Developmental Disabilities (DD) Waiver Providers

Medicaid Related Assistance
Developmental Disabilities

What would you like to do?

What would you like to do?

What you need to know

What you need to know


This page helps you provide important services to Medicaid HCBS DD Waiver participants. Be sure to also use the main Provider page​, the Training page, and the Resources page.

You are also responsible to know information from Medicaid Provider Bulletins and DD Provider Bulletins.

Sections on this page

    Information for All DD Providers

    The following sections are applicable to both Agency and Independent Providers.

    DD Policy Manual

    ​The DD Policy Manual outlines requirements and procedures for Medicaid Home and Community-Based (HCBS) Developmental Disabilities (DD) Waiver services. The policy manual is intended to help DD providers deliver quality habilitative services and supports, and help ensure the health and safety of those served. All providers of DD services must comply with this manual.

    DD Provider Authorizations​ and Billing for Appendix K 2022

    DDD held an information meeting for DD providers about 2022 Appendix K payments April 20, 2022. 

    DD Rate Reform

    DDD is working to improve the rate structure for Nebraska's Medicaid HCBS DD Waivers to ensure appropriate reimbursement for DD services. Information is on our rate reform page.

    ​DD Services General Guides

    Functional Behavioral Assessments and Safety Plans

    Supported Employment Comprehensive Study

    The Nebraska Council on Developmental Disabilities is doing a study of supported employment outcomes and services for people with intellectual and developmental disabilities. This comprehensive study on supported employment for Nebraskans with IDD includes a strong emphasis on documenting outcomes, cost-effectiveness, and how increasing supported employment can help address the direct service workforce shortage and the increasingly urgent workforce needs of all employers in Nebraska.

    An informative meeting was held for providers Tuesday, December 14, 2021.

    DD Rates and Fee Schedules

    DD Service Fee Schedules list rates for Medicaid HCBS Developmental Disabilities (DD) Waiver services. Only one fee schedule is effective at a time. Start and end dates are on each schedule.​

    DD Fee Schedule 03.01.2022.pdf
    Home & Community Based Services3/1/2022
    DD Fee Schedule 01.01.2022.pdf
    Home & Community Based Services1/1/2022
    DD Fee Schedule 10.01.2021.pdf
    Home & Community Based Services10/1/2021
    DD Fee Schedule 07.01.2021.pdf
    Home & Community Based Services7/1/2021
    DD Fee Schedule 01.01.2021.pdf
    Home & Community Based Services1/1/2021
    DD Fee Schedule 09.07.2020.pdf
    Home & Community Based Services9/7/2020
    DD Fee Schedule 02.01.2020.pdf
    Home & Community Based Services2/1/2020
    DD Fee Schedule 10.01.2019.pdf
    Home & Community Based Services10/1/2019

    DD Agency Provider Information

    Alternative Compliance

    ​A DD agency provider must request alternative compliance to provide services differently than what is outlined in regulations. 

    Cost Reports

    Public Health Certified Provider Resources

    ​The DHHS-Public Health page for DD Certified Provider Resources includes resources such as:

    • Renewal Application
    • Provider Contact Points with DHHS

    Specialized Add-On Services

    MLTC and DDD held presentations January 2022 for DD Agency Providers about specialized add-on services.

    DD Independent Provider Information

    DHHS Processes for Independent Providers

    Habilitative Program Writing

    ​Live online training for independent providers on how to write Habilitation Programs. 

    Therap Resources Specific to Independent Providers