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Participants & Families Providers Resources Training Our Future DDD Regulations & HCBS Waivers
DDD Regulations and HCBS Medicaid Waivers
 
Regulations
Developmental disabilities community-based services are governed by Title 404 NAC.
 
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.
 
Medicaid Waivers
The Division administers Medicaid Home and Community-Based Services (HCBS) Waivers. Waivers allow the State of Nebraska to utilize federal Medicaid funding for services in the community that were originally only offered in institutions.
 
When a services participant is on a waiver, the state receives federal dollars to help pay for those services. This helps state funds stretch so the Division can fund services for more people.
 
Waiver eligibility is separate from eligibility for services.  To be eligible for a waiver, a participant must:
  • Apply for Medicaid, be eligible, and accept if qualified. To apply for Medicaid:
  • Have needs requiring services offered by Intermediate Care Facilities for persons with intellectual or developmental disabilities (ICF/IDD)
  • Have yearly Level of Care assessment to determine needs
  • Have a physical exam yearly, with a report sent to the Division
  • Submit an evaluation by a licensed psychologist within the last 3 years that includes IQ testing and adaptive testing 
 HCBS Waivers Available for People with Developmental Disabilities   - A quick look at the four Medicaid HCBS waivers that are avaialble and may be appropriate for persons with Developmental Disabilities.    (en Español)

 

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. Details can be found on the Public Comment webpage.
 

Current DD Medicaid Waivers:

  • Comprehensive Developmental Disabilities (CDD) Waiver (4154) - Allows persons of all ages with developmental disabilities to maximize their independence as they live, work, socialize, and participate to the fullest extent possible in their communities. A participant must have a developmental disability and needs that require services like those provided by an intermediate care facility for persons with developmental disabilities (ICF-DD).
  • Developmental Disabilities Adult Day (DDAD) Waiver (0394) - Allows persons ages 21 and over with developmental disabilities to maximize their independence as they live, work, socialize, and participate to the fullest extent possible in their communities. A participant must have a developmental disability and needs that require services like those provided by an intermediate care facility for persons with developmental disabilities (ICF-DD).
 

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