Prospective Provider

 
4
Medicaid Related Assistance
Developmental Disabilities
 
No
No

What would you like to do?

What you need to know

​​​​​​​​​​Are you interested in becoming a DHHS-approved provider of Medicaid Home and Community-Based Services (HCBS) Waiver services? It is a helpful public service you can do for eligible Nebraskans. You could help people live in their home or a community setting. You could also help families keep their kids with disabilities at home instead of in an institution.

Medicaid HCBS providers give Nebraskans choices on how and where to live. DHHS-approved service providers are paid for their work.

If you want to be a provider, the first thing you need to decide is which type. Once you have decided, this page will help you through the process.

There are different types of service providers:

  • Aged and Disabled (AD) Provider - provide AD services to an eligible person
  • Developmental Disabilities (DD) Agency - start your own business to provide DD services to eligible people
  • Developmental Disabilities (DD) Independent - provide DD services to an eligible person

 

AD Provider - I would like to provide AD services to someone I know

AD providers are important for participants who qualify to live in a nursing facility, but choose to receive services in the community. 

  • AD providers are not employees of DHHS or the State of Nebraska. They work for the participant.
  • DHHS pays the provider on behalf of the person (with the exception of adult family homes. In that case, the participant pays the adult family home sponsor.)

To become an AD provider, follow these steps:

  1. Find a participant who wants you to provide a Medicaid HCBS AD Waiver service.
  2. Contact the participant's service coordinator to start the process of becoming an AD provider.
  3. Become a Medicaid Provider. You must meet standards and pass background checks, including:
    • Criminal history
    • Adult Protective Services registry
    • Child central registry
    • Sex offender registry
    • Nurse aide registry

DD Agency Provider - I would like to start an agency to offer DD services

DD agency providers are important for participants who qualify to live in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID), but choose to receive services in the community.

  • Agency providers are responsible for all administrative aspects related to the oversight of services, such as hiring, firing, scheduling, training and paying wages. 
  • Agency providers must be approved by the state, sign an agreement with DHHS and meet specific regulations.
  • The process of becoming an agency provider can be intimidating. You are starting a business. You must have all the elements and skills as any successful business: organization, experience and education.

To become an agency provider, follow these steps:

  1. Attend Prospective Provider Orientation. Email us to register
  2. Electronically submit a letter of intent, application form, and policies and procedure worksheet
    • The letter must include:
      • The type of service(s) you propose to provide
      • The location(s) where you will provide the service(s)
    • Application - must be completed and signed
    • Policies & Procedure Worksheet - must be complete and explain how you will comply with regulations
  3. Become a Medicaid Provider.
  4. As a provider, you may join the Nebraska Association of Service Providers (NASP) for community, guidance, and advocacy.

You may find it helpful to refer to:

DD Independent Provider - I would like to provide DD services to someone I know

DD independent providers are important for participants who qualify to live in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID), but choose to receive services in the community and want to self-direct their services. Services provided by independent providers may be more flexible than those provided by a DD agency provider. 

  • DD independent providers are not employees of DHHS or the State of Nebraska. They work for the participant.
  • DHHS pays the provider on behalf of the participant. 

To become an independent provider, follow these steps:

  1. Find a participant who wants you to provide a Medicaid HCBS DD Waiver service.
  2. Contact the participant's service coordinator to start the process of becoming an independent provider.
  3. Become a Medicaid Provider. You must meet standards and pass background checks, including:
    • Criminal history
    • Adult Protective Services registry
    • Child central registry
    • Sex offender registry
  4. Attend Independent Provider Orientation. 
  5. Access Independent Provider Page for billing information, training and other resources.

You may find it helpful to refer to: