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

    Home and Community-Based Services Spending Plan

    Nebraska Medicaid sent to the federal government its proposed initial spending plan on July 12, 2021, for the additional funds available for home and community based services (HCBS) through the American Rescue Plan Act. This plan is subject to approval by the federal government and may change before it is approved. 

    A copy of the initial spending plan is below:

    On September 20, 2021, the federal government sent Nebraska approval to begin collecting federal matching funds along with further questions regarding the state's spending plan. Nebraska Medicaid appreciates this partial approval and is working to provide the federal government the additional information it needs on our spending plan. A copy of the letter Nebraska Medicaid received is below:

    Liberty Healthcare Corporation

    The Division of Developmental Disabilities (DDD) is dedicated to serving Nebraskans with the best and most effective services possible. This is why DDD has partnered 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:

    ​Information for All Pro​​​viders​​

    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.

    ​General Guides

    Functional Behavioral Assessments

    Appendix K - 2020 COVID-19 - March 6, 2020 to June 30, 2021

    The following information is for DD providers to comply with Appendix K. 


    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: