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Participants & Families Providers Resources Training Our Future DDD Regulations & HCBS Waivers
Welcome to the Division of Developmental Disabilities (DDD). 
The Division of Developmental Disabilities provides funding and oversight for community-based services. The Division also operates Beatrice State Developmental Center, which provide direct services.
If you, or someone you represent, receive services from the Division or you are interested in receiving services, please select the section for participants.
The Division determines eligibility for Developmental Disabilities (DD) services, provides service coordination for eligible individuals, determines eligibility for DD Medicaid Waivers, and monitors and pays providers of home and community-based DD services. 
General Information

 DDD PowerPoint: LB895 Public Hearing - Information presented on May 9, 2017 regarding LB895.

 Public Hearing Announcement - Public Hearing on May 31,2017 to receive comments regarding continued services with RTG Medical for providing Speech and Language Pathology to the Beatrice State Developmental Center.

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.

DDD PowerPoint: Improving services in the Division of Developmental Disabilities

HCBS State Transition Plan  

 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. En Español aquí.

Participant Guide for Self-Direction - How to work with independent providers. 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. En Español aquí.

Stakeholder Meeting Information 

DD Rate Reform
The Division of Developmental Disabilities (DDD) is working to assess and improve Nebraska's current Medicaid Waiver rate structure to ensure appropriate reimbursement. Information can be found on our rate reform page. This page will continue to be updated as the process continues and we want to ensure that you, our stakeholders, have the most recent information.
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.   

Medicaid Waiver Initiative  Workgroup pages contain information on the work completed with stakeholders.

National Core Indicators (NCI)
We want to improve 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!


Courtney Miller
Courtney Miller, Director,
Division of Developmental



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