A program to ensure that Medicaid applicants are receiving the most appropriate level of care, Senior Care Options (SCO) began in January 1997 in response to legislation passed by the Nebraska Legislature. Whenever an older adult applies for Medicaid to help pay for nursing home care, that individual is referred to the Senior Care Options program. SCO counselors perform assessments of the applicants living situations and consult with the applicant, family members, physicians, and nursing home staff in order to learn:
After evaluating the situation, the SCO counselor will be available to counsel the Medicaid applicant about options, which may include care in the home, recuperative care, or nursing home placement. The SCO counselor will help set up the services and discuss how to pay for those services. In some cases, Medicaid funds may be available for community-based care in the home as well as for nursing home care.
The goal of SCO is to provide frail, elderly Medicaid applicants with all the information they need to make informed decisions about their options. In addition to helping frail, older adults find “the right care at the right time,” Senior Care Options saves taxpayer dollars by making Medicaid more efficient.
Age 65 or older, Medicaid-eligible or Medicaid-pending and actively seeking nursing facility admission.
For more information call 402-546-1870
The Aged Medicaid Waiver program is a service system based upon the belief that people with care needs should have options for receiving services. After thorough needs identification and service planning, eligible persons are offered the choice of receiving home and community-based services or entering a nursing home.
Persons who are age 65 or older may be eligible for waiver services if they…
This waiver allows Medicaid money to be used to purchase the following services that are not usually considered “medical.”
The Eastern Nebraska Office on Aging service coordinators accept referrals from all sources. A visit is scheduled to meet with each potential client. During the interview, the service coordinator and the client determine needs and develop a care plan.
How To Apply
To request waiver services for yourself or to refer another person, call the Eastern Nebraska Office on Aging at 402-546-1870 or 1-888-554-2711.
Care managers work individually with older adults and their family members. ENOA care managers are trained to help frail older adults remain independent for as long as possible.
Some problems should not be faced alone. A medical condition or perhaps the loss of a spouse may signal a change in life that requires the support of others. There are many services, programs, and opportunities available for people who want to stay independent and remain a part of the community. ENOA care managers evaluate the living situation of frail older adults to find the community resources to meet their specific needs. Care managers design personalized care plans, provide information on resources, help set up services as appropriate, and provide ongoing monitoring of services.
Care management through ENOA is available to any frail adult age 60 or older in Douglas, Sarpy, Dodge, Washington, and Cass counties. Eligibility is determined through completion of a comprehensive assessment.
Description of program: ENOA care managers assess all aspects of a client’s life, including:
• Activities of daily living
• Instrumental activities of daily living
• Social interaction
• Cognitive abilities
• Overall health
• Home safety
After completing the assessment interview, a care manager will make recommendations about the appropriate community resources to meet any needs. The client makes the final determination about any services that may be enlisted.
Fee: Fees for care management services are based on a sliding scale, set by the federal poverty guideline. An individual’s income must be more than 150 percent of the poverty guideline before a care management fee is charged.
How to apply
To request care management services for yourself or to refer another person, call ENOA’s Information & Assistance line at 402-444-6536.
In the State of Nebraska there are about 200,000 residents providing care for their aging parents, spouses or other loved ones. Unpaid caregiving is a 24 hour/day “job” that families lovingly provide. Keeping a senior loved one at home for as long as possible is a laudable goal.
Unfortunately, caregivers also experience other emotions and stresses: lack of sleep, health problems, depression and worry. Where can caregivers find some much-needed relief and support?
The Caregiver Support Program of ENOA may be able to help. The primary goal of CSP is to provide “respite” to caregivers. In order to qualify for this program, the care receiver needs to be at least 60 years of age with help needed in at least 2 activities of daily living. A diagnosis of Alzheimer’s disease or other dementia can also be a qualifying factor. Caregivers must be at least 18 years of age or older. Eligibility for CSP is determined by completing a comprehensive assessment with the help of a care manager provided by ENOA.
The caregiver is the client in CSP. Respite for the caregiver may include in-home assistance or having the care receiver attend a qualified adult day program. Care managers also provide on-going supportive services that can include counseling, resources for additional help, and just being available to talk with caregivers in dealing with the stresses that are part of caregiving.
If this sounds like something that would benefit you or someone you know, please call us at 402-444-6536 and request the “Information and Assistance” staff to help guide you through the process of getting help.
Goal: Provide an emergency response service to low income older individuals who meet program guidelines assisting them in maintaining their independence in a safe environment in their home.
Eligibility: Clients must be 60 years of age and meet the eligibility requirements of ENOA’s Care Management Service, the income eligibility and the eligibility checklist for the Emergency Response Service.
Description on Service: The Eastern Nebraska Office on Aging has an agreement with three providers to provide clients a response unit that is connected to the client’s landline and one emergency response button, either a bracelet or necklace. A cellular option is also available. The providers install the equipment, train the clients on its usage and provides a monitoring service. If the client uses the service by pushing the button, a report on the incident and the result is sent to the client’s case manager for follow-up.
Program Fees: Eligible clients are asked to contribute towards the cost of the service on a sliding scale, based on their monthly income.
Counties Served: Douglas, Dodge, Washington, Sarpy and Cass
For more information call 402-444-6536
Goal: To help individuals 60 and over maintain their own home and remain independent by assisting with housekeeping tasks they may no longer be able to perform.
Eligibility: Recipients must be age 60 or older. Eligibility must be determined by an ENOA Care Manager.
Fee: A contribution request is based on a sliding fee scale and will be sent to each client at the end of the month.
*Money is never given to the homemaker.
Counties served: Douglas, Sarpy, Dodge, Washington, and Cass
What a homemaker can do:
• Carry out trash
• Change bed linens/make bed
• Clean the bathroom
• Clean the bedroom
• Clean range
• Clean & defrost refrigerator
• Grocery shopping
• Laundry (home/laundromat)
• Mopping floor with mop
• Prepare food
• Wash dishes/load & unload dishwasher
• Wash mirrors
Contractors: ENOA does not contract with individual providers for this service; we contract with businesses only.
Food is one of the most basic of human needs. Yet it is something many of us take for granted. Some people are homebound, have no family members nearby, and have few options for getting groceries into their homes. Others may be physically or mentally unable to prepare meals. For those individuals, the ability to receive basic, reliable nutrition may mean the difference between independence and institutionalization.
For 45 years, the Eastern Nebraska Office on Aging’s Meals on Wheels program has filled the nutritional needs of the homebound by providing hot, noon meals, personally delivered by our team of volunteers and paid drivers. Meals are delivered Monday through Friday. To receive the Meals on Wheels service, the following criteria should be met by clients who are:
If you know of an individual in Douglas, Sarpy, Dodge, Cass or Washington County who would benefit from receiving meals on wheels, call 402-444-6536 and request Information and Assistance. We will need the following information:
Individuals are asked to contribute to the cost of the service, based on their monthly income. Contribution statements are sent out each month. Low income individuals may be eligible to have this service covered by the Nebraska Department of Health and Human Services.
Donations are always welcome to help support the Meals on Wheels program.
If you are interested in volunteering to deliver Meals on Wheels,
please click here on Volunteer Application .
Then email completed application to the address located on the upper right corner of the form.
Where the menu always includes food, friendship, and fun!
All Eastern Nebraska Office on Aging senior center serves hot midday meals evaluated by a registered dietitian to meet one-third of the recommended daily allowance of nutrients and to comply with the dietary guidelines for older Americans.
Do you want a chef salad rather than a hot meal? Some of ENOA’s senior centers also offer the choice of a deli meal to better serve the participants’ varied tastes.
There are several senior centers that offer a meal in the evening for those who want to visit with friends after dark. These special meals are offered from once a month to once a week depending on the center. You can find out which centers offer the special evening meal by visiting the complete list of ENOA Senior Centers.
A contribution between $4 and $5 – depending on the senior center – is suggested for each meal. Check with the center near your home for more information on the suggested contribution rate.
Reservations need to be called into the center you plan to attend and made by noon on the business day prior to the day you wish to enjoy the meal.
A monthly menu for the centers catered by Treat America is available by clicking on the menu link below. For a menu listing for the centers not catered by Treat America check with those centers for more information.
To provide a flexible meal schedule for busy participants, ENOA’s Nutrition Division has developed the Diner’s Choice program in conjunction with the Hy-Vee store at 5150 Center St. The program allows recipients to have breakfast, lunch, dinner, or anything in between to help them work around their schedule. An ENOA dietitian evaluates the Diner’s Choice meals. For more information, please call 402-444-6513.
The Nutrition Department at the Eastern Nebraska Office on Aging is providing Grab and Go Meals to seniors who are 60 years of age and older in the ENOA service area. These meals are provided to replace the congregate meals not available during the time the senior centers are closed.
Seniors must make reservations for pick-up by calling the senior center listed above the day prior to service. Meals will be available for a curbside pick-up. Check with the center manager for specific times and pickup location.
Participants will receive an envelope to allow them the opportunity to provide a contribution for the meal. The suggested contribution is $4.00. These can be returned at the distribution site when they pick-up future meals.
Description of service: The Personal Care Services Program contracts with several local home care agencies to provide personal care aides for older adults. The aides visit the home at a scheduled time and can perform a variety of personal care services such as assistance with bathing, washing hair and personal grooming.
Goal: To provide low-cost personal care services to frail, low-income elderly.
Fees: Clients are asked to contribute based on a sliding scale, according to income. No one is denied access to service due to an inability to pay.
Contractors: ENOA does not contract with individual providers for this service; we contract with businesses only.
Counties served: Douglas, Sarpy, Dodge, Cass and Washington
For more information call 402-444-6536.