Childrens Day Health Service


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What you need to know

A children's day health service is defined as a person or any legal entity which provides specialized care and treatment, including an array of social, medical, rehabilitation, or other support services for a period of less than 24 consecutive hours in a community-based group program to 20 or more persons under 21 years of age who require such services due to medical dependence, birth trauma, congenital anomalies, developmental disorders, or functional impairment.

Specialized care and treatment is care and treatment provided at a level requiring a practitioner and/or under the direction of a practitioner for one or more of the following services: skilled nursing care, speech-language pathology, occupational therapy, physical therapy, or mental health.


Medicare certification is not available for CDHS facilities.

For Medicaid certification information see Nebraska State Medicaid webpage

Applications, Requirements & Fees

Initial license requirements: Read Title 175 NAC 6-003.01.

  • Stage 1: Submit to the Department a complete application. For facilities which meet the “new construction" definition per 6-002, see additional requirements on the Department's Facility Construction webpage.
  • Stage 2: Pass an onsite inspection as required at 175 NAC 6-005 & submit a Completion Certificate form completed by a Nebraska licensed architect or engineer which documents compliance by the CDHS facility with 175 NAC 6-007.

    Please see the Inspections section of this page for initial inspection information.

Initial License Application

Renewal License Requirements – read Title 175 NAC 6-003.02.

  • Stage 1: Department mails to licensee a notice of expiration and a renewal application.
  • Stage 2: Licensee returns to the Department the renewal application with correct owner signatures, owner titles, dates, renewal fee, and additional items as required at 175 NAC 6-003.02A.
  • Stage 3: Department mails to licensee an updated license card after a complete renewal application is received.

Fees: The licensee must pay fees for licensure and services as set forth at 175 NAC 6-004.09.

Forms: The following form may be completed online but must be printed, signed, and mailed to our office. We require an original signature on all applications.

Renewal License Application: please call (402) 471-4967  

Change Notification


An applicant or licensee must notify the Department in writing, by mail, email, or fax as required at 175 NAC 6-004.06

Additional General Requirements

Change of premises or ownership: The sale, whether of stock, title, or assets, lease, or discontinuance of operations terminates the license. The licensee must notify the Department in writing 10 days before a children's day health service is sold, leased, discontinued, or moved. A license is issued only for the premises and persons named in the application and is not transferable or assignable.


The following form may be completed online but must be printed, signed, and mailed to our office.

Change or Correction Request Form


The Department inspects the children's day health service prior to and following licensure to determine compliance with 175 NAC 6-006 – Standards of Operations, Care and Treatment and 6-007 – Physical Plant Standards. The children's day health service may not operate without an active license issued by the Department. Inspection requirements are at 175 NAC 6-005.

Initial Licensing Inspections:
An onsite inspection is scheduled with the applicant after the Department has received a complete initial licensure application as required at 175 NAC 6-003.01A and 6-003.01B, and a written notification from the applicant with the date the applicant will be ready for the inspection. Unless the applicant requests a later date, the Department has 30 working days to conduct this initial onsite inspection after a complete application is received by the Department. 

Prior to submitting an initial licensure application or requesting the initial onsite licensure inspection, the applicant should be ready to operate, but not operating. The CDHS Administrator and back-up Administrator must be prepared to demonstrate during the Department's onsite inspection how the CDHS will comply with the requirements at 175 NAC 6-006 and 6-007. Compliance is demonstrated through the use of CDHS-specific organizational charts, job descriptions, policies, procedures, forms, and similar items along with a physical inspection of the CDHS prior to the applicant being issued a license by the Department.

Compliance Inspections:
Following initial licensure, the Department may conduct unannounced onsite inspections at any time the Department deems necessary to determine compliance with 175 NAC 6-006.

Inspection Results: See 175 NAC 6-005.05



Office of Outpatient & In-Home Care Services
Department of Health & Human Services/Division of Public Health/Licensure Unit
Phone Number
(402) 471-4967
Fax Number
(402) 742-2308
Mailing & Physical Addresses

DHHS Licensure Unit
Attn: Children's Day Health Service
PO Box 94986

Lincoln NE 68509-4986


Nebraska State Office Building

301 Centennial Mall South

14th & M Streets, 1st Floor

Lincoln NE 68508

Hours: Monday - Friday 8:00 a.m. - 5:00 p.m. Closed federal holidays.