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Disabilities Assistance
Developmental Disabilities
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What would you like to do?

What would you like to do?

What you need to know

What you need to know

​The Division of Developmental Disabilities (DHHS-DD) provides funding and oversight for Medicaid Home and Community-Based Services (HCBS) Waivers. This includes determining eligibility, providing service coordination for eligible people, monitoring services, and paying providers.

DHHS-DD also operates the Beatrice State Developmental Center, which provides direct services in an institutional setting.

Public Hearing for 404 NAC

Title 404 NAC has been given a second public hearing date of December 16, 2020 at 10:00 AM CST. This hearing is to give the public an opportunity to comment on proposed changes to the Title. 



COVID-19 Information

Reopening Guidelines after COVID-19

The National Association of State Directors of Developmental Disabilities Services (NASDDDS) issued guidance for returning to services outside the home. This guidance is intended for state agencies, providers, families, participants, and other stakeholders. The goal is a carefully planned, safe, and phased approach to providing meaningful opportunities and support.

Appendix K for COVID-19

The Medicaid HCBS Waiver Appendix K amendments and extensions for DD waivers were approved by CMS. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to services.  

Appendix K Extensions for Nebraska's Medicaid HCBS Waivers - September 14, 2020

Appendix K for Nebraska's Medicaid HCBS Waivers - April 20, 2020

    Additional Information:

      COVID-19 Bi-weekly Calls

      DHHS has COVID-19 calls every other week for families and stakeholders of the Medicaid HCBS Waiver services. This includes the DD waivers, the Aged and Disabled Waiver, and the Traumatic Brain Injury Waiver. 

      DHHS provides updates and there is time to ask questions.    

      Calls are every other Monday, 4:00 – 5:00 PM CST. Additional meeting information is in the DHHS-DD calendar located at the bottom of this page.

      General Information

      The following groups help with our mission of helping people live better lives:

      Current Initiatives

      • Electronic Visit Verification - The Federal 21st Century Cures Act includes a Medicaid requirement for Electronic Visit Verification (EVV) for in-home care providers to check in and out electronically.
      • Level of Care Redesign - DHHS-DD and DHHS-MLTC are working to assess and improve Nebraska's level of care assessments.
      • Nebraska Olmstead Plan - DHHS's plan to provide people with disabilities opportunities to live, work, and be served in the most appropriate integrated setting.
      • Person-Centered Planning - DHHS and the Nebraska Council on Developmental Disabilities launched a new Person-Centered Planning initiative to reinvigorate person-centered supports for all Nebraska's Medicaid HCBS Waivers. 
      • Rate Reform and OAP Redesign - DHHS-DD is working to assess and improve the rate structure for Nebraska's Medicaid HCBS DD Waivers. This will ensure appropriate reimbursement.
      • State Transition Plan - DHHS-DD and DHHS-MLTC are working on the state transition plan. 
        • Final Rule FAQs - How the final rule affects developmental disabilities services.

      Email List

      Want to stay up to date? Sign up for our stakeholder email list! You will receive emails about upcoming changes and public events hosted by DHHS-DD. You will also receive emails with local and federal information affecting the people we serve. To sign up, send an email to: DHHS.DDDCommunityBasedServices@nebraska.gov.