Division of Developmental Disabilities

    Forms and Information

    This webpage provides access to information and forms through the DHHS Developmental Disabilities Division. If you have questions about items posted on this page, please contact the DD Division at 402-471-8501.

     Trainings

    FAQ's

    DOJIE Monitoring Team Reports
    Title 404 NAC Survey Forms

     


    Specialized Service Provider Guidance to: Authorizations, Billing Guidelines, Service Definitions and Claims Processing, Effective July 1, 2014 PDF PDF
    Nebraska DD Adult Day Waiver effective January 1, 2011 PDF PDF
    Nebraska DD Adult Comprehensive Waiver effective January 1, 2011 PDF PDF
    MC-40 Developmental Index for DD Waiver Eligibility 09-2011

    PDF PDF


    Notification of Death Form Format 1 Format 2
      Forms Contact Technical Assistance.docx MS Word Format  PDF PDF
    Vocational Services
      Focus on Employment Presentation PowerPoint PowerPoint Format PDF PDF
      Vocational Planning and ICE Q&A Contact Technical Assistance.docx MS Word Format PDF PDF

      Service Array

    Contact Technical Assistance.docx MS Word Format

    PDF PDF

    Technical Assistance
    Contact Technical Assistance
    PDF PDF

    Individual Budget Amount (IBA)

    IBA Exception Flow Chart

    IBA Exception Request Form Instructions

    IBA Exception Request Form

    PDF PDF

    PDF PDF

    PDF PDF

     


    Contact Us
    Nebraska Department of Health & Human Services
    Division of Developmental Disabilities
    P.O. Box 95026
    Lincoln, NE 68509
    (402) 471-8501

     


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