You must reach the age of 59 1/2, and your Roth IRA must have been open for five years, before you can take out any earnings with no taxes or penalties. If you withdraw earnings before five years have passed, you will be subject to a 10 percent penalty plus ordinary income tax.
The Elderly Waiver is a program that is designed to provide in-home services to those 65 and older who may be at risk of going to a nursing facility. 1  Adult Day Care.
Nebraska currently has a TEFRA waiver and three HCBS 1915(c) waivers that serve children. All programs waive parent income. See this overview of Nebraska programs for more detailed information. Nebraska also has several adult-only waivers, including TBI, Day Services Waiver for Adults with DD, and Comprehensive DD Waiver for Adults. Other programs in Nebraska: - pays for respite, mileage, training, home mods and equipment for low income families.