Developmental Disabilities Service Array

Disabilities Assistance
Developmental Disabilities

What would you like to do?

What you need to know

​As a participant in developmental disabilities services, there are many community-based services you may choose. DHHS-DD provides funding and oversight so you can get a job, live independently, and do things in your community. When you have developmental disabilities funding, you choose providers and services to meet your needs.  

The DD Policy Manual outlines requirements and procedures for Medicaid Home and Community-Based (HCBS) Developmental Disabilities (DD) Waiver services. The policy manual is intended to help participants and families understand the system. It provides specific definitions and outlines processes. It supports people to navigate Medicaid HCBS DD Waiver services.

Service Coordination

DHHS-DD provides case management services to coordinate and oversee your developmental disabilities services. 

Your Service Coordinator:

  • Works with you to develop your service plan based on your needs
  • Completes referrals for developmental disabilities providers and assists with visits
  • Helps a person enroll as an independent provider
  • Helps you access resources such as Medicaid, SSI, and SNAP
  • Helps you identify and access community resources
  • Holds meetings at least every six months to help you work toward life goals
  • Monitors your plan to ensure it is being implemented and adequately addresses your needs
  • Follows up with you to ensure your needs are being met
  • Follows up with your guardian and, as requested, your family
  • Adjusts your service plan when changes are needed for success
  • Helps advocate for what you need from your service provider(s), family, and community
  • Makes sure services promote independence, productivity, and inclusion
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Developmental Disabilities Service Options

Service coordination helps you understand community-based services and how they can meet your needs.

  • Day services focus on finding a job and increasing skills needed to work in the community. Services include prevocational, supported employment, habilitative workshop, and habilitative community inclusion. 
    • There is a focus on integrated, competitive employment.
    • Collaboration announcement - The partnership between DHHS-DD and Nebraska VR.

  • Residential services occur in your own home or apartment, your family home, or a provider-operated location. All services help you learn independent living skills and do things in your community. 
    • Provider-operated locations include
      • Shared Living with a family.
      • Group Home with three or fewer people with disabilities.
      • Centers for Developmentally Disabled (CDDs) home with four or more people with disabilities. These are licensed by Public Health.
  • Respite provides relief for your usual non-paid caregiver who lives with you. 
  • Assistive devices and modifications 
    • Assistive technology includes devices, controls, and appliances to increase your independence.
    • Environmental modification assessment determines devices and modifications to meet your needs.
    • Home modifications to your private home help you stay safe and do things yourself.
    • Vehicle modifications to your primary vehicle meet your needs and keep you safe.
    • Personal Emergency Response System (PERS) provides a device to call for help in an emergency.

Institutional services are available in Intermediate Care Facilities for Individuals with Developmental Disabilities (ICF/DDs), which assume total care when you are admitted. The Division operates the Beatrice State Developmental Center (BSDC).

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Provider Options

You can choose the provider(s) you want to work with. There are two types of providers available for developmental disabilities services.

  • An independent provider is a person enrolled as a Medicaid provider and employed by you. You are responsible for hiring and supervising your independent provider. Once you choose a person, the state has an approval process to ensure requirements are met. Your Service Coordinator will help with the process.
  • An agency provider is a company which is an enrolled Medicaid provider and certified by DHHS to provide developmental disabilities services. The agency provider is responsible for hiring or contracting, and supervising employees and contractors who work with you, and other administrative functions. The DD Agency Providers Directory includes alphabetical and geographical listings, what services each provider offers, and contact information.
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