Aged & Disabled (AD) Waiver Providers

Medicaid HCBS AD Waiver
Developmental Disabilities

What would you like to do?

What you need to know

​​​​​​​​​​​​​​​​​​​​​​​​​This page helps you provide important services to Medicaid HCBS AD Waiver participants. Resources can be used at any time as long as you are providing services. Be sure to also use the main Provider page, the Training page, and the Resources page.

You are also responsible to know information from MLTC Provider Bulletins​​​ and DDD Provider Bulletins​.

Information for AD Waiver Providers

Rate Study Presentations for AD Waiver, TBI Waiver, and PAS Services

DHHS has contracted with CBIZ Optumas and their subcontractor Myers and Stauffer, LC to complete a rate study for the Aged and Disabled Waiver and Personal Assistance Services. The goal of this study is to establish a rate model for services provided to the aged and individuals with disabilities.

This rate study includes opportunities for direct care providers and other stakeholders to provide feedback on the cost of doing business in delivering services. The services reviewed in this study include: 

  • Assisted Living
  • Adult Day Health
  • Personal Care
  • Respite Care
  • Chore
  • Companion
  • Extra Care for Children with Disabilities (sometimes called Disability-Related Childcare)
  • Home Again Service
  • Independence Skills Building
  • Transportation
  • Home Delivered Meals
  • Personal Assistance Services (PAS) through the Medicaid State Plan

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DDD Administratio​n and AD Provider Meetings

DDD holds informational sessions for all providers of AD and TBI Waiver services, as well as our Service Coordination entities. Slides and videos are made available after presentations. DDD and Liberty Healthcare partnered for meetings from July to December 2022. 

To join these virtual meetings, go to the calendar on the DDD Homepage.

​Past Meetings​​​​​​

December 6, 2022 - Medium Reportable Incidents, part 2

This meeting continued discussion of the concepts and definitions of medium-level reportable incidents. This is part 2 of 2.

November 29, 2022 - Medium Reportable Incidents, part 1

This meeting introduced the concepts and definitions of medium-level reportable incidents in the Critical Incident Management Process being piloted. This is part 1 of 2.

November 8, 2022 - High-Level Reportable incidents

This meeting introduced the concepts and definitions of high-level reportable incidents in the Critical Incident Management Process being piloted. Includes discussion of the pilot. 

October 25, 2022 - Incident Reporting

This meeting introduced the Critical Incident Process for providers to learn about upcoming changes and expectations for AD and TBI waiver providers.

October 11, 2022 - Recognizing Health Status Change

This meeting helped providers understand their role in recognizing health status changes needs. 

September 27, 2022 - Overview of General Event Reports (GERs)

This meeting introduced and provided background on General Event Reports and a demonstration in Therap on how to enter a General Event Report.

September 6, 2022 - DDD & Liberty

​DDD and Liberty meeting for AD Waiver providers.

  • Presentation video​
  • Flyer: Understanding Incident Reporting - Provides background on federal Center for Medicaid and Medicare (CMS) requirements driving innovation in DDD's incident reporting process. In 2018 The Office of Inspector General (OIG) completed a report and studies around the health and safety and civil rights for individuals in group homes. The health and safety and civil rights aspects of these reports are applicable for all individuals who need waiver funded services to reside safely in the community requirements.

July 14, 2022 - Partnership with Liberty Healthcare

The purpose of this meeting was to share about projects underway and introduce upcoming changes, including enhanced incident reporting requirements for all waiver providers. 

  • Progress with Liberty Healthcare in planning and implementing changes that will help Nebraska move toward National Best Practices in quality with emphasis on the Health and Welfare of all waiver participants. The ultimate goal is to improve the quality of life of our participants.
  • One outcome of the quality partnership includes educational material regarding specific topics that impacts the health and welfare of participants.
  • Presentation slides
  • Presentation video​

April 13, 2022 - HCBS Changes