If you’re caring for a family member with intellectual or developmental disabilities in Nebraska, you’ve probably wondered: Can I actually get paid for this?
The short answer is yes — under certain circumstances, Nebraska’s Medicaid waiver programs allow family members to serve as paid caregivers for their loved ones with IDD. But the specifics matter, and understanding which waiver services allow family caregivers, who qualifies, and what the requirements are can make all the difference.
Here’s what Nebraska families need to know.
Which Nebraska Waiver Programs Allow Family Caregivers?
Nebraska offers several Medicaid waiver programs for individuals with intellectual and developmental disabilities. Not all of them allow family members to serve as paid caregivers, but a few critical services do.
LRI Personal Care (CDD and DDAD Waivers)
LRI stands for “Legally Responsible Individual.” This service specifically allows parents of minors (under age 19) or spouses of individuals with IDD to be compensated for providing hands-on personal care.
What it covers:
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Bathing, dressing, grooming
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Eating and feeding assistance
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Mobility support and transfers
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Toileting and personal hygiene
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Medication reminders (as authorized)
Who can provide care:
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Parents of minors
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Spouses
Hour limits:
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CDD Waiver: Up to 70 hours per week
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FSW Waiver: Limited based on need and fit within the capped waiver (typically between 5-10 hours per week)
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DDAD Waiver: Up to 25 hours per week
To qualify for LRI Personal Care, the individual receiving services must meet Nebraska’s criteria for Extraordinary Care — meaning they require significant support due to complex needs.
