Legally Responsible Individual (LRI) Program
Get Paid as a Family Caregiver in Fremont, Columbus, Norfolk, Blair and Omaha
Already providing extraordinary care? You may qualify to receive Medicaid compensation for care you’re already giving at home. Promedcare helps Nebraska families transform caregiving into a paid profession through the Legally Responsible Individual (LRI) Personal Care program.
Caring for a child or spouse with significant medical or personal care needs can be both rewarding and challenging. In Nebraska, the LRI program recognizes that some family members provide “extraordinary care”, hands-on assistance beyond typical household support, and offers Medicaid payment to those qualifying caregivers. Promedcare partners with families across Fremont, Columbus, Norfolk, Blair and Omaha to navigate program requirements, complete assessments, and deliver compliant, compassionate care.
What Is Nebraska’s LRI Personal Care Program?
Nebraska’s LRI program is part of the Home and Community-Based Services (HCBS) waivers administered by the Department of Health and Human Services (DHHS). It allows natural or adoptive parents of children under age 19 and spouses of adults enrolled in the Aged and Disabled (AD) Waiver to become paid caregivers when they provide extraordinary care. Rather than hiring an outside caregiver, the LRI program empowers families to hire themselves, receive training, and be compensated for care they already deliver.
Key Features of the LRI Program:
- Paid Family Caregiving: Eligible caregivers can receive Medicaid reimbursement for documented hours of extraordinary care.
- Extraordinary Care Definition: Hands-on assistance with Activities of Daily Living (ADLs) or Instrumental ADLs (IADLs) that exceed normal family support, such as complex feeding techniques, catheter care, or wound management.
- Service Coordination: Promedcare acts as the enrolled provider agency, handling payroll, training, and compliance reporting.
- Flexible Care Plans: Approved care hours and tasks are tailored to each family’s unique needs and circumstances.
Who Qualifies for LRI Payments?
To qualify, both the caregiver and care recipient must meet specific criteria:
Care Recipient Eligibility:
- Age and Program Enrollment
- Children under 19 must have a qualifying disability and be enrolled in Nebraska Medicaid.
- Spouses aged 19 or older must be enrolled in the AD Waiver program.
- Extraordinary Care Need
- The care recipient must demonstrate a need for extraordinary care via the DHHS DD-26 assessment tool.
- Medicaid Eligibility
- Income and asset limits apply (aligned with Medicaid guidelines for waiver services).
Caregiver Eligibility:
- Relationship
- Natural or adoptive parent of a minor child with disabilities.
- Spouse of an adult enrolled in the AD Waiver.
- Enrollment
- Must complete required background checks, training, and orientation as Promedcare employees.
- Compliance
- Adhere to DHHS documentation and reporting requirements for paid caregiving hours.
How Promedcare Guides Families Through the LRI Process
Navigating state programs can be complex. Promedcare offers a structured, step-by-step approach to ensure families understand each phase and maximize their eligible care hours and payments:
1. Free Initial Consultation
Discuss your family’s caregiving situation, review program basics, and determine preliminary eligibility. We gather health history, care routines, and current support levels.
2. Service Coordination Referral
Promedcare refers families to their local DHHS Service Coordinator, who initiates the official LRI application. We coordinate scheduling and document preparation to streamline the process.
3. DD-26 Extraordinary Care Assessment
A qualified assessor from the state evaluates the care recipient’s medical and functional needs using the DD-26 tool.
4. Caregiver Enrollment
Once eligibility is confirmed, Promedcare handles caregiver enrollment tasks:
- Background checks
- Mandatory training on personal care, safety protocols, and documentation procedures
- Payroll setup and benefit enrollment as Promedcare employees
5. Service Plan Development
Working with your DHHS Service Coordinator, Promedcare develops a customized service plan detailing approved care tasks, hours, and reporting requirements.
6. Begin Paid Caregiving
Caregivers start providing approved services and recording hours using Promedcare’s compliant time-tracking system. Weekly paychecks reflect documented care hours at competitive rates.
Local Expertise in Five Nebraska Communities
Fremont & Dodge County
With a longstanding Fremont presence, Promedcare has deep relationships with local medical professional. We leverage these connections to support families through every aspect of care delivery.
Columbus & Platte County
Columbus caregivers often juggle multiple responsibilities, including farm operations. Promedcare’s flexible scheduling and on-call coordination ensure that extraordinary care needs are met without disrupting family livelihoods.
Norfolk & Madison County
Norfolk serves as a regional hub for northeast Nebraska. Our Norfolk team excels at connecting rural families with specialized medical resources in nearby metropolitan areas while providing personalized, community-driven support.
Blair & Washington County
Blair families benefit from our close-knit approach, combining neighborly care with professional expertise. We pride ourselves on building trust through consistent presence and reliable communication.
Omaha & Douglas County
Promedcare’s new Omaha location brings our LRI expertise to the state’s largest urban center. We understand the complexities of Douglas County’s healthcare network, ensuring seamless coordination with local hospitals, clinics, and schools.
Why Choose Promedcare for LRI Services?
Comprehensive Support
Promedcare manages all administrative, training, and payroll tasks so families can focus on caregiving without the burden of paperwork.
Expert Training
All caregivers receive in-depth training—ensuring the highest quality of care.
Seamless Integration with Other Services
Families who qualify for the AD Waiver can combine LRI services with respite care, companion services, and specialized respiratory care, creating a holistic care continuum.
Local Relationships & Trust
Our established reputation in Fremont, Columbus, Norfolk, Blair and Omaha, means families partner with a provider deeply invested in their community’s wellbeing.
Getting Started Today
Transform the care you’re already providing into a paid profession with Nebraska’s LRI program. Contact Promedcare to schedule your free consultation, and let our experienced LRI specialists guide you through eligibility, assessment, training, and service implementation. Whether you’re in Fremont, Columbus, Norfolk, Blair and Omaha, our local teams are ready to support your family’s caregiving journey.
Start getting the compensation you deserve for the extraordinary care you provide.