Skip Ribbon Commands
Skip to main content

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

Participant & Family Page

This page serves as the hub for information for participants receiving DD services, their legal representatives, and their families. 
You also have full access to the Resources and Training pages.
Participant Guide for Nebraska Medicaid Home and Community-Based Services (HCBS) Waivers - What to expect when you choose to receive services from a Medicaid HCBS waiver.
Participant Guide for Self-Direction - How to work with independent providers.
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.
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.
The public comment period has ended for the renewal of 0394 DD Day Services waiver AND the amendment to the 4154 Comprehensive DD Services waiver. Details can be found on the Public Comment webpage
We want to improve our services in Nebraska. Your opinions and feedback can help! Nebraska is participating in a National Core Indicators (NCI) project survey that assesses the quality of life for adults receiving services from the Department of Health and Human Services’ Developmental Disabilities program.
If you are an adult receiving DD services, or someone in your family receives DD services, read our announcement or visit the NCI website to find out more!
What are DD Services?
DD Services focus on helping eligible participants live the most independent lives possible. Goals are identified and habilitation is developed to teach participants skills to be employed, live as independently as possible, and access the community. 
DDD does not directly deliver services. DDD provides funding and oversight of community-based providers. The oversight is completed by DD service coordination.
The Division does not provide cash payments or payments for room and board.
How do I apply?
Information on applying is on our eligibility page.
Registry of Unmet Needs
Being determined eligible does not mean you will immediately receive services. DD services are not an entitlement.
There is not currently sufficient funds available for all requests. Once eligible, you will be mailed a form, which you can complete to be placed on the registry of unmet needs.
Services will be offered when funding becomes available. Funding is offered based on your date of request. The date of request can be as early as the date of eligibility application.
Level of Care
Funding for services will be based on your level of care and needs. A state worker will complete your assessment. Results are translated into your Individual Budget Amount (IBA). The IBA is your level of care as an annual amount. You can use this amount to purchase services 
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.
Planning Services
Your service coordinator or community coordinator specialist will help you plan your services. Planning will occur at scheduled meetings. Additional meetings can be held when needs change. Your DD coordinator can also participate in Individual Educational Planning (IEP) meetings at your request.
Individual Family Meeting (IFM)
This meeting is between you and your coordinator. If you have a guardian, he or she will also participate. You may invite family. At this meeting you discuss your needs and what types of services and supports can help you meet your goals.
Individual Services Plan (ISP) Team
You decide who is on your ISP team. It must include you, your coordinator, and any DD service providers you get services from. If you have a guardian, he or she is also on the team. You can invite any other family, friends, or organizations who support you.
Individual Services Plan (ISP) Meeting
This meeting is with your ISP team. There are at least two of these meetings each year. One is the main planning meeting. The second is a follow up to see your progress toward your goals. If your services and supports are not meeting your needs at any point in the year, any team member can call your coordinator to request a meeting.

 Subscribe to Individuals & Families Page

As new information is available, it will be posted. Subscribe to this page to receive email alerts.

     Contact Us

 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.