Become a Paid Caregiver for Your Child
New Opportunities through Nebraska’s A&D Waiver – Effective July 1, 2025
High Hopes is proud to support families of children with disabilities by helping parents become paid caregivers through Nebraska’s Aged & Disabled (A&D) Waiver under the LRI Personal Care for Extraordinary Care option. As of July 1, 2025, parents of minor children are eligible to receive Medicaid reimbursement for providing care if they are employed by an approved agency.
Who Is Eligible?
- Children must be under age 19
- Must be enrolled in Nebraska’s Aged & Disabled (A&D) Waiver
- Children must qualify for Nebraska Medicaid and meet disability and level-of-care criteria
- Parents must be hired by and work through an approved provider agency like High Hopes
What Services Can Parent-Providers Deliver?
- Personal care support (e.g., help with daily living activities)
How High Hopes Can Help
High Hopes will assist you with:
- Enrollment and training as an agency provider
- Background checks and credentialing
- Compliance with DHHS and Medicaid regulations
- Ongoing support, oversight, and billing
Resources & References
Next Steps for Interested Families
- Contact your child’s DHHS Service Coordinator to verify waiver eligibility
- Let them know you are interested in becoming an agency-employed caregiver
- Submit your employment application to High Hopes to begin the onboarding process
- Once hired by High Hopes, ask your Service Coordinator to authorize services
Ready to Move Forward?
Download the employment application, complete it, and then upload it securely using the form below. (Accepted: PDF, DOC, DOCX, JPG, PNG · Max 10 MB)
Upload Your Employment Documents
Please submit your completed application. You may also upload a W-4, Direct Deposit Form, or NPI documentation.
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Accepted file types: PDF, DOC, DOCX, JPG, PNG · Max size: 10 MB.