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.
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 & 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 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.
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.
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.
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 DHHS.DDProviderRelations@nebraska.gov 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.
DD providers are required to complete incident reports and follow-up on Therap. Instructions are available: