safely/independently use other transportation.
Who qualifies: AD Waiver eligibility and transportation-need criteria.
How to start: Ask the service coordinator about non-medical transportation.
Good to know: Family caregiver payment: No.
AD Waiver Home Again
Offsets care costHelps pay for: One-time transition expenses for eligible Medicaid nursing-facility residents moving to an independent private residence.
Who qualifies: Age 18+; current nursing-facility resident; Medicaid paid facility services at least 3 months; other criteria apply.
How to start: Ask the facility discharge planner or AD Waiver service coordinator.
Good to know: Family caregiver payment: No.
AD Waiver Vehicle Modifications
Offsets care costHelps pay for: Approved adaptations to a participant’s primary vehicle to improve access, safety and community integration.
Who qualifies: AD Waiver eligibility and approved service-plan need.
How to start: Ask the service coordinator about vehicle modification.
Good to know: Family caregiver payment: No.
AD Waiver Independence Skills Building
Offsets future care costHelps pay for: Training in ADLs, IADLs and home-management skills to increase independence; may involve the participant or caregiver.
Who qualifies: AD Waiver eligibility and assessed training need.
How to start: Ask the service coordinator about Independence Skills Building.
Good to know: Family caregiver payment: No.
Nebraska Medicaid / State Plan
Personal Assistance Services (PAS)
Direct home-care payerHelps pay for: State-plan personal assistance with ADLs for Medicaid members with chronic medical conditions/disabilities who need help to live in the community.
Who qualifies: Nebraska Medicaid; live at home; assessed need for PAS.
How to start: Apply through iServe and request PAS assessment.
Good to know: Family caregiver payment: Yes, for qualifying non-legally-responsible family members.
Nebraska Medicaid / Self-Direction
PAS - Choose and Direct Your Provider
Direct home-care payerHelps pay for: Nebraska PAS allows the participant to choose the provider and direct care.
Who qualifies: PAS eligibility; provider must meet Medicaid enrollment/qualification requirements.
How to start: Tell the iServe worker you want to select/direct the provider.
Good to know: Family caregiver payment: Yes, subject to provider rules.
Nebraska Medicaid / Paid Family Care
PAS - Paid Family Member
Direct home-care payerHelps pay for: A family member may be a paid PAS provider if the person is not legally responsible for the participant; spouses and parents/guardians of minors are excluded.
Who qualifies: PAS eligibility; family member must meet provider qualifications and cannot be legally responsible.
How to start: Ask iServe/DHHS how the family member can enroll as a provider.
Good to know: Family caregiver payment: Yes.
Nebraska Medicaid / Medical
Medicaid Home Health
Yes - skilled careHelps pay for: Can cover medically necessary home health services such as skilled nursing and therapy under Nebraska Medicaid rules.
Who qualifies: Nebraska Medicaid, medical necessity and provider/authorization rules.
How to start: Ask the treating clinician and Medicaid provider/plan.
Good to know: Family caregiver payment: No.
Nebraska Medicaid / Integrated Care
PACE - Immanuel Pathways
Direct home-care payerHelps pay for: Integrated medical and long-term services and supports; can include home care, personal care, nursing, therapy, transportation and other services approved by the PACE team.
Who qualifies: Age 55+; nursing-facility level of care; live in approved service area; safe community living at enrollment.
How to start: Contact Immanuel Pathways or DHHS PACE.
Good to know: Family caregiver payment: No direct cash.
PACE Service Area
Direct home-care payerHelps pay for: Nebraska’s approved PACE provider serves all of Douglas and Sarpy counties and portions of Cass, Dodge, Saunders and Washington counties.
Who qualifies: Must live within the provider service area and meet PACE requirements.
How to start: Confirm ZIP/address eligibility with Immanuel Pathways.
Good to know: Family caregiver payment: No.
Nebraska State Program
Disabled Persons and Family Support (DPFS)
Yes / partialHelps pay for: State program may fund authorized services including personal care, housekeeping, home modifications, equipment and other disability-related supports.
Who qualifies: Severe chronic disability diagnosed by a licensed medical professional; income/resource/program rules apply.
How to start: Apply through Nebraska DHHS Special Health Care Needs.
Good to know: Family caregiver payment: Potentially via approved provider.
DPFS Monthly/Annual Funding
Yes / partialHelps pay for: Eligible applicants may receive authorized services up to $400 per month or $4,800 annually.
Who qualifies: Must qualify for DPFS and receive service authorization.
How to start: Contact DPFS for screening and application.
Good to know: Family caregiver payment: Potentially via approved provider.
Nebraska Caregiver Support
Lifespan Respite Subsidy
Yes - respiteHelps pay for: Provides respite funding for eligible unpaid primary family caregivers when the care recipient is not receiving or eligible for respite from another government program.
Who qualifies: Program eligibility; cannot duplicate another government respite benefit.
How to start: Call Nebraska Lifespan Respite Network.
Good to know: Family caregiver payment: No direct wage to primary caregiver.
Lifespan Respite - Planned Respite
Yes - respiteHelps pay for: Current program guidance provides up to $125 per month per eligible client for planned respite.
Who qualifies: Lifespan Respite eligibility and available funding.
How to start: Apply through the Lifespan Respite Network.
Good to know: Family caregiver payment: No.
Lifespan Respite - Exceptional/Crisis Respite
Yes - respiteHelps pay for: An additional $2,000 per eligibility period may be available for approved exceptional circumstances, including crisis respite.
Who qualifies: Separate request and approval required; program eligibility applies.
How to start: Contact the Lifespan Respite Network for the exceptional-circumstances application.
Good to know: Family caregiver payment: No.
Nebraska Aging Network
Aging and Disability Resource Center (ADRC)
Indirect / connects to programsHelps pay for: Free information, options counseling, benefits assistance and connection to in-home personal care, homemaking, nutrition, transportation and other supports.
Who qualifies: Adults 60+, people with disabilities of all ages, caregivers and advocates.
How to start: Call statewide ADRC.
Good to know: Family caregiver payment: No.
Area Agency on Aging - In-Home Services
Yes / subsidizedHelps pay for: Local AAAs may arrange or fund homemaker, personal-care and other Older Americans Act/community services based on local eligibility and funding.
Who qualifies: Local assessment, age/need and funding rules vary.
How to start: Call ADRC or local AAA.
Good to know: Family caregiver payment: Generally no direct caregiver wage.
AAA Home-Delivered / Congregate Meals
Offsets care costHelps pay for: Nutrition services can reduce the amount of paid caregiver time used for grocery shopping and meal preparation.
Who qualifies: Local AAA eligibility/funding rules.
How to start: Call ADRC/local AAA.
Good to know: Family caregiver payment: No.
AAA Transportation
Offsets care costHelps pay for: Local transportation/mobility resources can reduce caregiver driving and paid companion hours.
Who qualifies: Local program and trip rules vary.
How to start: Call ADRC/local AAA.
Good to know: Family caregiver payment: No.
Family Caregiver Support / AAA Respite
Yes / partialHelps pay for: Older Americans Act caregiver programs may provide counseling, training, respite or supplemental services through local aging agencies.
Who qualifies: Caregiver and care-recipient eligibility varies by program and local funding.
How to start: Ask local AAA specifically for caregiver support and respite.
Good to know: Family caregiver payment: No direct wage.
Nebraska Tax Relief
Nebraska Caregiver Tax Credit
Offsets care costHelps pay for: Nonrefundable state income-tax credit equal to 50% of eligible caregiver expenditures, including home care aides, respite, adult day, personal attendants, equipment and technology.
Who qualifies: Caregiver AGI under $100,000 MFJ or $50,000 other; eligible relative lives in private residence and needs help with at least 2 ADLs; other rules apply.
How to start: File Form 3165 and provider certification with Nebraska DOR; credits are processed subject to annual cap.
Good to know: Family caregiver payment: No.
Caregiver Tax Credit - $2,000 Maximum
Offsets care costHelps pay for: Maximum credit generally $2,000 per eligible family member.
Who qualifies: Must meet Caregiver Tax Credit Act rules and have eligible unreimbursed expenses.
How to start: Apply to Nebraska DOR.
Good to know: Family caregiver payment: No.
Caregiver Tax Credit - $3,000 Veteran/Dementia Maximum
Offsets care costHelps pay for: Maximum credit increases to $3,000 when the eligible family member is a veteran or has a dementia diagnosis.
Who qualifies: Same caregiver-credit eligibility plus veteran status or dementia diagnosis.
How to start: Apply to Nebraska DOR with required documentation.
Good to know: Family caregiver payment: No.
Nebraska Property Tax
Homestead Exemption - Age 65+
Offsets care costHelps pay for: Can exempt all or part of a qualifying Nebraska homeowner’s taxable residence value, preserving cash for care.
Who qualifies: Age 65+ and applicable income/value requirements; file with county assessor.
How to start: File Form 458 with county assessor during the annual filing period.
Good to know: Family caregiver payment: No.
Homestead Exemption - Disabled Individuals
Offsets care costHelps pay for: Property-tax relief may be available to qualifying disabled homeowners.
Who qualifies: Disability, ownership/residency and applicable financial rules.
How to start: Contact county assessor / Nebraska DOR.
Good to know: Family caregiver payment: No.
Homestead Exemption - Disabled Veterans / Surviving Spouses
Offsets care costHelps pay for: Property-tax relief may be available to qualifying disabled veterans and surviving spouses under Nebraska rules.
Who qualifies: Veteran/disability/survivor requirements; some categories have income/value rules.
How to start: Contact county assessor / Nebraska DOR.
Good to know: Family caregiver payment: No.
Nebraska Medicaid / Cost Offset
Medically Needy / Share of Cost
Indirect / may unlock MedicaidHelps pay for: People above regular Medicaid income limits with high medical expenses may qualify through Nebraska’s Medically Needy/share-of-cost pathway.
Who qualifies: Income above standard limit plus medical need/expenses; Medicaid rules apply.
How to start: Apply through iServe / ask DHHS about Medically Needy and share of cost.
Good to know: Family caregiver payment: No.
Medicare Savings Programs (QMB/SLMB/QI)
Offsets care costHelps pay for: Can reduce Medicare premiums and, depending on program, deductibles/coinsurance, freeing monthly cash for home care.
Who qualifies: Income/resource limits and Medicare eligibility; program-specific rules.
How to start: Apply through Nebraska Medicaid/iServe or ask SHIP for screening help.
Good to know: Family caregiver payment: No.
Nebraska Disability Savings
Enable / ABLE Account
Offsets care costHelps pay for: Tax-advantaged disability savings can preserve eligibility for means-tested benefits while paying qualified disability expenses.
Who qualifies: Disability-onset and federal/state ABLE eligibility rules; Medicaid interactions must be reviewed.
How to start: Review Enable Savings Plan eligibility.
Good to know: Family caregiver payment: No.
Nebraska Food Assistance
SNAP
Offsets care costHelps pay for: Food benefits reduce grocery spending; people over 60 and spouses may be able to use benefits for certain congregate meals and some Meals on Wheels arrangements.
Who qualifies: SNAP income/resource/citizenship rules; 2026 Nebraska rules apply.
How to start: Apply through iServe.
Good to know: Family caregiver payment: No.
Nebraska Utility Assistance
LIHEAP
Offsets care costHelps pay for: Energy assistance can reduce heating/cooling costs and preserve funds for caregiving.
Who qualifies: Income and program eligibility; priority factors may apply.
How to start: Apply through iServe / DHHS.
Good to know: Family caregiver payment: No.
Nebraska Medicare Help
Nebraska SHIP
Indirect / benefits navigationHelps pay for: Free, unbiased Medicare counseling to identify covered home health, Medicare Savings Programs, drug assistance and plan benefits that may reduce care costs.
Who qualifies: Medicare beneficiary, caregiver or representative.
How to start: Call Nebraska SHIP.
Good to know: Family caregiver payment: No.
Senior Medicare Patrol (SMP)
Offsets lossesHelps pay for: Helps identify Medicare errors/fraud and avoid unnecessary losses or improper billing.
Who qualifies: Medicare beneficiary/caregiver.
How to start: Contact Nebraska SHIP/SMP.
Good to know: Family caregiver payment: No.
Medicare
Original Medicare Home Health
Yes - skilled/limited aideHelps pay for: May cover intermittent skilled nursing, therapy and limited home health aide services when Medicare eligibility requirements are met.
Who qualifies: Homebound; qualifying skilled need; provider order; Medicare-certified home health agency.
How to start: Ask treating clinician for home-health evaluation/order.
Good to know: Family caregiver payment: No.
Medicare Advantage Supplemental In-Home Benefits
Sometimes / plan-specificHelps pay for: Some plans may offer additional in-home support, meals, transportation or care-management benefits beyond Original Medicare.
Who qualifies: Must be enrolled in a plan offering the benefit; service area, medical criteria and authorization apply.
How to start: Review Evidence of Coverage and call plan.
Good to know: Family caregiver payment: No.
Caregiver Training Services
Offsets care costHelps pay for: Part B may cover caregiver training needed to support a patient’s treatment plan, reducing the need to purchase certain training privately.
Who qualifies: Provider determines training is needed; Part B rules and cost-sharing apply.
How to start: Ask the treating clinician.
Good to know: Family caregiver payment: No.
Durable Medical Equipment
Offsets care costHelps pay for: Medicare Part B may cover qualifying DME such as walkers, wheelchairs, hospital beds and some equipment that can reduce hands-on caregiving burden.
Who qualifies: Medical necessity, prescription/order and Medicare supplier rules.
How to start: Ask clinician and Medicare-enrolled supplier.
Good to know: Family caregiver payment: No.
Medicare / Dementia
GUIDE Model
Yes - limited respite/supportHelps pay for: Participating dementia programs provide care navigation, caregiver support and qualifying respite for eligible Original Medicare beneficiaries.
Who qualifies: Dementia; Original Medicare Parts A/B; not Medicare Advantage/PACE; participant/service-area and other CMS rules.
How to start: Find a participating GUIDE organization / call Medicare.
Good to know: Family caregiver payment: No direct caregiver wage.
Medicare / Hospice
Medicare Hospice Benefit
Yes - hospice planHelps pay for: Can cover nursing, hospice aide/homemaker services, equipment, medications related to terminal illness, and short-term respite for eligible hospice patients.
Who qualifies: Hospice eligibility, election and plan-of-care requirements.
How to start: Ask physician or Medicare-certified hospice for evaluation.
Good to know: Family caregiver payment: No.
Private Pay
Income / Savings / Retirement Funds
Direct home-care payerHelps pay for: Social Security, pension income, retirement accounts, savings and investments can directly pay for agency or privately hired home care.
Who qualifies: No program eligibility; tax and household-employer rules may apply.
How to start: Build a written care budget and compare providers.
Good to know: Family caregiver payment: Yes, if privately arranged.
Family Cost Sharing
Direct home-care payerHelps pay for: Adult children or other relatives may contribute to the care budget or divide caregiver shifts.
Who qualifies: Use written agreements; consider tax/gift/Medicaid implications.
How to start: Document contributions and paid-care agreements.
Good to know: Family caregiver payment: Yes, if family is hired properly.
Insurance
Traditional Long-Term Care Insurance
Direct home-care payerHelps pay for: Existing policies may reimburse or pay benefits for qualifying home care after benefit triggers and elimination periods are met.
Who qualifies: Policy terms govern ADL/cognitive triggers, provider rules, limits and waiting periods.
How to start: Request full policy and current benefit statement; open claim early.
Good to know: Family caregiver payment: Policy-specific.
Hybrid Life + Long-Term Care Policy
Direct home-care payerHelps pay for: Combination policies may accelerate benefits for qualifying long-term care while retaining some death benefit if care is not used.
Who qualifies: Policy/rider requirements and benefit triggers.
How to start: Contact insurer and request illustration.
Good to know: Family caregiver payment: Policy-specific.
Insurance / Life
Accelerated Death Benefit / Chronic Illness Rider
PotentiallyHelps pay for: Some life policies allow early access to death benefits for qualifying chronic or terminal conditions.
Who qualifies: Policy-specific health and benefit conditions.
How to start: Ask insurer whether current policy has accelerated/chronic-illness benefits.
Good to know: Family caregiver payment: No.
Financial Planning
Immediate / Deferred Annuity Income
Indirect cash flowHelps pay for: An annuity can create recurring income used to pay home-care bills; some contracts include long-term-care features.
Who qualifies: Contract-specific; liquidity, surrender, Medicaid and tax effects matter.
How to start: Review with independent fiduciary/tax/elder-law advisers.
Good to know: Family caregiver payment: No.
Home Equity
Home Equity Loan / HELOC
Direct home-care payerHelps pay for: Borrowing against home equity can finance home care but creates debt and repayment obligations.
Who qualifies: Credit, equity and lender requirements.
How to start: Compare lender terms and alternatives.
Good to know: Family caregiver payment: No.
Reverse Mortgage / HECM
Direct home-care payerHelps pay for: Eligible homeowners 62+ may access home equity without traditional monthly principal/interest payments; loan balance grows and property obligations remain.
Who qualifies: Age, equity, principal-residence, counseling and lender requirements.
How to start: Speak with HUD-approved HECM counselor before applying.
Good to know: Family caregiver payment: No.
Tax / HSA
Health Savings Account (HSA)
Conditional home-care payerHelps pay for: Tax-free HSA distributions may pay qualifying medical and long-term-care expenses, subject to IRS rules.
Who qualifies: Expense must qualify under tax law and not be reimbursed elsewhere.
How to start: Review HSA and IRS Publication 969.
Good to know: Family caregiver payment: No.
Federal Tax
Medical Expense Deduction
Offsets care costHelps pay for: Qualified long-term-care and nursing-type expenses may count as itemized medical expenses when IRS requirements are met.
Who qualifies: Qualified service/chronically ill criteria and itemized-deduction threshold apply.
How to start: Keep care plans, invoices, timesheets and payment records; consult tax professional.
Good to know: Family caregiver payment: No.
Child and Dependent Care Credit
Offsets care costHelps pay for: Working taxpayers may qualify for a credit for care of a spouse or qualifying dependent incapable of self-care when the care enables work.
Who qualifies: IRS dependency, work and provider rules.
How to start: Review Form 2441 / Publication 503.
Good to know: Family caregiver payment: No.
Employment / Payroll
Household Caregiver Employment Compliance
Planning safeguardHelps pay for: Proper payroll/tax handling does not pay for care, but avoids penalties when a family directly hires a household caregiver.
Who qualifies: Worker classification and wage thresholds determine obligations.
How to start: Review IRS Publication 926 and Nebraska employment rules.
Good to know: Family caregiver payment: Yes.
VA Benefits
VA Homemaker and Home Health Aide Care
Direct home-care payerHelps pay for: VA may authorize trained aides to help eligible veterans with bathing, dressing, grooming, toileting, eating, mobility and other daily needs.
Who qualifies: VA enrollment/eligibility, clinical need, local availability and authorization.
How to start: Ask VA primary care team/social worker for HCBS assessment.
Good to know: Family caregiver payment: No direct stipend to family caregiver.
Veteran-Directed Care (VDC)
Direct home-care payerHelps pay for: Eligible veterans receive a flexible service budget and can direct personal-care services; may hire family/friends subject to program rules.
Who qualifies: VA clinical eligibility and local VDC availability.
How to start: Ask VA social worker/care team specifically about VDC.
Good to know: Family caregiver payment: Yes, subject to local program rules.
VA Skilled Home Health Care
Yes - skilled careHelps pay for: VA may arrange skilled nursing, therapy and other clinical home-health services for eligible veterans.
Who qualifies: VA clinical need/authorization and local provider availability.
How to start: Ask VA care team for skilled home-health referral.
Good to know: Family caregiver payment: No.
Home-Based Primary Care
Medical care at homeHelps pay for: Interdisciplinary VA primary care delivered in the home for eligible veterans with complex chronic conditions who have difficulty accessing clinic-based care.
Who qualifies: VA clinical criteria and program availability.
How to start: Ask VA care team/social worker.
Good to know: Family caregiver payment: No.
VA Respite Care
Yes - respiteHelps pay for: VA respite may be delivered in the home, adult day health setting or through a short nursing-home stay to relieve caregivers.
Who qualifies: VA enrollment/clinical eligibility, availability and possible copay.
How to start: Ask VA social worker/caregiver support coordinator.
Good to know: Family caregiver payment: No.
Aid and Attendance
Indirect cash benefitHelps pay for: Additional monthly VA pension payment for qualifying pension recipients/survivors who need help with daily activities or meet other criteria; income can be used toward home care.
Who qualifies: Must qualify for VA pension plus Aid & Attendance criteria; financial/net-worth rules apply.
How to start: Use VA-accredited representative or apply through VA.
Good to know: Family caregiver payment: No.
Program of Comprehensive Assistance for Family Caregivers (PCAFC)
Indirect / caregiver stipendHelps pay for: Eligible primary family caregivers may receive a monthly stipend plus training, counseling, respite and other benefits.
Who qualifies: Veteran/caregiver must meet PCAFC eligibility and complete VA assessment.
How to start: Contact VA Caregiver Support Program.
Good to know: Family caregiver payment: Yes.
VA Community Care Network - Nebraska Region 2
Yes - authorized servicesHelps pay for: VA may purchase authorized community services through CCN when eligibility/authorization requirements are met; Nebraska is Region 2, managed by Optum Serve.
Who qualifies: VA community-care eligibility and prior authorization/referral generally required.
How to start: Ask VA care team before using a community provider.
Good to know: Family caregiver payment: No.
VA Adult Day Health Care
Yes / substitute for some hoursHelps pay for: VA may provide or arrange adult day health services that can reduce home-care hours and provide caregiver relief.
Who qualifies: VA clinical eligibility, local availability and authorization.
How to start: Ask VA social worker/care team.
Good to know: Family caregiver payment: No.
VA Hospice / Palliative Care
Yes - qualifying servicesHelps pay for: Eligible veterans may receive hospice or palliative services at home or through community partners, reducing some end-of-life care costs.
Who qualifies: Clinical eligibility, VA authorization/program rules.
How to start: Ask VA care team/social worker.
Good to know: Family caregiver payment: No.
Where Nebraska Families Can Start
Not sure where to begin? Match your situation to a contact below.
Apply for Medicaid, PAS, economic assistance and other benefits.
Nebraska Medicaid / iServe
Statewide aging/disability options counseling and benefits navigation.
Nebraska ADRC
State aging-network oversight and AAA resources.
Nebraska State Unit on Aging
Respite screening, planned respite and crisis/exceptional funding.
Nebraska Lifespan Respite
State-funded disability supports up to program limits.
Disabled Persons & Family Support
Caregiver Tax Credit / state tax questions.
Nebraska Department of Revenue
Before You Rely on Any Payment Source
Screen AD Waiver and PAS separately
Nebraska has both the Aged and Disabled Waiver and state-plan Personal Assistance Services. Ask DHHS which pathway fits the person’s level of care and service needs.
Ask about paid family caregiving
PAS can pay certain family members who are not legally responsible for the participant. The AD Waiver also has LRI Personal Care for certain situations. Get written approval before assuming a relative can be paid.
Use DPFS when Medicaid is not the only answer
Disabled Persons and Family Support can authorize up to $400 per month / $4,800 annually for qualifying disability-related services, including personal care and housekeeping.
Do not miss Nebraska Lifespan Respite
Eligible caregivers may receive up to $125/month for planned respite, plus a separate exceptional/crisis respite request up to $2,000 per eligibility period.
Nebraska has a caregiver tax credit
The state credit equals 50% of qualifying caregiver expenses, up to $2,000, or $3,000 if the eligible family member is a veteran or has dementia. It is nonrefundable and subject to income/program caps.
PACE is geographically limited
Immanuel Pathways is currently Nebraska’s only approved PACE provider and does not serve the entire state. Confirm the exact address/ZIP.
Use ADRC as the navigation hub
The Nebraska ADRC can connect families to AAAs, in-home personal care, homemaking, transportation, meals, benefits assistance and long-term-care options counseling.
Do not confuse Medicare with long-term custodial care
Medicare may cover qualifying skilled home health and limited aide services, but not ongoing personal care when that is the only need.
GUIDE is not a cash allowance
Medicare GUIDE provides dementia-care coordination and qualifying respite through participating organizations, not unrestricted cash paid to families.
VA CCN requires authorization
Nebraska is VA CCN Region 2, administered by Optum Serve. Obtain VA referral/authorization before routine community care.
Use property-tax relief to preserve care dollars
Nebraska homestead exemptions may help eligible age-65+, disabled and veteran households reduce property taxes and redirect cash toward care.
Document private family payments
If a relative is paid privately, use a prospective written care agreement, timesheets and proper payroll/tax treatment—especially if Medicaid may be needed later.
Program rules, income limits, and availability change over time and can vary by county. Confirm current details with the program directly, or ask a home care provider in Nebraska to help you navigate the application process.
← Back to How to Pay for In-Home CareHome Care Providers in Nebraska
These providers serve families in Nebraska and can help you apply what you've learned above to your specific situation.
Amana Care – Gering, NE
Serving Nebraska
Amana Care provides home care services in Gering, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
View Provider Profile →
Amana Care – Grand Island, NE
Serving Nebraska
Amana Care provides home care services in Grand Island, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
View Provider Profile →
Amana Care – Kearney, NE
Serving Nebraska
Amana Care provides home care services in Kearney, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
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Amana Care – Lincoln, NE
Serving Nebraska
Amana Care provides home care services in Lincoln, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
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Amana Care – North Platte, NE
Serving Nebraska
Amana Care provides home care services in North Platte, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
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Amana Care – Omaha, NE
Serving Nebraska
Amana Care provides home care services in Omaha, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Lincoln, Kearney, Grand Island and surrounding areas
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Caretech, Inc. – Columbus, NE
Serving Nebraska
Caretech, Inc. provides home care services in Columbus, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Abie, Adams County, Adams and surrounding areas
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Caretech, Inc. – Lincoln, NE
Serving Nebraska
Caretech, Inc. provides home care services in Lincoln, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Abie, Adams County, Adams and surrounding areas
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Caretech, Inc. – North Platte, NE
Serving Nebraska
Caretech, Inc. provides home care services in North Platte, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Abie, Adams County, Adams and surrounding areas
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Caretech, Inc. – Omaha, NE
Serving Nebraska
Caretech, Inc. provides home care services in Omaha, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Abie, Adams County, Adams and surrounding areas
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Caretech, Inc. – Scottsbluff, NE
Serving Nebraska
Caretech, Inc. provides home care services in Scottsbluff, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Abie, Adams County, Adams and surrounding areas
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Home Care Partners
Serving Nebraska
Home Care Partners provides home care services in Lincoln, NE and the surrounding communities it serves.
Services Available
24-Hour Home Care • Companion Care • Personal Care • Dementia & Alzheimer's Care • Respite Care
Communities Served
Bennet, Davey, Denton and surrounding areas
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