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Transitioning from High School at 21 years old
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Developmental Disabilities Services Available

As a participant in developmental disabilities services, there are many community-based services you may choose from. DHHS-DD provides funding and oversight so you may obtain employment, live independently, and access your community. When you have funding to receive services, you can choose providers and services to meet your needs.  
Service Coordination
DHHS-DD provides case management services to coordinate and oversee your developmental disabilities services. 
Your Service Coordinator:
  • Works with you to develop your service plan based on your needs;
  • Completes referrals for developmental disabilities providers and assists with visits;
  • Helps your preferred independent provider to enroll;
  • Helps you access resources such as Medicaid, SSI, and SNAP;
  • Helps you identify and access community resources;
  • Holds meetings at least every six months to help you work toward life goals;
  • Monitors your plan to ensure it is being implemented and adequately addresses your needs;
  • Follows up with you to ensure your needs are being met;
  • Follows up with your guardian and, as requested, your family;
  • Adjusts your service plan when changes are necessary for success;
  • Helps advocate for what you need from your service provider(s), family, and community; and 
  • Ensures services promote independence, productivity, and inclusion.
Service Options

Service Coordination helps you understand community-based services and how they can meet your needs:

  • 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. 
    • There is a focus on integrated, competitive employment.
    • Collaboration Announcement - The partnership between DHHS-DD and Nebraska VR.
  • Residential Services occur in your own home or apartment, your family home, or a provider-operated location. All 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.
  • Respite provides relief for your usual non-paid caregiver that lives with you. 
  • Assistive Devices and Modifications 
    • Assistive Technology includes devices, controls, appliances, or other items to increase your independence.
    • See “Tangible Services” In English   En Español
    • 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.
  • Crisis Intervention Support for adults provides immediate and intensive strategies to your developmental disabilities provider.

Institutional services are available in Intermediate Care Facilities for Persons with Developmental Disabilities (ICF/DDs), which assume total care when you are admitted. The Division operates ICF/DDs at the Beatrice State Developmental Center (BSDC).

For more information on developmental disabilities services:

Please keep in mind:

  • DHHS-DD is not a crisis response agency.
  • You must be eligible to receive services.
  • You need to apply for and accept any federal funding for which you may be eligible.
  • You must be a Nebraska resident while on the wait list and while receiving developmental disabilities services.
  • Developmental disabilities services are voluntary.

Provider Options

You can choose the provider(s) you want to work with. There are two types of providers available for developmental disabilities services:
  • Independent Providers are typically people you know. You can select anyone who is not your spouse, parent if a minor, or your guardian. 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 Service Coordinator can help you with the process.
  • Agency Providers complete a certification process with DHHS. The agency is responsible for hiring, firing, scheduling, training, and paying staff that work with you. There are many agency providers across the state. The DD Agency Providers Directory includes alphabetical and geographical listings, as well as what services each agency provider offers.
For more information on provider options, see Providers of Waiver Services, which explains the types of providers for waiver services.  En Español aquí.

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