Nebraska home care license requirements
Bottom line: No state license identified — Nebraska Medicaid provider enrollment (PAS/HCBS).
- License required?
- No state license identified
- License / pathway
- Nebraska Medicaid provider enrollment (PAS/HCBS)
- Fees (initial / renewal)
- Not confirmed in official sources — check with the state agency
Note: The guide's 50-state summary lists no state license found, while the detailed entry below says whether a license is required is not confirmed in official sources (the guide’s UNVERIFIED grade). Treat this as unresolved and confirm with the state before you serve clients.
From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.
Nebraska requirements, item by item
Bracketed numbers link to the official sources at the bottom of this page.
Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.
| Item | What the guide found |
|---|---|
| License required? | Not confirmed in official sources — check with the state agency — the sources reviewed do not establish whether a separate state license is required for a non-medical personal-care, companion, or homemaker agency. The cited home-health rules exclude these services, but do not resolve whether another separate license applies. [1][2][3] |
| License type / name | No separate non-medical license type is established by the sources reviewed. For Medicaid PAS or HCBS waiver services, the documented pathway is to complete program-specific preliminary steps and then enroll as a Medicaid provider; this is not stated to be a general agency license. [4][5][6] |
| Licensing agency | For the Medicaid pathway, contact the relevant Nebraska DHHS programs before enrollment; Medicaid enrollment is handled through Provider Relations via Maximus PDMS. The sources reviewed do not identify an agency responsible for licensing non-medical agencies generally. [5][6] |
| Agency website | Nebraska DHHS Medicaid Provider Screening and Enrollment Forms: https://dhhs.ne.gov/Pages/Medicaid-Provider-Screening-and-Enrollment-Forms.aspx the sources reviewed say enrollment is electronic through Maximus PDMS but do not provide the PDMS website URL. [6] |
| Initial application / license fee | Not confirmed in official sources — check with the state agency |
| Renewal fee | Not confirmed in official sources — check with the state agency |
| Renewal cycle | Not confirmed in official sources — check with the state agency |
| Typical approval timeline | No official timeline published — check with the agency |
| Administrator qualifications | Not confirmed in official sources — check with the state agency |
| Caregiver background checks | Not confirmed in official sources — check with the state agency — Fingerprint criminal background checks are required during enrollment for provider types designated high risk; the sources reviewed do not establish whether this agency or provider type is designated high risk. The stated $55 NSP cost applies to that check; other locations may charge an additional fee. [6] |
| Caregiver training hours | Not confirmed in official sources — check with the state agency |
| Registry checks | Not confirmed in official sources — check with the state agency |
| General liability insurance | Not confirmed in official sources — check with the state agency |
| Workers' compensation | Not confirmed in official sources — check with the state agency |
| Bonding (surety / dishonesty) | Not confirmed in official sources — check with the state agency |
| Rule changes 2025–2026 | Effective June 1, 2025, Nebraska Medicaid stopped accepting paper provider enrollment applications; enrollment is completed electronically through Maximus PDMS. [6] |
Sources
- Home Health Agencies - DHHS - Nebraska.gov
https://dhhs.ne.gov/licensure/Pages/Home-Health-Agencies.aspx - Health Care Facilities and Services Licensure Statutes ...
https://dhhs.ne.gov/licensure/Documents/Facilities-HealthCareFacilities.pdf - [PDF] Title 175, Health Care Facilities and Services Licensure, Chapter 14 ...
http://govdocs.nebraska.gov/epubs/H8310/R175.0014-2008.pdf - LRI Personal Care Service Handbook - Department of Health and Human
https://dhhs.ne.gov/DD%20Documents/LRI%20Personal%20Care%20Service%20Handbook.pdf - Division of Medicaid and Long-Term Care
https://dhhs.ne.gov/Documents/Medicaid%20Provider%20Manual.pdf - Provider Screening and Enrollment - DHHS - Nebraska.gov
https://dhhs.ne.gov/Pages/Medicaid-Provider-Screening-and-Enrollment-Forms.aspx
Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.
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