ADULT DAY SERVICES PROVIDER IN NEBRASKA

ENHANCING QUALITY OF LIFE THROUGH SOCIALIZATION, CARE, AND COMMUNITY ENGAGEMENT

Adult Day Services in Nebraska provide structured daytime care and support for adults with disabilities, chronic conditions, or age-related challenges. These services focus on enhancing social well-being, offering health monitoring, and providing respite for caregivers. Adult Day Services are authorized under the Nebraska Medicaid Home and Community-Based Services (HCBS) Waiver programs.

1. GOVERNING AGENCIES

Agency: Nebraska Department of Health and Human Services (DHHS)

Role: Administers Medicaid waiver funding for Adult Day Services and manages provider enrollment, service authorization, and reimbursement.

Agency: Nebraska Medicaid and Long-Term Care (MLTC) Division

Role: Ensures quality standards, service delivery, and compliance for Adult Day Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Adult Day Services meet HCBS quality, person-centered planning, and participant protection standards.

2. ADULT DAY SERVICES OVERVIEW

Adult Day Services offer supervised, community-based care and social interaction in a structured environment, providing respite to family caregivers while promoting participant well-being.

Approved providers may deliver:

• Social and Recreational Activities: Group exercises, games, arts and crafts, and community outings.

• Health Monitoring: Vital sign checks, medication administration, and chronic disease management.

• Personal Care Assistance: Help with grooming, toileting, and mobility.

• Nutrition and Meal Services: Providing balanced meals and snacks.

• Therapeutic Activities: Physical, occupational, and cognitive therapy as needed.

• Socialization and Support: Facilitating peer interactions and community involvement.

• Respite Care: Temporary relief for family caregivers.

All services are provided based on the Individualized Service Plan (ISP) to meet the participant’s specific needs and preferences.

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register the business entity with the Nebraska Secretary of State.

• Obtain EIN from the IRS and NPI (Type 2).

• Enroll as a Medicaid Waiver Adult Day Services provider via the Nebraska Medicaid Provider Enrollment Portal.

• Obtain an Adult Day Center License from DHHS if applicable.

• Maintain general liability and professional liability insurance.

• Develop policies for participant safety, activity planning, health monitoring, and emergency preparedness.

• Ensure staff meet background checks, health screenings, and relevant training requirements.

4. NEBRASKA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

• Complete the Provider Enrollment Application through the Nebraska Medicaid Provider Enrollment Portal for Adult Day Services under HCBS waivers.

Application and Documentation Submission:

• Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.

Program Readiness Review:

• DHHS evaluates provider readiness, including safety protocols, care plans, and staff qualifications.

Approval & Medicaid Enrollment:

• Upon successful review, providers receive authorization to bill Medicaid for Adult Day Services using designated billing codes.

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (Nebraska Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Adult Day Center License (if applicable)

• Proof of general and professional liability insurance

• Adult Day Services Policy & Procedure Manual including:

  • Participant intake, assessment, and care planning procedures

  • Activity planning, safety protocols, and meal service guidelines

  • Staff credentialing, background checks, and training requirements

  • HIPAA compliance, participant rights, and grievance handling

  • Billing, service documentation, and audit readiness procedures

  • Emergency response and health crisis management policies

  • Infection control and hygiene standards

6. STAFFING REQUIREMENTS

Role: Adult Day Program Director

Requirements: Bachelor’s degree in social services, healthcare, or related field; experience managing community-based care settings preferred.

Role: Direct Care Staff

Requirements: High school diploma or GED; CPR/First Aid certification; experience in personal care and activity facilitation; background clearance.

Role: Activity Coordinators

Requirements: Training in recreational therapy or group activity planning; experience in community engagement.

Role: Healthcare Staff (if applicable)

Requirements: Licensed nurse or therapist; experience in monitoring health and providing basic medical care.

All staff must complete:

• Safety and infection control training

• HIPAA and participant rights education

• Activity planning and person-centered care training

• Annual competency evaluations and ongoing professional development

7. MEDICAID WAIVER PROGRAMS

Adult Day Services are available under the following Nebraska Medicaid Waivers:

• Aged and Disabled (AD) Waiver

• Traumatic Brain Injury (TBI) Waiver

• Developmental Disabilities (DD) Waiver

• Children with Disabilities Waiver

• Home and Community-Based Services (HCBS) Waiver

Services may include:

• Group activities and socialization

• Health monitoring and medication management

• Assistance with personal care and ADLs

• Therapeutic recreation and wellness programs

• Respite care for family caregivers

• Meal and nutritional support during program hours

8. TIMELINE TO LAUNCH

Phase: Business Formation and Compliance Preparation

Timeline: 1–2 months

Phase: Staff Hiring, Credentialing, and Program Development

Timeline: 2–3 months

Phase: Nebraska Medicaid Provider Enrollment and Readiness Review

Timeline: 60–90 days

Phase: Medicaid Billing Setup and Adult Day Service Launch

Timeline: 30–45 days

9. CONTACT INFORMATION

Nebraska Department of Health and Human Services (DHHS)

Website: https://dhhs.ne.gov/

Nebraska Medicaid and Long-Term Care (MLTC) Division

Website: https://dhhs.ne.gov/Pages/Medicaid.aspx

Centers for Medicare & Medicaid Services (CMS)

Website: https://www.cms.gov/

WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEBRASKA ADULT DAY SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Adult Day Services in Nebraska, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for adult day care and activity planning

• Staff credentialing, training program templates, and health monitoring guidance

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and outreach strategies

• Quality assurance systems for safety monitoring and compliance

• Community networking for client referrals and partnership opportunities

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.