DD Regulations and Medicaid HCBS Waivers
Developmental disabilities services must comply with the following regulations, otherwise known as Nebraska Adminestrative Code (NAC), as applicable:
Medicaid Home and Community-Based Services (HCBS) Waivers allow Nebraska to use federal funds for services in the community.When a person receives HCBS waiver services, the state receives federal dollars so more people can receive services. For more information on developmental disabilities eligibiliy and services, visit the section for participants.
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:
HCBS Waivers Available for People with Developmental Disabilities - A quick look at the four Medicaid HCBS waivers that are available. (en Español)
A participant can only be on one waiver at a time. A participant may be on one waiver while waiting for availability of a different waiver.
Waiver Application for Public Comment
DHHS-DD is working with the Centers for Medicare and Medicaid Services (CMS) to amend Nebraska's Medicaid Home and Community-Based Services (HCBS) waivers for Developmental Disabilities (DD) services. The 30-day public comment period for the amendments of the 0394 DD Day Services waiver AND 4154 Comprehensive DD Services waiver is from December 10, 2018 – January 9, 2019. Details can be found on the Public Comment webpage (www.dhhs.ne.gov/DD-PublicComment) along with how you can be involved and heard. Questions or Comments can be emailed to us at DHHS.DDWaiverQuestions@nebraska.gov.
Current Medicaid Waivers adminestered by DHHS-DD:
Comprehensive Developmental Disabilities (CDD) Waiver - 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 - 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).
Current Medicaid Waivers administered by Medicaid and Long-Term Care (MLTC):
The Developmental Disabilities Services Act can be found in state statutes 83-1202 through 83-1227. Once on the legislative page, the Act may be viewed by using the right arrow to move through statutes.