Nebraska Funding Resources for Adaptive Mobility Equipment
For Nebraska families raising a child or supporting a loved one with a disability, the right adaptive mobility equipment can make everyday life safer, easier, and more inclusive.
Adaptive mobility can support much more than transportation. It can help a child or adult participate in family walks, community activities, school events, vacations, outdoor experiences, and everyday life.
But specialized mobility equipment can also represent a significant financial investment.
Fortunately, Nebraska families may have several potential funding pathways to explore, including Nebraska Medicaid, EPSDT, Developmental Disabilities Waivers, assistive technology programs, special healthcare programs, private insurance, nonprofit grants, alternative financing, and community fundraising.
Funding is never guaranteed. Every program has its own eligibility, medical-necessity, provider, authorization, and documentation requirements.
However, understanding the available resources — and preparing the right documentation — can make the process much easier.
Below are some of the most important Nebraska resources we recommend families explore.
TOP Nebraska Funding & Equipment Resources
1. Nebraska Medicaid & EPSDT
Best for: Medicaid-enrolled children and young adults under age 21 who require medically necessary mobility equipment, assistive technology, or related healthcare services.
Nebraska Medicaid provides healthcare coverage to eligible children, adults, and individuals with disabilities.
For children and young adults under age 21, one of the most important Medicaid protections to understand is:
Early and Periodic Screening, Diagnostic and Treatment — EPSDT
EPSDT is the federal Medicaid benefit designed to ensure that Medicaid-enrolled children receive medically necessary healthcare needed to correct or improve physical, developmental, behavioral, or other health conditions.
For families seeking adaptive mobility equipment, this can be an important pathway to investigate.
Why xROVER USA recommends reviewing this resource:
When a child's disability affects:
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Walking ability
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Walking endurance
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Balance
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Safety
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Elopement or wandering
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Positioning
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Community mobility
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Caregiver-assisted mobility
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Ability to participate outside the home
the family should discuss these functional needs with the child's physician, PT, OT, and Medicaid provider.
A request for adaptive mobility equipment may require:
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Physician order or prescription
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Letter of Medical Necessity
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PT or OT evaluation
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Functional mobility assessment
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Product specifications
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Formal quotation
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Prior authorization
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Documentation explaining why existing mobility equipment is inadequate
xROVER USA note:
The strongest funding request focuses on the child's medical, functional, safety, and mobility needs — not simply recreation.
For example, instead of explaining only that the family would like to go hiking, documentation should explain the underlying functional problem:
Why can the child not safely participate using ordinary mobility equipment?
Relevant factors may include limited endurance, unsafe walking, fall risk, elopement, positioning needs, sensory or behavioral safety concerns, caregiver assistance, terrain limitations, and inability to safely access community environments.
Families should ask whether the requested adaptive mobility equipment can be evaluated under Nebraska Medicaid and EPSDT medical-necessity requirements.
2. Nebraska Developmental Disabilities Waivers
Best for: Eligible children and adults with intellectual or developmental disabilities who receive Home and Community-Based Services.
Nebraska provides several Medicaid Home and Community-Based Services waivers for people with developmental disabilities.
Depending on the individual's age, needs, eligibility, and waiver enrollment, services can support independence, community participation, and living outside institutional settings.
Nebraska's developmental disability waiver system includes programs such as:
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Family Support Waiver
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Developmental Disabilities Adult Day Waiver
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Comprehensive Developmental Disabilities Waiver
Importantly, Nebraska identifies:
Assistive Technology
as an available service under its developmental disability waiver system.
Assistive Technology is generally intended to help an eligible participant increase their ability to perform activities of daily living, control their environment, reduce reliance on other assistance, and support independence and community integration.
Why this matters for xROVER families:
A family already receiving Nebraska DD services should speak with their Service Coordinator before purchasing adaptive equipment.
Ask whether the individual's documented mobility or functional needs could be evaluated through:
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Assistive Technology
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Nebraska Medicaid
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EPSDT
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Another applicable waiver service
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Another disability-related funding pathway
Eligibility for a DD waiver does not automatically mean that an xROVER or any particular adaptive stroller will be approved.
The equipment must meet the applicable service definition and the individual's documented needs.
Ask your Service Coordinator:
“Could adaptive mobility or assistive technology related to my child's documented functional needs be considered under their current services?”
If supporting documentation is required, xROVER USA can help prepare professional product, clinical, functional, and funding materials.
3. Nebraska Assistive Technology Partnership — ATP
Best for: Assistive technology assessment, equipment demonstrations, short-term loans, equipment reuse, funding research, and connections to potential funding sources.
Nebraska's Assistive Technology Partnership has been helping Nebraskans with disabilities access assistive technology since 1989.
ATP serves individuals of all ages and disabilities across Nebraska.
This is one of the most valuable statewide resources for families exploring adaptive equipment.
ATP can help individuals:
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Explore assistive technology options
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Compare equipment
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Receive equipment demonstrations
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Borrow equipment before purchasing
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Access reused equipment
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Identify potential funding resources
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Connect with government and nonprofit programs
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Explore alternative financing
Resource and Funding Coordination
One particularly useful ATP service is its funding coordination process.
ATP does not directly pay for assistive technology equipment.
Instead, after receiving a Service and Device Application, an ATP Resource Coordinator can research potential resources based on factors such as:
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Disability
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Requested equipment or service
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Program eligibility
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Funding availability
ATP may then connect the individual with organizations or programs that could potentially cover or supplement the requested equipment.
Why xROVER USA recommends ATP:
This approach aligns very well with adaptive mobility funding.
A family may discover that no single program will cover the entire cost.
ATP can help identify multiple possible resources rather than forcing the family to search independently.
Contact:
Nebraska Assistive Technology Partnership
Phone: 402-471-0734
Toll-Free in Nebraska: 877-713-4002
Email: atp@nebraska.gov
xROVER USA note:
Families interested in an xROVER should contact ATP before purchasing and explain the disability-related mobility needs the equipment is intended to address.
Ask whether ATP can help identify programs that might fund or partially fund the requested adaptive mobility solution.
ATP Equipment Demonstration, Loan & Reuse Programs
Nebraska ATP also operates equipment programs that allow people with disabilities to explore assistive technology before purchasing.
Services include:
Equipment Demonstrations
ATP specialists can help individuals compare the features and benefits of different types of assistive technology.
Short-Term Equipment Loans
Equipment may be borrowed temporarily to:
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Try before purchasing
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Evaluate whether technology meets the person's needs
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Bridge a gap while existing equipment is being repaired or replaced
Equipment Reuse
Nebraska's ReUse Network helps connect people with used or donated assistive technology and Durable Medical Equipment.
Available equipment varies and may include items such as:
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Manual wheelchairs
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Power wheelchairs
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Walkers
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Portable ramps
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Daily living equipment
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Other mobility and assistive devices
An xROVER should not be assumed to be available through the reuse inventory.
However, the program is an important resource for Nebraska families with broader mobility and equipment needs.
Alternative Financing
When Medicaid, insurance, grants, or other programs cannot cover the full cost of assistive technology, Nebraska families may also explore alternative financing.
ATP identifies financing programs that can help eligible individuals purchase assistive technology and disability-related equipment.
Available programs may include:
Credit-Building Mini-Loans
Approximately:
$100 – $1,999
for certain assistive technology, devices, services, or related needs.
Traditional Alternative Financing Loans
Approximately:
$2,000 – $35,000
for larger disability-related purchases such as assistive technology, vehicle modifications, or home modifications.
Loan approval, terms, interest rates, eligibility, and eligible purchases are determined by the applicable financing program.
xROVER USA note:
Alternative financing should generally be considered after exploring insurance, Medicaid, waiver programs, grants, and other funding resources.
Before applying, families should verify whether their specific adaptive mobility equipment qualifies under the current program rules.
4. Nebraska Medically Handicapped Children's Program — MHCP
Best for: Nebraska children and young adults with qualifying chronic medical conditions and specialized healthcare needs.
Nebraska's Medically Handicapped Children's Program provides specialized medical services for children and youth with special healthcare needs.
Services can include:
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Service coordination
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Case management
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Specialty medical team evaluations
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Access to specialty physicians
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Payment for certain authorized medical services
Basic eligibility considerations include:
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Birth through age 20
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Nebraska residency
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Eligible chronic medical condition
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Active individual medical treatment plan
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Other program-specific requirements
Qualifying medical conditions can include conditions such as cerebral palsy and other serious chronic medical diagnoses.
Why this matters:
MHCP should not automatically be presented as a direct funding source for an xROVER.
However, the combination of specialized healthcare coordination, medical professionals, and authorized medical services can make it a valuable resource for qualifying families.
A case manager or specialty healthcare team may also help identify additional Medicaid, insurance, therapy, equipment, or community resources.
xROVER USA note:
If your child has a significant chronic medical condition, ask Nebraska DHHS whether they qualify for the Medically Handicapped Children's Program and whether the program can assist with mobility-related needs, care coordination, or appropriate funding referrals.
Other Nebraska Special Health Care Needs Programs
Nebraska DHHS also operates several programs for specific populations with disabilities and special healthcare needs.
These include:
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Disabled Children's Program
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Disabled Persons and Family Support
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Genetically Handicapped Persons Program
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Lifespan Respite
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Medically Handicapped Children's Program
Each program has different eligibility requirements and provides different types of assistance.
Families should not assume that every program will pay for adaptive mobility equipment.
However, these programs can sometimes provide direct support, care coordination, disability-related services, or referrals to other resources.
Don't Forget Private Insurance
Families with employer-sponsored or private health insurance should investigate their Durable Medical Equipment and mobility benefits.
Ask specifically about:
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Durable Medical Equipment
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Adaptive strollers
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Pediatric mobility devices
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Wheelchairs
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Complex rehabilitation equipment
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Mobility equipment
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Out-of-network DME benefits
Do not assume that an adaptive stroller is excluded simply because of the word “stroller.”
The important issue is whether the equipment can be justified as medically and functionally necessary for the individual.
If coverage is denied, request the denial in writing.
A written denial may become useful when pursuing Medicaid, waiver programs, assistive technology funding, grants, nonprofit organizations, or other resources.
Grants & Nonprofit Funding
When Medicaid, insurance, or state programs cannot cover the full cost of adaptive mobility equipment, Nebraska families may also explore nonprofit and charitable funding.
Potential opportunities may exist through organizations supporting:
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Children with disabilities
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Adaptive mobility
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Autism
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Cerebral palsy
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Developmental disabilities
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Rare diseases
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Adaptive recreation
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Medical equipment
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Community participation
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Family quality of life
Grant availability and eligibility requirements change frequently.
Families should generally avoid relying on a single organization.
In some situations, several funding resources may need to be combined.
A Smart Nebraska Funding Strategy
For many Nebraska families, we recommend exploring funding in approximately this order:
1. Private Insurance
Determine whether adaptive mobility, DME, wheelchair, or adaptive stroller benefits are available.
2. Nebraska Medicaid / EPSDT
For Medicaid-enrolled children and young adults under age 21, investigate whether the requested mobility equipment can be evaluated as medically necessary.
3. Nebraska Developmental Disabilities Services
If the individual receives DD waiver services, discuss Assistive Technology and mobility needs with the Service Coordinator.
4. Nebraska Assistive Technology Partnership
Submit a Service and Device Application or contact ATP to explore equipment options and identify potential funding resources.
5. Nebraska Special Health Care Needs Programs
For qualifying children and individuals, investigate programs such as MHCP, Disabled Children's Program, and other applicable Nebraska services.
6. Grants & Nonprofit Organizations
Apply to appropriate disability, diagnosis-specific, mobility, and family-support organizations.
7. Alternative Financing
If a remaining balance exists, explore available assistive technology financing programs.
8. Community Fundraising
When necessary, combine formal funding efforts with support from family, friends, schools, churches, employers, community organizations, and online fundraising.
Documentation Can Make the Difference
A strong funding request should clearly explain the connection between the individual's disability-related needs and the requested mobility solution.
Helpful documentation may include:
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Diagnosis
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Age
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Height and weight
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Current mobility level
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Walking ability and endurance
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Fall history
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Elopement or wandering concerns
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Head and trunk control
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Positioning requirements
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Current wheelchair or adaptive stroller
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Why existing equipment is inadequate
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Growth considerations
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Community mobility limitations
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Caregiver assistance requirements
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Physician order or recommendation
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PT or OT evaluation
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Letter of Medical Necessity
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Formal quotation
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Product specifications
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Supporting clinical information
The strongest applications explain why the equipment is medically, functionally, and safely needed — not simply why the family would like to own it.
How xROVER USA Can Help Nebraska Families
Navigating insurance, Medicaid, waivers, physicians, therapists, Service Coordinators, and funding organizations can feel complicated.
You don't have to navigate the process alone.
xROVER USA can help families prepare professional documentation for potential submission to physicians, therapists, Medicaid, insurance companies, Service Coordinators, HCBS programs, assistive technology organizations, nonprofit organizations, and grant providers.
Depending on your family's situation, we can help prepare:
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Personalized xROVER Family Mobility Assessment™
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Official xROVER Quotation™
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Professional size and configuration recommendation
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Product specifications
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Clinical and functional benefits information
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Letter of Medical Necessity support
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Physician documentation guidance
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PT / OT documentation support
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Funding Submission Cover Letter™
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Information for Service Coordinators
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Nebraska-specific funding guidance
For families using our complete funding assistance service, the process is structured around two transparent components:
xROVER ADVENTURE Mobility Package™
The adaptive mobility equipment and selected configuration.
xROVER Funding Success Package™
Professional consultation, documentation preparation, clinical and functional support materials, and assistance navigating potential funding pathways.
Funding approval can never be guaranteed.
Final eligibility and coverage decisions are always made by the individual insurance company, Medicaid program, waiver agency, state program, nonprofit organization, lender, or other funding source.
Need Personal Funding Assistance?
Every family is different.
A child with autism and significant elopement risk may have very different mobility needs from a teenager with cerebral palsy, a child with a rare genetic condition, or an adult with limited walking endurance.
That's why we start with the family — not the paperwork.
Tell us about your child or loved one, their mobility challenges, and what you would like to be able to do together.
We'll help determine the appropriate xROVER configuration and identify potential Nebraska funding pathways worth exploring.
Contact Peter Kral
Peter Kral
Owner & President
xROVER USA – Premium Adaptive Outdoor Mobility Systems
USA: +1 (941) 278-2882
Email: info@ixroverfl.com
Website: www.xrover-usa.com
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