Nebraska · NE
How to get paid to care for a family member in Nebraska
In Nebraska, the main path is Medicaid HCBS waiver independent providers and LRI Personal Care.1 Nebraska Medicaid HCBS waiver participant.1 No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1
- Official sources
- Last verified Oct 20, 2026
- Independent site, not a government agency
Written by Luis Fernando Garcia
Reviewed against official sources Last verified 6 official sources cited
Key facts
- Program
- Medicaid HCBS waiver independent providers and LRI Personal Care1
- Who can be paid
- A family member who is not legally responsible can be an independent provider. A spouse can be paid only through LRI Personal Care, which requires extraordinary care, agency employment, and a 40 hour weekly cap.1
- Spouse
- Yes, LRI Personal Care only1
- Pay
- No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.1

Programs in Nebraska
| Program | Type | Eligibility summary | Source |
|---|---|---|---|
| Medicaid HCBS waiver independent providers and LRI Personal Care | HCBS self-directed | Nebraska Medicaid HCBS waiver participant. | Official page1 |
| VA Program of Comprehensive Assistance for Family Caregivers | VA | For eligible Veterans with a 70% or higher VA disability rating. See VA stipend. | va.gov3 |
Is there IHSS or CDPAP in Nebraska?
No. IHSS is California's In-Home Supportive Services program5 and CDPAP is New York's Consumer Directed Personal Assistance Program6. Nebraska does not use those names. The comparable path on the Nebraska official source is Medicaid HCBS waiver independent providers and LRI Personal Care.1
How to apply
- Contact Nebraska DHHS about Medicaid HCBS waivers.1
- Ask the services coordinator about independent providers or LRI Personal Care.1
- Choose the self-directed option and enroll your worker with the payroll (financial management) agency.1
- The worker completes background checks and any required training before starting.1

Your Nebraska application checklist
Use this list to track the official steps. It does not decide eligibility. Only the agency decides who qualifies. Applying through the state is free.
Have ready before you call
Frequently asked questions
Can a family member get paid to be a caregiver in Nebraska?
Possibly, if the person receiving care qualifies. Medicaid HCBS waiver independent providers and LRI Personal Care: A family member who is not legally responsible can be an independent provider. A spouse can be paid only through LRI Personal Care, which requires extraordinary care, agency employment, and a 40 hour weekly cap.
How much does Nebraska pay family caregivers?
No statewide caregiver pay rate is published on the official pages we reviewed. Pay is set within the program budget or program rules. Ask the program or its payroll agency for the rate in writing.
Can a spouse be paid in Nebraska?
What the official source says: Yes, LRI Personal Care only. Confirm with the program before you rely on it.
Who decides if we qualify?
Only the state agency or health plan decides. This site cannot approve anyone or promise eligibility.
Sources
- https://dhhs.ne.gov/Pages/HCBS-Prospective-Provider.aspxOfficial
- https://dhhs.ne.gov/DD%20Documents/LRI%20Personal%20Care%20and%20Extraordinary%20Care%20Resource.pdfOfficial
- VA PCAFC: https://www.va.gov/family-and-caregiver-benefits/health-and-disability/comprehensive-assistance-for-family-caregivers/Official
- USA.gov: https://www.usa.gov/disability-caregiverOfficial
- California CDSS, IHSS: https://www.cdss.ca.gov/in-home-supportive-servicesOfficial
- New York DOH, CDPAP: https://health.ny.gov/health_care/medicaid/program/longterm/cdpap/Official
Last verified
