Developmental disabilities services must comply with state regulations, known as the Nebraska Administrative Code (NAC).
The following regulations apply to developmental disabilities services:
Pursuant to 42 C.F.R. §441.304(f), the Nebraska Department of Health and Human Services (DHHS) is required to give public notice related to the state's plan to amend a Medicaid Home and Community-Based Services (HCBS) waiver for individuals with who are disabled or aged.
The Nebraska Department of Health and Human Services (DHHS), Division of Medicaid and Long-Term Care (MLTC) is developing an amendment to implement changes to the 1915(c) Home and Community Based (HCBS) Aged and Disabled (AD) Waiver.
The 30-day public comment period is from November 5, 2020 – December 5, 2020.
PowerPoint from November 10 and 17 Presentations - Statewide Webinars offered for comment.
The following lists a summary of the proposed changes:
View the draft HCBS AD Waiver application.
A hard copy of the waiver application can be requested via mail, email, or by phone at (402) 471-9156.
Interested persons are invited to submit their written comments to the Department. Written comments must be received by December 5, 2020.
Public comments may be:
After the public comment period, when submitted to the Centers for Medicare and Medicaid, the HCBS waiver will include a summary of the public comments received during the public input process, and if any comments were not adopted, the reasons why. The summary will also specify any modifications made to the waiver as a result of the public input process.
Medicaid Home and Community-Based Services (HCBS) waivers allow Nebraska to use federal Medicaid funds for services in the community. When a person receives waiver services, the state receives federal money. This allows more people to receive services.
To be eligible for the program, a person must have Medicaid. To apply for Medicaid, contact your local DHHS office or apply online at ACCES
Medicaid HCBS Waivers for Eligible Nebraskans - A quick look at Nebraska's four Medicaid HCBS waivers.
To be on a Medicaid HCBS waiver, a person must meet level of care requirements outlined in the waiver.
July 9, 2020 CMS approved amendments to the DD waivers to expand Medicaid coverage. With this amendment DHHS:
The effective date of the amendment is October 1, 2020.
CMS approved on April 20, 2020. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to the service delivery system. Appendix K did not require public comment as it was in response to a state of emergency.
Appendix K Extensions for Nebraska's Medicaid HCBS Waivers - September 14, 2020
Appendix K for Nebraska's Medicaid HCBS Waivers - April 20, 2020
When CMS approved a technical amendment, changes to increase numbers do not require public or tribal comment, as they are technical and in response to questions by CMS.
February 25, 2020
The following change was made to the CDD Waiver (Intro-Main and Appendix B):
The following changes were made to the CDD Waiver (Intro-Main and Appendix B):
The Developmental Disabilities Services Act can be found in Nebraska Revised Statute §§83-1202 to 83-1227. On the legislative page, the Act may be viewed by using the right arrow to move through statutes.