STATE PROFILE • Last updated: April 23, 2026
Nebraska Elder Care & Medicaid
Nebraska's senior Medicaid landscape offers the Aged and Disabled Waiver for home and assisted living care, complemented by a Medically Needy pathway for those with higher incomes.
leaderboard
RANKED #4
GRADE A
FEATURED
Medicaid Coverage Guide for Nebraska
Full breakdown of Aged & Disabled Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Aged & Disabled Waiver
Income cap
$1,330/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
A
Grade
AFFORDABILITY
STRONG
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
MODERATE
MEDICAID SUPPORT
STRONG
Composite score: 55.9 / 100
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Nebraska At a Glance
Nursing Home Facilities
179
Senior Medicaid Waivers
1
National Rank
#4 / 51
Senior Care Costs in Nebraska
holiday_village
Assisted Living
$4,076/mo
-11.2% vs national avg
local_hospital
Nursing Home
$8,631/mo
-21.8% vs national avg
- 179 nursing homes · 13,653 beds
- Avg CMS rating 2.85★ (32 rated 5★, 47 rated 1★)
- 4.17 nurse hrs/resident/day (0.71 RN)
Source: CMS Nursing Home Compare
psychology
Memory Care
$5,096/mo
-11.2% vs national avg
home_health
Home Health Aide
$27/hr
- Median aide wage $16.51/hr
- ~11,390 aides employed statewide
Source: BLS OEWS