DD HomepageDivision of Developmental Disabilities​ ​ ​ ​
Participants & Families Providers Resources Training Our Future DDD Regulations & HCBS Waivers
Eligibility for DD Services
Transitioning from High School at 21 years old
Service Array
Down Syndrome

Get Involved:

DD Advisory Committee
DD Planning Council
If you have a
about DD
services, you
complete and
email a
Complaint Form,
or call

Eligibility for Developmental Disabilities Services

In order to receive Medicaid Home and Community-Based Services (HCBS), you must submit an application and be determined eligible. You must meet the Nebraska definition of having a developmental disability, as defined in Neb. Rev. Stat. § 83-1205.
Am I eligible for DD services?
To be eligible, you must:
  • Have a developmental disability as diagnosed by licensed psychologist or a medical doctor operating within the scope of his/her practice
  • AND substantial limitations in each of the 3 areas:
    • Conceptual skills, including language, literacy, money, time, number concepts, and self-direction; 
    • Social skills, including interpersonal skills, social responsibility, self-esteem, gullibility, wariness, social problem solving, and the ability to follow laws and rules and to avoid being victimized; and
    • Practical skills, including activities of daily living, personal care, occupational skills, healthcare, mobility, and the capacity for independent living.
For more information on eligibility:
How do I apply?
The fastest way to apply is to complete and submit the application online at ACCESSNebraska
  • An application for developmental disabilities services does not mean you are applying for Medicaid, Social Security, Economic Assistance, or Behavioral Health Services.  These are separate applications, which you may need to do.
  • Applying for DD Services gives step by step instructions to complete the DD application.
If you prefer a paper application, you can print in English or en Español, or call our toll-free number (877) 667-6266 to request one be mailed to you. Fill out the application completely, print, sign, and submit:
If you need assistance to fill out the application, go to your local DHHS office.­­­­­­­­­­­­­­

Eligibility Determination 

You will get a call within a few days of submitting your application. DHHS-DD will gather needed documents. Documents may include, but are not limited to:
  • Assessments completed by a licensed psychologist:
  • Medical diagnoses prior to age 22, which have affected your ability to carry out activities of daily living skills; 
  • Current or previous psychiatric diagnoses prior to age 22, which affected your ability to carry out activities of daily living skills; and
  • School reports:
    • All Multi-Disciplinary Team (MDT) reports,
    • Most recent Individual Education Plan (IEP).
When an application and documents are received, a decision is usually made within 30 days.  You will receive a Notice of Decision that you are either eligible or not eligible.
  • Being determined eligible does not mean you will immediately receive services.  There is limited funding available. Funding is provided by the Nebraska State Legislature.
  • Once eligible, a level of care assessment is completed.
  • When you have the annual level of care assessment, if you have Medicaid or are a Medicaid-eligible child, you are placed on the wait list. The wait list is ordered by date of application. Services are offered to people on the wait list as soon as funding becomes available. 
  • Eligibility is relooked at when you are age 9 and age 18.
  • If Social Security determines that you are not disabled, developmental disabilities eligibility will be relooked at.


If you applied and received an eligibility determination, find out what's next:  

I was determined Eligible

​I was determined Not Eligible


If you have any questions about your developmental disabilities eligibility or application:    

877-667-6266 or


Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.
Good Life. Great Mission.