In-home care in the Omaha area

What kinds of in-home care are available in Omaha?

Two kinds: home health, which is skilled nursing, therapy and aide visits ordered by a doctor for a homebound patient and usually paid by Medicare, and home care, which is hourly non-medical help with bathing, dressing, meals, housekeeping and companionship, usually paid privately.

CMS's home health dataset lists 27 Medicare-certified home health agencies with offices in the five counties, and its hospice dataset lists 15 certified hospices; many serve ZIP codes well beyond their office address. Home care agencies providing only non-medical help do not appear in CMS's data; ask any agency what Nebraska license or credential it holds and how it screens caregivers.

What does in-home care cost in Omaha?

CareScout's 2025 Nebraska median for a non-medical home care worker is about $36 an hour, $6,864 a month at 44 hours a week; Medicare-covered home health costs an eligible patient nothing.

Many agencies set minimum shifts of two to four hours and charge more for nights and weekends.

Who helps pay for care at home?

For eligible adults, the AD Waiver pays for personal care, chore, companion, respite, meals and PERS; PACE covers home care for its participants; ENOA runs personal care and homemaker programs for people 60 and older on a contribution basis; and VA Aid and Attendance can help eligible veterans and survivors.

Long-term care insurance often covers home care after an elimination period. Start with ENOA at (402) 444-6444.

How are home care workers screened in Nebraska?

Medicare-certified home health agencies follow federal and state requirements for staff, and families should ask any agency, medical or non-medical, how it checks caregivers against Nebraska's registries, verifies references, trains staff and supervises visits.

If you hire a caregiver privately rather than through an agency, you take on screening, scheduling, backup and payroll yourself.

What should Omaha families ask a home care agency first?

Ask what license or certification it holds, its minimum shift length, hourly and weekend rates, how caregivers are screened and supervised, and how a missed shift is covered.

For Medicare home health, ask how soon the first nursing visit can happen after discharge and how therapy visits are scheduled.

Where is in-home care available across the Omaha area?

Here is how Nebraska's DHHS rosters and CMS's datasets distribute in-home care across the five counties; agencies and day programs have no bed count.