Developmental disabilities services must comply with state regulations, known as the Nebraska Administrative Code (NAC).
The following regulations apply to developmental disabilities services:
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 DD eligibility and services visit the section for participants.
To be eligible for the program, a person must have Medicaid. To apply for Medicaid, contact your local DHHS office or apply online at ACCESSNebraska.
HCBS Waivers Available for People with Developmental Disabilities - A quick look at Nebraska's Medicaid HCBS waivers. (En Espanol.)
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 people with developmental disabilities (ICF/DD). A yearly level of care assessment determines need.
These waivers took effect October, 1, 2019. The following information is available about changes:
Changes to increase numbers did not require public or tribal comment as they were technical and in response to questions by CMS. Appendix K did not require public comment as it was in response to a state of emergency.
See callout box. Information will be moved here after crisis passes.
February 25, 2020 CMS approved a technical amendment. The following change was made to the CDD Waiver (Intro-Main and Appendix B):
September 9, 2019 CMS approved a technical amendment. The following changes were made to the CDD Waiver (Intro-Main and Appendix B):
May 7, 2019 CMS approved a technical amendment. The following changes were made to the CDD Waiver (Intro-Main and Appendix B):
May 21, 2019 CMS approved Appendix K: Emergency Preparedness and Response due to the historic flooding in Nebraska.
The Medicaid Home and Community-Based Services Waiver Appendix K amendments for both DD waivers were submitted to CMS March 31, 2020 and approved on April 20, 2020. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to the service delivery system.
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.