Providers of Medicaid HCBS Waiver Services

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

Sections on this page


    COVID-19 Guidance

    • Information for All Providers has a section for Appendix K which includes FAQs, service authorization and billing guidance, and the billing document.
    • The Therap section includes a guidance document to help you report incidents related to COVID-19.

    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.

    Information for All Providers

    General Guides

    Habilitation Program Overview - Guide to write habilitation programs. This is a companion to training.

    Transportation Q&A - When and how to bill for transportation.

    Functional Behavioral Assessments

    Functional Behavioral Assessments & Behavior Support Plans - The process to help participants with target behaviors.

    Functional Behavioral Assessment Template - Expectations for a participant's FBA. This meets requirements listed in the Behavioral Health Service Definitions for Heritage Health.

    Appendix K - 2020 COVID-19 - Extended until June 30, 2021

    Appendix K Application Information - General information about Appendix K.

    Appendix K FAQ (AD and TBI Waivers) 

    COVID-19 Appendix K Fact Sheet (DD Waivers) 

    DD Agency Provider FAQs - Frequently asked questions for agency providers.

    DD Independent Provider FAQs - Frequently asked questions for independent providers.

    DD Service Authorization & Billing Information - Guidance on how to bill for services provided under Appendix K.

    DD Billing Form - Form to request retainer payments under Appendix K for COVID-19.

    Regulation and Waiver Page - Letters from CMS and approved Appendix K documents.


    Notification of Death - Due within 10 days after a participant dies. Directions are included at the end of the form. 

    Physical Exam Form - May be used for a participant's annual exam.

    Request for Fair Hearing - File an appeal when you do not agree with a decision about provider enrollment or payment made by DDD.

    Electronic Visit Verification (EVV)

    The Federal 21st Century Cures Act includes a Medicaid requirement for Electronic Visit Verification (EVV). EVV allows in-home care providers to check in and out electronically. 

    DD Rate Reform

    We are 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. 

    State Transition Plan (STP) Assessments

    When a DD provider opens a new residential setting, you must complete a self-assessment. Residential settings include group homes, host homes, and shared living homes.

    When a DD provider opens a new day services setting, you should send an email to DDD Provider Relations at for a STP Non-Residential Assessment. Day service settings include workshops, hubs, enclaves, and other locations where day services occur.

    For DHHS's plan for home and community-based services, and the Residential Self-Assessment, visit the State Transition Plan page.


    DDD uses Therap for many things, including incident reports, billing, referrals and secure communication. 

    • Therap Log In - The portal to enter your Therap account.
    • Therap Training Academy - Sign up for free! Anyone can view and attend the offered trainings. Therap keeps track of your courses.

    DD providers are required to complete incident reports and follow-up on Therap. Instructions are available: