Waiver Services Coordinator Referrals

Services Coordinators for the Home and Community Based Medicaid Waivers make referrals to ATP for assistive technology and modifications for home and vehicles.

Mobile home with a wheelchair lift installed next to the steps.


► Referrals are submitted electronically.     

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 Please read carefully as you complete the form. Thank you.

►​ Service Coordinators: Please hold off sending in a referral if the consumer or their family is currently experiencing flu like symptoms.  

  Make a referral 

                       

 Waiver Guidelines


If you have questions contact:
May Faith, Program Supervisor
may.faith@nebraska.gov
(531) 207-9028