Developmental Disabilities Regulations and Waivers

Disabilities Assistance
Developmental Disabilities

What would you like to do?

What would you like to do?

What you need to know

What you need to know


Developmental disabilities services must comply with state regulations, also known as the Nebraska Administrative Code (NAC).

The following regulations apply to developmental disabilities services:

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Medicaid Waivers

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.

For more information on developmental disabilities eligibility and services visit the section for participants.

To be eligible for the program, a person must have Medicaid. To apply for Medicaid:

HCBS Waivers Available for People with Developmental Disabilities - A quick look at the Medicaid HCBS waivers. (En Espanol)

  • A participant can only be on one waiver at a time.
  • A participant may be on one waiver while waiting for a different waiver.

Current Medicaid Waivers administered by The Division of Developmental Disabilities (DHHS-DD):

To be on a waiver administered by DHHS-DD, a person must have a developmental disability and needs that require services like those provided at an intermediate care facility for persons with developmental disabilities (ICF-DD). A yearly level of care assessment determines need.

Waiver Amendments


We are in the process of amending the developmental disabilities waivers. The 30-day public comment period ended January 9, 2019. To view drafts, see our public comment page.

Increase in Numbers

On May 7, 2019 CMS approved a technical amendment. These changes did not require public or tribal comment as they were technical and in response to questions by CMS. The following changes were made to the CDD Waiver (Intro-Main and Appendix B):

  • An increase in the unduplicated number of participants served. Increased year 2 from 4,200 to 4,350 and increased years 3 through 5 from 4,200 to 4,500.
  • An increase in the maximum number of participants served at any point in time. Increased year 2 from 4,150 to 4,263 and increased years 3 through 5 from 4,150 to 4,410.
  • An increase in the category reserved for transition from the foster care system. Increased year 2 from 5 to 45, and increased years 3 through 5 from 5 to 35.
  • An increase in the category reserved for emergency. Increased years 2 through 5 from 40 to 75.

Flooding Relief

On May 21, 2019 CMS approved Appendix K: Emergency Preparedness and Response due to the historic flooding in Nebraska. Appendix K did not require public comment as amendments were in response to a state of emergency.

Current Medicaid Waivers administered by Medicaid and Long-Term Care (MLTC):

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Nebraska Legislature

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.