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Eligibility for DD Services
Transitioning from High School at 21 years old
Service Array
Down Syndrome

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DD Service Array

This page explains the services available to you, as a participant in services. The Division provides funding and oversight for community-based services. The focus of services is to help you obtain employment, live independently, and access your community.
Please keep in mind:
  • DD is not a crisis response agency;
  • You must be found eligible to receive services;
  • To receive DD services, you will need to apply for and accept any federal funding for which you may be eligible;
  • If you are not eligible for Medicaid, you may be required to pay toward your cost of services;
  • You must remain a Nebraska resident while on the Registry of Need list and while receiving DD services; and
  • DD services are voluntary.
When funding is available for you to receive DD services, you will be able to choose providers and services to meet your needs.  
DD Services Assessment & Budgeting Brochure - Learn a little about the process used to assess your needs and decide your budget for purchasing DD services. En Español aquí.
DD Service Directory - Full service descriptions including definitions, limits, frequency, duration, provider types, and provider qualifications for DD services under the submitted HCBS Waivers. En Español aquí.
Services Quick Guide for Nebraska Medicaid Home and Community-Based Services (HCBS) DD Waivers - Brief overview of DD services under the submitted HCBS Waivers. 
online view     printable (please print two-sided)    en Español
Service Coordination
Developmental Disabilities provides Service Coordination to coordinate and oversee the delivery of effective services for you. You will receive a Service Coordinator (SC) or Community Coordinator Specialist (CCS) once you are determined eligible. 
Your Service Coordinator or Community Coordinator Specialist will:
  • Work directly with you to develop your service plan based on your wants and needs;
  • Complete referrals for DD agency providers and assist with visits and transition plans;
  • Help your preferred DD independent provider to enroll;
  • Help you access services not funded by DD, such as Medicaid, SSI, and SNAP;
  • Help you identify and access community resources;
  • Hold meetings every six months, at a minimum, to help you work toward life goals;
  • Complete monitoring of your plan to ensure your plan is being implemented and adequately addresses your needs;
  • Follow up with you to ensure your needs are being met;
  • Follow up with your legal representative and, as requested, your family;
  • Adjust service plan and services when changes are necessary for success;
  • Help advocate for what you want and need from your service provider(s), family, and community; and 
  • Ensure services promote independence, productivity, and inclusion.

Provider Options

You can choose the provider(s) you want to work with. There are two types of providers available for DD services:

  • Independent Providers are typically people you know. You can select anyone who is not legally responsible for you. You are responsible for locating, hiring, firing, scheduling, training, and supervising your provider. Once you choose your provider, the state has an approval process to ensure requirements are met. Your DD Coordinator can help you get a person connected with Human Resources. Independent providers may not meet the requirements to provide all service types.
  • Agency Providers complete a certification process with DHHS. They are responsible for hiring, firing, scheduling, training, and paying staff members. They provide direct services for you. There are many agency providers across the state. The DD Agency Providers Directory includes alphabetical and geographical listings, as well as what services agency providers offer.

Providers of Waiver Services   (en Español) - Explains the types of providers for DD-funded waiver services.  

Service Options

Service Coordination will work with you to determine what services are available to you and how they can meet your needs.
  • Respite provides relief for your usual non-paid caregiver that you live with. 
  • Assistive devices and Modifications   (Tangible Services: In English  En Español)
    • Assistive Technology (AT) includes devices, controls, appliances, or other items to increase your independence.
    • Environmental Modification Assessment determines home or vehicle modifications to meet your needs.
    • Home Modifications to your private residence help you stay safe and do things yourself.
    • Vehicle Modifications to your primary vehicle meet your needs and keep you safe.
    • Personal Emergency Response System (PERS) provides a device to call for help in an emergency.
  • Day Services focus on finding employment and increasing skills needed to join the workforce. Services include prevocational services, supported employment, transitional services, habilitative workshops, and habilitative community inclusion. 
    Collaboration Announcement - Information about the partnership between DD and Nebraska VR.
  • Residential Services occur in your own home or apartment, your family home, or a provider-operated location. These services help you learn independent living skills and access your community. Provider-operated locations include:
    • Extended Family Homes (EFH) where you live with a family.
    • Group Homes where you live with 3 or fewer people with disabilities.
    • Centers for Developmentally Disabled (CDDs) homes where you live with 4 or more individuals with disabilities. These are licensed by Public Health.
    • Intermediate Care Facilities for Individuals with Intellectual or Developmental Disabilities (ICF/IDs) assume total care when you are admitted. The Division operates ICF/IDs at the Beatrice State Developmental Center (BSDC).
  • Crisis Intervention Support for adults provides immediate and intensive strategies to staff that support you.

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