Get ready to apply
Nebraska Department of Health and Human Services
Lifespan Respite Planned Subsidy
What you get
Up to $125 a month and $1,500 a year for respite for an unpaid primary caregiver. Open now.
- Who starts it
- You, with a document from your doctor
- How it’s sent
- Email to dhhs.respite@nebraska.gov, or by post
- Your time
- About 15 minutes, plus waiting for the document
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Other ways to pay are considered first.
- 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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Ask your doctor for the documentStart here. This is the part that takes the longest.
Nebraska Department of Health and Human Services needs a note confirming the diagnosis from your doctor. Copy this message, or say it in person at the next visit.
Hi [doctor’s name], We’d like to apply to Nebraska Department of Health and Human Services’s Lifespan Respite Planned Subsidy. They offer up to $125 a month and $1,500 a year for respite for an unpaid primary caregiver, and they are taking applications now. They need a note confirming the diagnosis from you. Their form and instructions are here: https://dhhs.ne.gov/Pages/Respite.aspx Could you do that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their formPrint it, or fill it in on screen if the PDF allows.
Open the application PDF ↗ Checked Aug 27, 2026What the form asks for
DDA-1400 published application questionsCare Recipient Name; Date of Birth; Gender; Living Arrangements; Mailing AddressDescribe Care Recipient’s special needs such as day-to-day care routines that require extra support: (Answer Required)Primary caregiver information, caregiving time, stress, health, employment, and missed workResources/assets; income; disability-related expensesHave ready
- Completed and signed DDA-1400.
- Income/resource verification if requested; self-employment requires IRS income verification.
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Email your application and the document togetherTo dhhs.respite@nebraska.gov. Or post it to the address on the form.
- Email dhhs.respite@nebraska.gov (recommended), fax 402-742-8356, or mail to Lifespan Respite Subsidy, PO Box 98933, Lincoln, NE 68509-8933.
Email: dhhs.respite@nebraska.gov
Fax: 402-742-8356
Subject: Lifespan Respite Planned Subsidy application, [child’s name] Hello, Attached are our completed application and the document from [doctor’s name] at [hospital]. Please let me know that it arrived and if anything is missing. Thank you, [your name] · [phone]
After you send
Call 402-471-9188 or 866-737-7483 for completion help or to confirm receipt. If you have not heard back in two weeks, write and ask whether it arrived.
