DHHS Internet Website - 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

• NEW Supporting the health and well being of the person with IDD
• The Principle & Practices of Building Community
• APS Mandatory Reporting
• CQL Planning
• An Overview of Title 404 NAC by Tricia Mason
• Positive Behavioral Supports Community-Based Training #2
• Positive Behavioral Supports Community-Based Training
• Dr. Stull & Sr. Sorrell Seminar #1 Mood Disorders
• Dr. Stull & Sr. Sorrell Seminar #2 Mood Disorders

FAQ's

•  Title 404 FAQ - Updated:  September, 2012
  
•  Adult Waiver FAQ's - Updated: May 2, 2010 

•  DOJ Monitoring Team Report 2-2012
•  DOJ Monitoring Team Report 8-2011
• DOJ Monitoring Team Report 2-2011
• DOJ Monitoring Team Report 6-2010

Title 404 NAC Survey Forms  Renewal Application for Title 404 NAC Certification  Provider Informational Sheet  Survey Sample Size  Phase I Review Checklist  Core Sample Record Audit  Core Sample Review Checklist  Incident Pattern Detection  Chapter 5 - Individual Support Options Observation and Interview Form  Chapter 6 - Provider Operated Residential and Day Services Observation and Interview Form  Chapter 8 - Respite Services Observation and Interview Form  Focus Sample Review - Complaints and Grievances  Focus Sample Review - Entry to Services  Focus Sample Review - Rights Restrictions  Focus Sample Review – Subcontracts  Focus Sample Review – Transitions  Focus Sample Review - Transportation  Staff Review Checklist  Sample Plan of Improvement
Service Definitions effective January 1, 2012		PDF
Nebraska DD Adult Day Waiver effective January 1, 2011		PDF
Nebraska DD Adult Comprehensive Waiver effective January 1, 2011		PDF
MC-40 Developmental Index for DD Waiver Eligibility 09-2011		PDF
Notification of Death Form and Instructions	Format 1	Format 2
Forms	MS Word Format	PDF
Vocational Services
Focus on Employment Presentation	PowerPoint Format	PDF
Vocational Planning and ICE Q&A	MS Word Format	PDF
Service Array   Technical Assistance Contact Technical Assistance	MS Word Format      MS Word Format	PDF      PDF

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