Get ready to apply
Nebraska Department of Health and Human Services
Lifespan Respite Exceptional Circumstances
What you get
Up to an extra $2,000 per approval period for respite during an unexpected crisis or unusually high care need. Open now.
- Who starts it
- You
- How it’s sent
- Email to dhhs.respite@nebraska.gov, or by post
- Your time
- About 15 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Cancer alone may not satisfy disability, SSI, Medicaid, developmental, caregiver, or level-of-care requirements; individual authorization and capacity rules apply.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open the application PDF ↗ Checked Aug 27, 2026Send it by email to dhhs.respite@nebraska.gov.
What the form asks for
CFS-1410 published questionsExplainHow would taking short breaks HELP you and the person you provide care to? ExplainWhat are your immediate respite needsIf approved, how do you plan to use the additional respite supportHave ready
- Completed and signed CFS-1410 exceptional-circumstances request.
After you send
Call 402-471-9188 with questions or to confirm receipt. If you have not heard back in two weeks, write and ask whether it arrived.