Nebraska runs real Medicaid programs that pay family members to care for a loved one at home. Here is what they pay, who can be paid, and how to start.
17% of the state
each with its own page
that can pay a relative
see the full rule below
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
$15/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Nebraska Medicaid program data · Updated September 2026
Waitlists here can be long. Apply as soon as you can.
PAS: entitlement, never a waitlist; AD Waiver: capped (~10,000/yr), waitlist possible with priority for health/safety risk
Sometimes — it depends on the program and the care needed.
The fine print: limited — under the Aged & Disabled Waiver a spouse can be paid through the separate LRI Personal Care service only when care is extraordinary, agency-based, capped at 40 hours a week
Sometimes — special programs for children may pay parents.
The fine print: limited — parents of minors can be paid through LRI Personal Care under the same extraordinary-care test and 40-hour weekly cap
Run by: Nebraska DHHS (main 402-471-3121
A program that can pay a family member for care at home.
2-min check →A program that can pay a family member for care at home.
2-min check →Our quick check tells you which programs fit your family before you talk to anyone.
Apply online via iServe Nebraska or at a local DHHS office; for the AD Waiver call 877-667-6266 to request materials.
Forms, phone calls, the enrollment visit — we walk you through it all, free.
Yes. These are real Medicaid programs run by the state. In Nebraska, they are overseen by the Nebraska DHHS (main 402-471-3121. We help you enroll — applying costs you nothing.
Care at home costs Medicaid far less than a nursing home. So states pay family members to give that care at home. It's good for your loved one, and it's the law working the way it should.
Sometimes — it depends on the program and the care needed. The fine print: limited — under the Aged & Disabled Waiver a spouse can be paid through the separate LRI Personal Care service only when care is extraordinary, agency-based, capped at 40 hours a week
Sometimes — special programs for children may pay parents. The fine print: limited — parents of minors can be paid through LRI Personal Care under the same extraordinary-care test and 40-hour weekly cap
Reported figures are around $15/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Waitlists here can be long. Apply as soon as you can. Details: PAS: entitlement, never a waitlist; AD Waiver: capped (~10,000/yr), waitlist possible with priority for health/safety risk
It depends on the program. In Nebraska: no agency required — family member enrolls as a Medicaid independent provider, paid directly by DHHS; EVV via smartphone required; agency option also exists
Sources: dhhs.ne.gov · medicaidplanningassistance.org · medicaidplanningassistance.org · Updated September 2026. Program rules change — always confirm with the program.
The programs are the same across Nebraska. Pick your county to see how they work where you live.
Guides
Start with the Nebraska caregiver program, then read how the pieces fit together.
Across the line
Each state writes its own rules, and they differ more than people expect — a spouse who can be paid on one side of the line often cannot be on the other.
Answer 5 easy questions. See your programs and pay before you share any contact info.