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

​The Division of Developmental Disabilities (DHHS-DD) provides funding and oversight for Medicaid home and community-based developmental disabilities waiver services. This includes determining eligibility, providing service coordination for eligible people, monitoring services, and paying DD providers.

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

Policy Manual

The DD Policy Manual is now available. It outlines requirements and procedures for Medicaid Home and Community-Based (HCBS) Developmental Disabilities (DD) Waiver services. The manual contains no new requirements, but arranges current requirements and procedures into a comprehensive single document. The policy manual is intended to help providers deliver quality habilitative services and supports, and help ensure the health and safety of those served.

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 for DD waivers were approved by CMS April 20, 2020. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to services.  

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:
Aug 10, 2020
Aug 24, 2020
Sept 7, 2020
Sept 21, 2020

The call-in number is: 888-820-1398
Attendee 3065334#
*6 Mute/Unmute own line

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.
  • Rate Reform and OAP Redesign - DHHS-DD is working to assess and improve Nebraska's Medicaid waiver rate structure. 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 notices of upcoming changes and public events hosted by DHHS-DD. You will also receive emails with local and federal information affecting those with DD. To sign up, send an email to: DHHS.DDDCommunityBasedServices@nebraska.gov.