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Caregiver Respite Grant


Studies have shown that respite care can help improve quality of life for both the individual living with Alzheimer's and family caregivers by providing social engagement and cognitive stimulation for the individual and affording a much-needed break for the caregiver.1 


Caregiver Support Services (CSS) is pleased to introduce our new Caregiver Respite Grant program. As recipients of the Alzheimer's Foundation of America's Phyllis and Milton Berg Bi-Annual Respite Grant, CSS is offering family caregivers the opportunity to take a break to attend to their overall well-being. Caregivers who are caring for a loved one who has a diagnosis of Alzheimer's disease are eligible to apply for a grant in the amount of $250.00 to pay for 8 hours of respite (per family).  


Am I Eligible? 

To qualify for the Caregiver Respite Grant program, your loved one must have a documented (by a physician) diagnosis of Alzheimer's disease and meet the income guidelines.  


Income Guidelines 

The applicant must meet the Department of Health and Human Services income requirement standards as listed below: 


2-004.03A Family Size: Family size is determined by the number of adults and/or children related by blood, marriage or adoption who reside in the same household. An unborn child may be included. The following are considered separate families: 

1.    Related adults other than spouses and unrelated adults who reside together; 

2.    Children living with non-legally responsible relatives; 

3.    Emancipated minors; 

4.    A minor parent; and 

5.    Children placed outside the home and who are not residing full-time with the biological parents or usual caretaker. 


2-004.03C Income Eligibility: Clients whose gross income minus allowable disregards is at or below 312 percent of the Federal poverty level for the appropriate family size, meet the income criteria for the Respite Subsidy Program. 


Income Levels (312% Federal Poverty Level) 


Family Size 

Monthly Income Criteria 

















Family Size 

Maximum Financial Resource Limit  



2 or more 



*Proof of income can be provided in the form of a tax return, W-2, other individual income statement, or proof of Medicaid eligibility.  

Qualified Providers 

For the purposes of this grant care can be provided in the home or in an adult day care setting of the caregiver's choosing. To qualify the home care agency or adult day center must be licensed and in good standing in the state of Nebraska or Iowa. The organization must meet the requirements for training and quality standards set forth in the Nebraska/Iowa regulations for Home Care providers or Adult Day Centers. Caregiver Support Services will pay the caregiver's preferred respite provider directly.  


How will I know if my Application is Approved? 

Applications will be reviewed as they are received. Caregivers will be notified of their approval within two weeks of the application submission. All documentation must be received to be considered.  


1)  Download the Caregiver Support Services Respite Grant Application 

2)  Print and Complete the Application 

3)  Regular Mail or Email Completed Application to: 

Caregiver Support Services 

P.O. Box 4291 

Omaha, NE 68104 






1Alzheimer's Foundation of America. (2018). Alzheimer's Foundation of America Awards $115,000 in Grants to Fund Respite Care Services for Families Affected by Alzheimer's. Retrieved from 


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