Provider Bulletins from Division Of Developmental Disabilities

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Disabilities Assistance

Developmental Disabilities

https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NESTATE_656

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2025 Bulletins

• ​PB 25-01​: ​​Waiver Amendments Approved​ - issued 6/30/25
  

​​​​​​​​​​​Older Bulletins

These remain in effect, unless otherwise specified.

2024 Bulletins

• ​PB 24-04: Employee Background Checks and Specific Crimes - issued 9/3/24
  
• PB 24-03: Updates to Root Cause Analysis Timelines - issued 4/2/24
• PB 24-02: Agency Human and Legal Rights Committee (HLRC) Requirements  - issued 3/5/24 
• Agency Provider HLRC Requirements Guide - effective 3/15/24
• PB 24-01: Emergency Safety Interventions (ESI) Certification - issued 2/5/24
  

Rescinded 2024 Bulletin

• PB 24-05: Waiver Services Outside of the United States and Nebraska - rescinded 9/30/24​
  

2023 Bulletin - Repealed

• PB 23-01: Developmental Disabilities (DD) Shared Living Service Changes - Repealed 1/1/24; requirement in the DD Policy Manual. 

2022 Bulletins

• PB 22-04: Title 404 Regulations - issued 11/19/22
• PB 22-03: Correction to Incident Reporting & GER Guide Effective October 1, 2022 - issued 10/6/22
• PB 22-02: STP Assessment Requirements for AD and TBI Providers - issued 9/27/22    
• PB 22-01: STP Assessment Requirements for DD Providers - issued 9/27/22
  

Rescinded 2022 Bulletin

• ​PB 22-05: Employee Background Checks and Specific Crimes - Replaced with PB 24-04​
  

2021 Bulletins

• PB 21-01: Documentation of Participant COVID-19 Vaccination - issued 1/20/21    

2020 Bulletins

• PB 20-07: Emergency Safety Intervention (ESI) - issued 10/16/20
• PB 20-06: Developmental Disabilities Policy Manual - issued 7/31/20
• PB 20-03: DD Agency Provider Accounting System - updated 1/11/23
• PB 20-01: Therap Validation of Attendance - issued 2/10/20

Repealed 2020 Bulletins

• PB 20-05: 2019 Novel Coronavirus (COVID-19) Reporting Requirements - Repealed 5/10/22; Covid reporting guidelines in the GER Guide.​ 
  
• PB 20-04: Notification and Assessment Requirements for New HCBS Sites - Repealed 8/10/22; requirement in the DD Policy Manual.​ 
  
• PB 20-02: Therap Employment Module - Repealed 8/10/22; requirement in the DD Policy Manual.
  

2019 Bulletins

• PB 19-04: Use of SComm in Therap for Secure Communication - issued 7/1/19
• PB 19-03: Use of Appointments in the Therap Health Tracking Module - updated 11/22/19
• PB 19-02: Guardians employed by Medicaid HCBS DD Agency Service Providers - updated 6/15/20

Repealed 2019 Bulletins

• PB 19-05: DD Services Fee Schedule - Repealed 10/16/20; fee schedules are now posted to allow providers to access both past and current service rates.
• PB 19-01: Background Check Requirements for Medicaid HCBS DD Agency Service Providers - Repealed 6/6/19; it was meant to clarify specifics in regards to types of background checks required. DDD received feedback that it was confusing. We pulled this bulletin to work with our Medicaid Division partners to clarify the requirements. The annual background check requirement has not been repealed.

2018 Bulletins

• PB 18-05: Title 403 Regulations - issued 7/24/18
• PB 18-01: Habilitation Plan Writing Guidelines - issued 4/12/18

Repealed 2018 Bulletins

• PB 18-07: Habilitative Community Inclusion Service to Support Hobby Activities – Repealed 8/10/22; requirement in the DD Policy Manual.
  
• PB 18-06: Sub-Contracting for Direct Provision of DD Services - Repealed 6/6/19; the dates are inaccurate, due to the extended timeline for the submission of the DD Waiver amendments to CMS.
• PB 18-04: ISP Programs in Therap - Repealed 8/10/22; requirement in the DD Policy Manual.
  
• PB 18-03: Therap Attendance and Billing for Independent Providers - Repealed 2/16/21; requirement in the DD Policy Manual.
• PB 18-02: Change in Notification of Death Form and Instructions - Repealed 10/11/21; requirement in the new Notice of Death form.
  

2017 Bulletins

• PB 17-16: Coverage of Medical Escort Services - issued 7/20/17
• ​PB 17-11: Use of PRN Medications - issued 6/2/17
• PB 17-08: Alternative Compliance to 404 NAC for Centers for Developmentally Disabled - issued 5/4/17

Repealed 2017 Bulletins

• PB 17-17: Use of Psychotropic Medications - Repealed 6/5/25; information no longer relevant; current guidance provided elsewhere.​
  
• PB 17-15: Functional Behavioral Assessments - Repealed 8/10/22; information no longer relevant.
  
• PB 17-14: Incident Reporting: Completing General Event Reports (GERs) in Therap - Repealed 2/8/22; requirement in the DD Policy Manual and GER Guide.
• PB 17-13: Authorizations to Provide Transportation (3764) - Repealed 5/23/22; service authorizations for transportation available 6/19/17.
• PB 17-12: Requirements for Therap Documentation - MAR and Billing/Attendance - Repealed 2/16/21; requirement in the DD Policy Manual.
• PB 17-10: General Service Contracts & Service Provider Agreements  - Repealed 5/23/22; was point-in-time. MC-19 has been sole agreement as of 7/1/17.
• PB 17-09: Service Authorization Dates for New HCBS-DD Waiver Services - Repealed 5/23/22; was point-in-time to transfer to waivers in 2017.
• PB 17-07: Requirements for Independent Providers of DD Waiver Services - Repealed 2/16/21; requirement in the DD Policy Manual.
  
• PB 17-06: Independent Providers of Respite Services - Repealed 8/10/22; requirement in the DD Policy Manual. 
  
• PB 17-05: Medicaid HCBS DD Waivers Fe​e Schedule - Repealed 5/23/22; fee schedule from 8/1/17 has expired.
• PB 17-04: Criminal History Background Checks - Repealed 5/23/22; was point-in-time. DHHS stopped paying for background checks 4/25/17.
  
• PB 17-03: 2017 Billing Clarifications Re: 15 Leave Days - Repealed 8/10/22; information no longer relevant.
  
• PB 17-02: Independent Provider Crosswalk of Unbundled Services - Repealed 5/23/22; was for six months following 3/1/17 waiver implementation.
• PB 17-01: Agency Provider Crosswalk of Unbundled Services - Repealed 5/23/22; was for six months following 3/1/17 waiver implementation.​
  

2016 Bulletins - Repealed

• PB 16-03: Non-Specialized Billing Process - Repealed 2/16/21; requirement in the DD Policy Manual.
• PB 16-02: Service Provider Agency Directory - Repealed 2/19/21; was point-in-time request ending June 25, 2016.
• PB 16-01: Specialized Provider Rate Update for SFY17 - Repealed 5/23/22; was point-in-time for FY 2017.