Omaha Senior AdvisorWhat is the Nebraska Medicaid asset limit for nursing home care?
$4,000 for one person and $6,000 for a two-person household in countable resources; the home, one vehicle, business property and an irrevocable burial fund are not counted.
Spousal rules protect more for a married couple.
Is there an income limit for Nebraska nursing home Medicaid?
Not a hard cap; people with income above the standard can qualify through the Medically Needy program by paying a monthly share of cost above the $392 Medically Needy Income Level.
Nursing home residents keep a $75 monthly personal needs allowance.
Who qualifies for the AD Waiver?
Nebraska Medicaid recipients who are 65 or older or have a disability, meet Nursing Facility Level of Care, and need waiver services.
Apply through iServe Nebraska or call (877) 667-6266.
Who coordinates AD Waiver services in Omaha?
Participants choose a services coordination provider; for people 65 and older this is usually the Eastern Nebraska Office on Aging, the Area Agency on Aging, unless the participant keeps a DHHS coordinator.
The coordinator monitors the plan at least monthly.
What is the Medicaid look-back period in Nebraska?
60 months: gifts and below-value transfers in the five years before applying can cause a penalty period without Medicaid long-term care coverage.
Spending on the applicant's own care is allowed.
Can a spouse keep savings if the other spouse needs Medicaid?
Yes. Under federal spousal rules for 2026, the at-home spouse keeps a protected share of resources between $32,532 and $162,660 and a monthly income allowance between $2,705 and $4,066.50.
DHHS calculates the amount at the start of continuous institutional care.
How do I apply for Nebraska Medicaid in Omaha?
Online through iServe Nebraska, by phone at (855) 632-7633 (in Omaha (402) 595-1178), or at a DHHS office; note on the application if you want Medically Needy consideration.
There is no separate Medically Needy application.
Does every ALF accept the AD Waiver?
No. Only ALFs marked as certified on the DHHS roster can bill the waiver, and certified buildings may limit how many waiver residents they take.
Our directory shows each building's waiver status.
What is Nebraska Medicaid's personal needs allowance?
$75 a month for nursing home residents, effective September 1, 2023, according to DHHS's ABD Standard of Need guidance.
The allowance pays for personal items such as clothing and haircuts.
What does the AD Waiver require of an ALF room?
A private room with a bathroom that has at least a toilet and sink for each waiver participant, unless DHHS approves a semi-private room, plus lockable doors and a lease.
The requirement comes from the Supported Residential Living service summary.
