Aging & Adult

Aging & Adult

This section contains information and resources for the aging and adult population.

Government Agencies

Government Agencies
Government Agencies

Governmental agencies paying benefits on behalf of a ward or protected person may be listed as interested parties in the associated guardianship or conservatorship case. For information about where to send documents to government agencies acting as interested parties, consult this list of government agency office addresses.

Seniors and People with Disabilities

Seniors and People with Disabilities
Seniors and People with Disabilities

Area Agencies on Aging (AAA) in Nebraska
Local Area Agencies on Aging provide a comprehensive variety of services to, and advocate for, the needs of persons 60 and older, caregivers, and some “high risk” adults” residing in their areas. Area Agencies on Aging provide information and assistance and contract with a range of services providers—for example, in-home care, legal services, congregate and home-delivered meals, and transportation. There is no financial eligibility requirement for these services, but the services are targeted to those “in greatest social and economic need.”

 

Eastern Nebraska Office on Aging (ENOA):
4223 Center Street, Omaha, NE 68105 
Phone: (402) 444-6444, (402) 721-7770 (Washington/Dodge Counties) – Will Accept Collect Calls.
Counties Served: Cass, Dodge, Douglas, Sarpy, Washington.
Web: http://www.enoa.org/

Lincoln Area Agency on Aging (LAAA): 
1001 O Street, Suite 101, Lincoln, NE 68508-3610 
Phone: (402) 441-7022 or (800) 247-0938
Counties Served: Butler, Fillmore, Lancaster, Polk, Saline, Saunders, Seward, York
Web: http://www.ci.lincoln.ne.us/city/mayor/aging/ 

Northeast Nebraska Area Agency on Aging (NENAAA):  
P.O. Box 1447, 119 Norfolk Ave., Norfolk, NE 68702-1447
Phone: (402) 370-3454 or (800) 672-8368
Counties Served: Antelope, Boone, Boyd, Brown, Burt, Cedar, Cherry, Colfax, Cuming, Dakota, Dixon, Holt, Keya Paha, Knox, Madison, Nance, Pierce, Platte, Rock, Stanton, Thurston, Wayne
Web: http://www.nenaaa.com/ 

South Central Nebraska Area Agency on Aging (SCNAAA):   
Suttle Plaza, 4623 2nd Ave., Suite 4, P.O. Box 3009, Kearney, NE 68848-3009
Phone: (308) 234-1851 or (800) 658-4320
Counties Served: Blaine, Buffalo, Custer, Franklin, Furnas, Garfield, Greeley, Harlan, Kearney, Loup, Phelps, Sherman, Valley, Wheeler
Web: https://www.agingkearney.org/​

Midland Area Agency on Aging (MAAA):  
305 N. Hastings, Room 202, P.O. Box 905, Hastings, NE 68902 
Phone: (402) 463-4565 or (800) 955-9714
Counties Served: Adams, Clay, Hall, Hamilton, Howard, Merrick, Nuckolls, Webster
Web: http://www.midlandareaagencyonaging.org/​ 

Blue Rivers Area Agency on Aging (BRAAA):
Gage County Courthouse, Room 24, Beatrice, NE 68310-2946
Phone: (402) 223-1352 or (800) 659-3978
Counties Served: Gage, Jefferson, Johnson, Nemaha, Otoe, Pawnee, Richardson, Thayer 
Web: https://www.braaa.org/​

West Central Nebraska Area Agency on Aging (WCNAAA):   
115 N Vine, North Platte, NE 69101-3902 
Phone: (308) 535-8195 or (800) 662-2961
Counties Served: Arthur, Chase, Dawson, Dundy, Frontier, Gosper, Grant, Hayes, Hitchcock, Hooker, Keith, Lincoln, Logan, McPherson, Perkins, Red Willow
Web: http://wcnaaa.com/​

Aging Office of Western Nebraska (AOWN):
Bluffs Business Center, 1517 Broadway, Suite 122, Scottsbluff, NE 69361-3184
Phone: (308) 635-0851 or (800) 682-5140
Counties Served: Banner, Box Butte, Cheyenne, Dawes, Deuel, Garden, Kimball, Morrill, Scotts Bluff, Sheridan, Sioux
Web: http://www.aown.org/​

Aging and Adult Service Providers

Aging and Adult Service Providers
Aging and Adult Service Providers

Heartland Family Service
The mission of Heartland Family Service is to strengthen individuals and families in our community through education, counseling, and support services. Founded in 1875, Heartland Family Service serves more than 35,000 individuals of all ages each year from more than 15 locations in east central Nebraska and southwest Iowa. Our 50 programs provide critical human services to the individuals and families who ultimately shape the future of our community in the following focus areas: Child & Family, Counseling & Prevention, and Housing & Financial Stability. More information can be found at http://heartlandfamilyservice.org/

League of Human Dignity
The League of Human Dignity is concerned with the rights and quality of life of people with disabilities. They believe in emphasizing likeness not difference, ability not disability, normality not abnormality, and integration not segregation. The League of Human Dignity works with people who have disabilities to promote independent living and ensure social, economic, and political equality. Please see http://leagueofhumandignity.com/#2 for more information.

For more information on service providers, visit www.communityplatform.us/communityplatform/nam/map.

 

Veterans Benefits

Veterans Benefits
Veterans Benefits


The U.S. Department of Veterans Affairs provides a wide range of benefits, including disability, education and training, vocational rehabilitation and employment, home loan guaranty, dependent and survivor benefits, medical treatment, prescription drugs, aid and attendance, life insurance, and burial benefits.

Nebraska Department of Veterans Affairs
PO Box 95083 Lincoln, NE 68509-5083
Phone: (402) 471-2458
Fax: (402) 742-1142
Email: ndva@nebraska.gov 
Website: https://veterans.nebraska.gov.

Summary description of VA benefits, with contact numbers:
http://www.vba.va.gov/pubs/forms/VBA-21-0760-ARE.pdf
http://www1.va.gov/opa/newtova.asp
American Legion, 801-326-2380
Disabled American Veterans, 801-326-2375
Veterans of Foreign Wars, 801-326-2386

 

Fall Prevention

Fall Prevention
Fall Prevention

This section was developed in response escalating public health concerns around falls and fall-related injuries among older adults. It also was inspired by the challenges of providing easily accessible and useful information to the public and the County of San Diego Aging and Independence Services’ commitment to responding to the needs of the community and empowering individuals and the community to make safe and healthy living choices.

The goal of this section is to collect and make accessible existing best-practice information and local resources around fall prevention for those who could benefit most: older adults and persons with disabilities, their caregivers, physicians, and other health and social service providers.

Videos
"Don't Fall for It" (10 Minutes)
The short version provides a brief overview of the problem, common risk factors and simple steps anyone can take to lower their risk of falling.

"Don't Fall for It" (28 Minutes)
The long version describes the above information in more detail and highlights the personal stories of three elderly individuals.

Spanish version of "Don't Fall for It" (14 Minutes)
This version provides an overview of the problem, common risk factors and simple steps anyone can take to lower their risk of falling.

Other Resources
A Tool Kit to Prevent Senior Falls: Falls in Nursing Homes
A Tool Kit to Prevent Senior Falls: The Costs of Fall Injuries Among Older Adults
Check For Safety: A Home Fall Prevention Checklist for Older Adults - pdf
Collection of Fall Prevention Checklists - pdf
Falls Prevention: Your Safety Checklist and Guide - pdf
How to Reduce Your Risk of Falling
Morse Fall Scale - pdf

National Institute on Aging Resources
Exercise & Physical Activity: Your Everyday Guide from the National Institute on Aging
Exercise and Physical Activity Guide - PDF

Facts, General Information and Research
Falls Among Older Adults: Summary of Research Findings
Falls and Fractures
Falls and Hip Fractures Among Older Adults
Falls: General Information - pdf
Guideline for the Prevention of Falls in Older Persons - pdf
Guidelines for Fall Prevention in Acute, Sub-acute and Residential Care Settings - pdf
Nursing Best Practice Guideline: Prevention of Fall and Injuries in the Older Adult - pdf
Preventing Falls and Related Fractures - pdf
Preventing Falls in the Elderly
Prevention of Falls
Tai Chi for Older People Reduces Falls, May Help Maintain Strength
Tai Chi May Combat Seniors' Fear of Falling
Why Do We Fall?

Although resources in this section have been selectively chosen, it is a work in progress and we recognize that not all available resources are included. Please contact us with comments, questions or suggestions for additional resources to help make this site as comprehensive and user-friendly as possible. For more information, please visit: http://nebraska.networkofcare.org/aging/fall-prevention/

 

Adult Protective Services

Adult Protective Services
Adult Protective Services

Adult Protective Services protects persons 65 and older, and vulnerable adults (anyone over the age of 18 who has a mental or physical impairment which substantially impairs the person’s ability to care for him or herself). Trained staff, working in cooperation with law enforcement, investigate cases of abuse, neglect, self-neglect, or financial or sexual exploitation involving vulnerable adults. Adult Protective Services workers assist victims and prevent further abuse, neglect, and exploitation.

Adult Protective Services include:

  • Receiving reports of adult abuse, exploitation, neglect, or self-neglect

  • Investigating reports of adult abuse, exploitation, or neglect

  • Case planning, monitoring, and evaluation

  • Arranging for medical, social, economic, legal, housing, law enforcement or other protective, emergency, or supportive services

APS caseworkers are the first responders to reports of abuse, neglect, and exploitation of vulnerable adults. Report abuse, neglect, or exploitation to Adult Protective Services

  • Within Nebraska, call: (402) 471-6035

  • Outside Nebraska, call: (800) 254-4202

  • Nebraska Elder Abuse/Neglect Hotline: (800) 652-1999

 



Long-Term Care Ombudsman


Wards & protected persons retain important rights even when they reside in a long term care facility. The long-term care ombudsman will advocate for residents (60 and older) of skilled nursing facilities, assisted living, and other adult care facilities. They work to resolve problems of individual residents.

A guardian who has encountered problems with long-term care facilities may contact the Long-Term Care Ombudsman at (402) -471-2307. Additional information can be found at: http://dhhs.ne.gov/Pages/Aging-Ombudsman.aspx 

 

Mediation

Mediation
Mediation

Mediation is the attempt to help parties in a disagreement to hear one another, to minimize the harm that can come from disagreement, to maximize any area of agreement, and to find a way of preventing the areas of disagreement from interfering with the process of seeking a compromise or mutually agreed outcome. While a mediator may charge a fee comparable to that of an attorney, the mediation process generally takes much less time than moving a case through standard legal channels. While a case in the hands of a lawyer or a court may take months or years to resolve, mediation usually achieves a resolution in a matter of hours. Taking less time means expending less money on hourly fees and costs.

Central Mediation Center:
412 W. 48th Street, Suite 22 | Kearney, NE 68848-0838
800-203-3452 or 308-237-4692 | info@centralmediationcenter.com | www.centralmediationcenter.com 
Counties Served: Adams, Blaine, Buffalo, Chase, Clay, Custer, Dawson, Dundy, Franklin, Frontier, Furnas, Garfield, Gosper, Greeley, Hall, Hamilton, Harlan, Hayes, Hitchcock, Howard, Kearney, Lincoln, Logan, Loup, McPherson, Merrick, Nuckolls, Perkins, Phelps, Red Willow, Sherman, Thomas, Valley, Webster, Wheeler

Concord Mediation Center:
4225 North 90th Street | Omaha, NE 68134 402-345-1131 | www.concord-center.com
Counties Served: Douglas and Sarpy

The Mediation Center:
Mill Towne Building | 610 J Street, Suite 100 | Lincoln, NE 68508 402-441-5740 | info@themediationcenter.org | www.themediationcenter.org
County Served: Lancaster

Mediation West (formerly Center for Conflict Resolution):
210 West 27th Street | Scottsbluff, NE 69361 800-967-2115 or 308-635-2002 | www.mediationwest.org 
Counties Served: Arthur, Banner, Box Butte, Cheyenne, Dawes, Deuel, Garden, Grant, Hooker, Keith, Kimball, Morrill, Scotts Bluff, Sheridan, Sioux

Nebraska Mediation Center (formerly Nebraska Justice Center):
PO Box 1062 | Fremont, NE 68026-1062 | (402) 753-9415 or 800-774-0346 | nmc@nebraskamediationcenter.com | www.nebraskamediationcenter.com 
Counties Served: Antelope, Boone, Boyd, Brown, Burt, Cedar, Cherry, Colfax, Cuming, Dakota, Dixon, Dodge, Holt, Keya Paha, Knox, Madison, Nance, Pierce, Platte, Rock, Stanton, Thurston, Washington, Wayne Tribes Served: Omaha, Winnebago, Northern Ponca, Santee Sioux

The Resolution Center:
120 South 5th Street | Beatrice, NE 68310 800-837-7826 or 402-223-6061 | info@theresolutioncenter.org | www.theresolutioncenter.org 
Counties Served: Butler, Cass, Fillmore, Gage, Jefferson, Johnson, Nemaha, Otoe, Pawnee, Polk, Richardson, Saline, Saunders, Seward, Thayer, York

 

Legal Resources

Legal Resources
Legal Resources

A guardian may need a lawyer to provide legal advice or to advocate on behalf of the ward. Individuals who are financially eligible can receive legal services through legal aid or legal services programs. In addition, under the Older Americans Act, there are special programs of legal assistance for older people who are “in the greatest social and economic need.” For those not eligible for such legal programs, there are private lawyers who focus on assisting elders or individuals with disabilities. 

Nebraska Legal Aid Services
http://www.legalaidofnebraska.org/ 
Legal Aid of Nebraska
209 S. 19th Street, Suite 200
Omaha, Nebraska 68102 
Phone: 402-348-1069
Legal Assistance: (877) 250-2016
Senior Help Line: (800) 662-1772

Nebraska Bar Association
www.nebar.com 
Customer service (800) 927-0117

Nebraska Free Legal Answers (NFLA)
NE.freelegalanswers.org 
​How NFLA works: To determine user eligibility, visit the above website and answer the series of screening questions. Qualified users must be Nebraska residents, 18 years of age or older, meet income eligibility requirements, and cannot be in jail or prison. ​

National Academy of Elder Law Attorneys
National Academy of Elder Law Attorneys (NAELA)
1577 Spring Hill Rd., Suite 310
Vienna, VA 22182 Phone: 703-942-5711* 
Fax: 703-563-9504
Email: naela@naela.org 
www.naela.org (click on “Find an Attorney”)

 

Rx Assistance: Medications, Prescriptions, and More

Rx Assistance: Medications, Prescriptions, and More
Rx Assistance: Medications, Prescriptions, and More

For information on prescription assistance, please visit: http://nebraska.networkofcare.org/aging/links/national.aspx?id=38

 

Assistive Devices

Assistive Devices
Assistive Devices

The following database lists more than 21,000 currently available products from more than 8,000 companies. The database also offers information on non-commercial prototypes, customized and one-of-a-kind products, and do-it-yourself designs. To find specific products for children or parents with disabilities, we recommend that you use the Advanced Search by Keyword below. Note: Many assistive devices are now covered by Medicaid or Medi-Cal. Please visit http://nebraska.networkofcare.org/aging/assistive/index.aspx for a list of devices.

Be My Eyes is a free app that connects blind and low-vision people with sighted volunteers and company representatives for visual assistance through a live video call.

 

Library

Library
Library


The following website contains more than 30,000 articles, fact sheets and reports produced by leading organizations in the fields of healthy aging, caregiving, disabilities, Alzheimer’s and dementia, alternative treatments, Medicare, financial planning, and more. Visit the following website to view health topics by category, medications, medical tests, interactive tools, symptom checker, and many other resources. See http://nebraska.networkofcare.org/aging/library/index.aspx to access the library.

 

Find Services

Find Services
Find Services

To search your area's comprehensive directory to find services related to aging, disabilities, caregiving, Alzheimer's, and more, please visit the following website: http://nebraska.networkofcare.org/aging/services/index.aspx

 

Network of Care

Network of Care
Network of Care

For additional resources and services relating to adults and aging, visit http://www.networkofcare.org/splash.aspx. Select a Network of Care on the left, select your state, then your region determined by your county of residence.

The websites found on the Network of Care are resources for individuals, families and agencies concerned with various issues. They provide information about services, laws, and related news, as well as communication tools and other features. Regardless of where you begin your search for assistance with diverse issues, the Network of Care helps you find what you need – it helps ensure that there is "No Wrong Door" for those who need services.

 

Nebraska’s Money Follows the Person Project

Nebraska’s Money Follows the Person Project
Nebraska’s Money Follows the Person Project


Freedom to Choose
Are you, or a loved one, residing in a long-term care facility such as a nursing home or intermediate care facility (ICF/MR)?

  • Have you considered returning to your family home, an apartment, or a community-based small group home?

  • Would you prefer more independence and the freedom to make meaningful choices about your healthcare needs and daily activities?

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:

  • Home Care/Chore Services

  • Home-Delivered Meals

  • Adult Day Health Care

  • Nutrition Services Independence Skills Building

  • Personal Emergency Response System

  • Transportation (Non-medical and medical)

  • Assistive Technology and Home Modification

  • Home Again

  • Respite

  • Home Health

  • Habilitation Services

  • Team Behavioral Consultation

  • Child Day Services

Nebraska’s Money Follows the Person project can provide you with information about these supportive services and direct you to the appropriate waiver agency which will help you determine your level of needs and the services you may require. Certain eligibility requirements do apply, but the program provides outreach, education, and referral information to all those who are interested in community-based services.

If you, a loved one, or a friend prefer a community-based setting as an alternative to a facility-based setting, call Nebraska’s Money Follows the Person.

Contact Us:
Phone Number:
1-800-358-8802 Ext. 2308 or 1-402-471-2308
Website: http://dhhs.ne.gov/Pages/Medicaid-Money-Follows-the-Person.aspx


Mailing Address:
Nebraska Money Follows the Person
Division of Medicaid and Long Term Care
Nebraska Department of Health & Human Services
P.O. Box 95026
Lincoln, NE 68509-5026

 

Home and Community Services Aged and Disabled Waiver

Home and Community Services Aged and Disabled Waiver
Home and Community Services Aged and Disabled Waiver

What is the Aged & Disabled Waiver?
This is a program that offers an array of services to support people in their homes.

Who may need this program?

Individuals of all ages who:

  • Are eligible for Medicaid and have needs at nursing facility level of care

  • Want to live at home rather than a nursing facility

  • Can be served safely at home

What services may be available through the Aged & Disabled Waiver?
Some of the funded services include:

What is done to ensure the safety and well-being of individuals served by this program?
The Nebraska Medicaid & Long Term Care Home and Community-Based Services (HCBS) Waivers Unit utilizes a Quality Improvement System to ensure the health and well-being of clients through continuous, client-focused monitoring and improvement.

  • The Quality Improvement System is guided by key principles and defined roles and functions.

  • A Quality Council advises the HCBS Waivers Unit on strategies to improve all aspects of the Quality Improvement System and reviews progress on strategies.

  • A HCBS Waiver Unit Quality Improvement Subcommittee composed of DHHS staff, representatives from Local Level Services Coordination Agencies and representatives from the Quality Council, reviews Waiver performance measure data and makes recommendations for changes that may lead to systemic improvement in the quality of services, as well as recommendations related to remediation efforts.

  • Processes are used to measure compliance, CMS assurances, client outcomes and utilization.

Contact someone who can answer your questions about the services in the Aged & Disabled Waiver about:

What does it mean for me to “be eligible for the waiver”?
To be eligible, you must:

  • Be financially eligible for Medicaid.

  • Have physical and health needs which require services similar to those provided by a nursing facility (see the next question also).

  • Have an individualized plan of services and supports that will keep you safe in your home.

OK, so what does it mean for me to “meet nursing facility level of care”?
Nursing facility level of care means you have needs which require you to receive services similar to those provided to individuals who live in a nursing home. For example, you may need assistance with everyday tasks such as getting dressed, taking a bath or shower, eating, or walking safely. A few examples of other areas considered are how much help you need to take medications, any memory problems or health conditions you may have and how they are managed. Persons who apply for Medicaid Waiver are assessed to see if their needs are the same as those of people who live in a nursing home.

I earn too much money to qualify for Medicaid, but my child has a physical disability and we could really use the services of the waiver. Can you help?
There is an exception so that parent’s income is not counted for children served by the waiver. Contact your local DHHS office to begin the Medicaid application process, and be sure to say you want your child assessed to determine if he qualifies for the waiver.

How many hours in the day can I have help?
Each person’s needs are different; there is not a set number of hours of assistance per day from the waiver. You and your Services Coordinator will work together on a plan of services that will meet your needs and keep you safe at home.

I am an adult living in my own apartment. If I qualify for the waiver, who will I get to help me in my home? Who comes in to clean and do laundry? Who comes and helps me while I take a bath?
First, an assessment is completed to determine what kind of help you need to stay safely in your home. Next, staff from the waiver program will be able to connect you with a choice of providers to help you in your home. You choose who provides services for you and when they work for you. Some providers are agencies. Other providers are self-employed and do not work for an agency. If you know someone that you want to work for you as your provider, refer the person to the waiver staff.

Decision Making

Decision Making
Decision Making

Finding the Right Fit: Decision-Making Supports and Guardianship is a free online training designed to assist individuals in exploring ways to help someone who may need assistance in making decisions with informal supports, legal options, and/or adult guardianship.

The National Center on Law & Elder Rights 10 Tips for Guardians of Older Adults is a great resource for making all sorts of decisions concerning guardianship of an older adult.

Residential

Residential
Residential

The Department of Health and Human Services has compiled this roster of long term care facilities in Nebraska for those needing assistance finding long term residential care for a ward.

General Resources

General Resources
General Resources

Nebraska Resource and Referral System generates a list of resources based on location, age group, and provider.