To receive services from DDD, you must be eligible for a Medicaid Home and Community-Based Services (HCBS) Waiver. Eligibility requirements and the application process depend on which waiver you want. All waivers require you to have Medicaid.
To be eligible to receive Aged and Disabled Waiver services, a person must meet the requirements outlined in 480 NAC 5.002:
DHHS aims to provide accurate eligibility determinations in a timely manner.
Referrals are made to local Service Coordination offices:
Anyone can make a referral. The person, their guardian, or a legal representative must participate in the eligibility process.
When Service Coordination receives a referral, a Service Coordinator (SC) is assigned and checks that the person is eligible for Medicaid. Within 14 days from receiving the referral, the SC reaches out to the person to schedule the Level of Care determination. When the person meets the requirements, they are offered AD waiver services.
Level of Care Determination
Aged and Disabled Level of Care is based on the level of care needed to live in a nursing facility. The Level of Care assessment tool depends on how old the participant is.
To be eligible, you must have a developmental disability, as defined in Neb. Rev. Stat. §83-1205:
For more information on developmental disabilities eligibility:
An application for developmental disabilities services is different from an application for Medicaid, Social Security, Economic Assistance, or Behavioral Health Services. These are separate applications, which you may need to also complete.
ACCESSNebraska is the best way to apply. It has an online application.
For a paper application:
If you need assistance to fill out an application, you may visit your local DHHS office.
The Process and Needed Documents
You should get a call a few days after submitting your application. DDD will collect needed documents, which may include:
When an application and documents are received, a decision is usually made within 30 days.
Once eligible, a level of care assessment is completed.
DD Wait List
When you meet the level of care requirement, if you have Medicaid or are a Medicaid-eligible child, you are placed on the wait list. For more information on the DD Wait List, see the Funding section on the main Participant page.
To be eligible to receive Traumatic Brain Injury services, a person must:
*This program is not for acquired brain injury caused by strokes, tumors, and other non-traumatic causes.
A person seeking services from the TBI Waiver should contact the League of Human Dignity, Lincoln Office. The person should also contact the TBI provider to see if they have the ability to support the person's needs.
If you applied for any Medicaid HCBS Waiver services and received a notice of decision, find out what your next steps can be: I was determined Eligible
I was determined Not Eligible If you have questions about eligibility or application call (877) 667-6266 or email firstname.lastname@example.org.