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Participants & Families Providers Resources Training Our Future DDD Regulations & HCBS Waivers
Our Future!
The Division of Developmental Disabilities (DDD) continues to improve our system. This is in response to national trends and local needs.
DD ​Rate Reform
The Division of Developmental Disabilities (DDD) is working to assess and improve Nebraska's current Medicaid Waiver rate structure to ensure appropriate reimbursement. Information can be found on our rate reform page. This page will continue to be updated as the process continues and we want to ensure that you, our stakeholders, have the most recent information.
Regulation Drafts for Public Comment
The Division of Developmental Disabilities (DDD) is in the process of writing new regulations. We are not yet in an “official” public comment period, but are providing working drafts for stakeholder review on a public comment page. The working draft will continue to change as input is received. We want to ensure that you, our stakeholders, have maximum opportunity to review and make suggestions.
Waiver Application for Public Comment
DDD is working with the Centers for Medicare and Medicaid Services (CMS) to determine Nebraska's HCBS waivers for DD services. The public comment period has ended for the renewal of the 4154 Comprehensive DD Services waiver, the renewal of 0394 DD Day Services waiver, AND the amendment to the 4154 Comprehensive DD Services waiver. Details can be found on the Public Comment webpage.
National Core Indicators (NCI) 
We want to improve our services in Nebraska. Your opinions and feedback can help! Nebraska is participating in a National Core Indicators (NCI) project survey that assesses the quality of life for adults receiving services from the Department of Health and Human Services’ Developmental Disabilities program.
If you are an adult receiving DD services, or someone in your family receives DD services, read our announcement or visit the NCI website to find out more!
Current Initiatives 
DDD uses Medicaid funds to provide services to participants via Home and Community-Based Services (HCBS) Waivers. DDD works with the Division of Medicaid and Long-Term Care (MLTC) to provide oversight for services. Medicaid Initiatives are joint efforts between DDD and MLTC to comply with Centers for Medicare & Medicaid Services (CMS) requirements.
DDD is currently involved in one Medicaid Initiatives. To learn more:

HCBS State Transition Plan is in response to the final rule for Medicaid Home and Community-Based Services effective March 17, 2014. The Nebraska state plan is expected to be completed in March 2019.   

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