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.
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.
There is a variety of information to help you think about your services and plan your life:
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.
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.
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.
Currently there are funds for all people eligible for the AD Waiver. Once eligible, you will receive services. Funding is based on your needs.
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:
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.
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.
Participants and guardians can access Therap, the web-based case management system.
DDD partners with Nebraska VR for employment services. For more information:
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.
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.
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.
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.