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 MLTC Provider Bulletins and DDD Provider Bulletins.
The following sections are applicable to both Agency and Independent Providers.
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.
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.
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.
When a DD provider opens a new residential service setting, the provider must complete a self-assessment at least 15 business days before opening. Residential settings include group homes, host homes, and shared living homes.
When a DD provider opens a new non-residential site, the provider must notify DDD Provider Relations at DHHS.DDProviderRelations@nebraska.gov so an assessment can be completed at least 15 business days before opening. Non-residential settings include workshops, hubs, enclaves, and other locations where day services occur.
For more information on the plan for home and community-based services, visit the Final Settings Rule page.
In early 2023, DDD provided training on Self-Assessment Tips and Tricks.
In November 2022, DDD provided training for DD agency providers. Topics included how the Final Settings Rule applies to providers, self-assessment requirements, and on-site assessment.
DDD uses the ICAP assessment tool to determine funding amount for participants of Medicaid HCBS DD Waiver Services. Training is directed toward DD providers, but may be used by anyone interested in learning about the objective assessment process.
HCBS providers are required to complete incident reports and follow-up on Therap. All incidents for participants on the CDD and DDAD Waivers are required.
Instructions are available:
Liberty presentation regarding October 1, 2022 changes to Incident Reporting and GER Guide for all DD providers.
DDD partners with Liberty Healthcare, an independent quality improvement company. Liberty Healthcare is working with DDD to review operations and make recommendations for improvements to its systems and practices. For more information on mortality review:
Therap is used for many things, including incident reports, billing, referrals and secure communication.
A DD agency provider must request alternative compliance to provide services differently than what is outlined in regulations.
Medication Administration Record (MAR) Guidance - Expectations for using MARs in Therap.
The DHHS-Public Health page for DD Certified Provider Resources includes resources such as:
MLTC and DDD held presentations January 2022 for DD Agency Providers about specialized add-on services.
Providers must have training on Abuse and Neglect. Free training is available:
Habilitation programs must be written for habilitative services. Providers are required to know how to write and run programs. The following free training is available: