Waiver Participants and Families

Medicaid Related Assistance
Developmental Disabilities

​​​​COVID-19 Information

For information about COVID-19, including guidance documents and information for people with disabilities, see the COVID-19 Nebraska DHHS Guidance Document page. There is general information and specific information split by DHHS division.

Planning Services

Your Service Coordinator helps plan services, but you are in charge. Planning happens through conversations, and your plan is documented at your meetings. Your services are provided based on what is written in your plan.

Resources to Help You Plan

There is a variety of information to help you think about your services and plan your life:

Your Team

You choose who you want to support you. Your team must include you, your Service Coordinator, and any Medicaid HCBS service providers who work with you. When you have a guardian, they are on your team. You can invite other family, friends, or organizations.

Your Meetings

What your meetings are called depends on which waiver you have. Either way, your meetings are with your team. There are at least two meetings held each year. Before your meetings, your coordinator talks with you about your needs and available services. Your team will discuss your progress toward goals. When services do not meet your needs, any team member can request a meeting.

  • On the AD or TBI Waiver, your meeting is called a Plan of Services and Supports (POSS)
  • On the CDD or DDAD Waiver, your meeting is called an Individual Support Plan (ISP)

Funding for Medicaid HCBS Waiver Services

Medicaid HCBS waivers allow federal Medicaid funds and state funds, which would otherwise be used to provide services in institutional settings, to be used to pay for home and community-based services. A person must receive Medicaid and be on a waiver to receive services.

Availability of waiver services depends on availability of state funding. Being eligible does not mean you will automatically receive funding for services right away. Availability of funding depends on which waiver you are eligible for and choose to receive.

Funding is based on needs of the participant.

AD Waiver

Currently there are funds for all people eligible for the AD Waiver. Once eligible, you will receive services. Funding is based on your needs.

CDD and DDAD Waivers

There currently are not enough funds available for all requests for these waivers. Once eligible, you will wait for funding on the DD Registry. DD Waiver services will be offered when funding is available.

When you are on the DD Registry:

  • Funding is based on priorities in Nebraska Revised Statute §83-1216 to people:
    • In immediate crisis;
    • Who have lived in a Nebraska institutional setting for at least the last 12 months;
    • Who are wards of DHHS or under the supervision of the Office of Probation Administration and transitioning out of the system at age 19;
    • Transitioning from the educational system at age 21;
    • Who are dependents of a member of the armed forces stationed in Nebraska; and
    • Who are waiting, by date of application.
  • You will be assessed for Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) Level of Care. Assessment happens before you go on the Registry, and yearly.
  • You can have a Service Coordinator.

When you are offered funding for a DD waiver:

DDD uses an objective assessment process (OAP) to base your funding on your needs. An assessment determines your Individual Budget Amount (IBA). You use your IBA to purchase services

TBI Waiver

Currently there are funds for all people eligible for the TBI Waiver. Once eligible, you will receive funding, which is based on your needs. Your funding can be used to purchase services from the TBI waiver provider, when their services are determined to meet your needs and they have a spot available​​. 

Therap Access for DD Participants and Guardians

Participants and guardians can access Therap, the web-based case management system.

Nebraska VR

DDD partners with Nebraska VR for employment services. For more information:

Nebraska Homestead Exemption

A person who is eligible for DD services and owns a home can receive property tax relief. Complete Application from the NE Department of Revenue. If you have questions, call (402) 453-8167.


I earn too much money to qualify for Medicaid, but my child has a disability and could use waiver services. Can you help?

There is a process so parent's income is not counted for disabled children who meet waiver eligibility. Contact your local DHHS office to begin the Medicaid application process, and say you want your child assessed for the waiver.​

How many hours per day can I get help?

Each person's needs are different, so there is not a set number of hours of assistance per day. You and your Service Coordinator will work together on a plan of services to meet your needs and keep you safe at home.​

I am an adult living in my own apartment. If I qualify for a waiver, who will help me in my home? Who can come clean and do laundry? Who can help when I take a bath?

An assessment will be completed to determine what kind of help you need to stay safely in your home. 

Your Service Coordinator will help you decide which services will help you meet your needs. Then they will connect you with a choice of providers. Some providers are agencies. Other providers are self-employed people who do not work for an agency. You choose who provides your services and when they work. When you know someone you want to work as your provider, refer the person to your Service Coordinator.