Developmental Disabilities (DD) Waiver Providers

Medicaid Related Assistance

Developmental Disabilities

https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NESTATE_656

What would you like to do?

What you need to know

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

You are also responsible to know information from MLTC Provider Bulletins and DDD Provider Bulletins.

Sections on this page

Add Services

Learn about becoming a Family Support Waiver (FSW) provider.

FSW Provider Slides
FSW Provider Video - February 2024

Information for All DD Providers

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

Changes to 403 NAC

The Department of Health and Human Services (DHHS), Division of Developmental Disabilities (DDD) has made revisions to Title 403 of the Nebraska Administrative Code (NAC). The updated 403 NAC regulations are currently pending approval.

Changes to 403 - This document outlines the changes. Sept 2023.

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 Meetings 2018 - 2023

2023

4th Quarter 2023 PowerPoint - presented October 24
3rd Quarter 2023 PowerPoint - presented August 8
2nd Quarter 2023 PowerPoint - presented May 3
1st Quarter 2023 PowerPoint

2021

2020

4th Quarter 2020 PowerPoint
3rd Quarter 2020 PowerPoint
No 2nd Quarter 2020 meeting, due to bi-weekly COVID-19 calls.
1st Quarter 2020 PowerPoint

2019

2018

2024 Provider Meetings

DDD hosts quarterly meetings for providers of all HCBS Waivers. Information is on the HCBS Provider Homepage.

DD Services 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.

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.

Electronic Visit Verification - Main Medicaid page for EVV.
Therap Electronic Visit Verification - EVV page specific to EVV with Therap.

Forms

Nebraska Home and Community-Based Waiver Notification of Death Form - Form to report death of participant, in addition to incident reports. This is used for participants of any HCBS waiver.
Physical Exam Form - May be used for any HCBS participant's annual exam, but use is not required.
Request for Fair Hearing - File an appeal when you do not agree with a decision about provider enrollment or payment made by DDD.

Functional Behavioral Assessments, Behavior Support Plans, and Safety Plans

Functional Behavioral Assessments & Behavior Support Plans - The process to help participants with target behaviors.
Functional Behavioral Assessment (FBA) Information

Functional Behavioral Assessment Template - Expectations for a participant's FBA. This meets requirements listed in the Behavioral Health Service Definitions for Heritage Health.
FBA Checklist - one-page list of who can complete, required elements, and important tips.

Behavior Support Plan (BSP) Information

Behavior Support Plan Checklist - one-page list of required elements and important tips.
PEARLS Presentation - PEARLS is a Proactive Treatment Interaction is a social exchange between individuals intended to result in greater independence, autonomy, or inclusion for one of the individuals in the exchange. It can be used with all participants receiving services and by any provider. It is also an effective supervision and teaching tool to support DSP. PEARLS is research-based with proven effectiveness with reducing problem behaviors.

Safety Plan Information

Safety Plan Template - A fillable form.
Safety Plan Example - An example of the safety plan form.
Safety Plan Checklist - one-page list of required elements and important tips.
Safety Plan Training - February 2024

FBA, BSP, and Safety Plans - watch on YouTube
Presentation Slides

ICAP Assessment Tool

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.

Assessment & Budgeting - Brochure explaining the process used to assess needs and decide budgets for purchasing DD services. Includes information about ICAP interviews.
ICAP Training for DD Providers - Slides from 2021 presentation to DD agency providers.
Biennial ICAP Process - 2022 presentation on biennial team review of ICAP.

Incident Reporting, Follow-Up, & Management Committee

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:

Incident Reporting and GER Guide in Therap
Incident Follow-up Guide
GER Training Video - Provided to assist DD Providers with October 1, 2022 changes.
Questions about the process can be submitted to NeGERHelp@libertyhealth.com

Incident Follow-Up and GER Resolution - September 2024

This training provides an in-depth look at the Incident Remediation process in the GER Resolution. It is intended to assist providers and other individuals who complete the Resolution by giving a detailed explanation of what is required in each section.

Recording of Liberty Presentation

Incident Management Committee - Committee reviewing incidents and trends

Letter explaining committee - July 2023

Mortality Review

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 - the State-Mandated Single Case Management System

Therap is used 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 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 Provider Grant Memo - May 25, 2023 updated memo from Director Green about payments for stabilization, with a focus on hiring and retaining Direct Support Professionals
DD Provider Rate Memo - June 21, 2022 memo from Director Green re: rate increases

Name	Fee Schedule	Effective Date
DD Fee Schedule 01.01.2025	Home & Community Based Services	1/1/2025
Fee Schedule 07.01.2024	Home & Community Based Services	7/1/2024
DD Rate Schedule 03.01.2024	Home & Community Based Services	3/1/2024
DD Fee Schedule 01.01.2024	Home & Community Based Services	1/1/2024
DD Rate Schedule 07.01.2023	Home & Community Based Services	7/1/2023
DD Fee Schedule 01.01.2023	Home & Community Based Services	1/1/2023
DD Fee Schedule 07.01.2022	Home & Community Based Services	7/1/2022
DD Fee Schedule 03.01.2022	Home & Community Based Services	3/1/2022
DD Fee Schedule 01.01.2022	Home & Community Based Services	1/1/2022
DD Fee Schedule 10.01.2021	Home & Community Based Services	10/1/2021
DD Fee Schedule 07.01.2021	Home & Community Based Services	7/1/2021
DD Fee Schedule 01.01.2021	Home & Community Based Services	1/1/2021
DD Fee Schedule 09.07.2020	Home & Community Based Services	9/7/2020
DD Fee Schedule 02.01.2020	Home & Community Based Services	2/1/2020
DD Fee Schedule 10.01.2019	Home & Community Based Services	10/1/2019

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DD Agency Provider Information

DD Agency Providers Directory - Includes alphabetical and geographical listings, what services each provider offers, and contact information.

Alternative Compliance

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

Regulations and Waivers page
Policy Manual - Alternative compliance process explained in Ch 7, 7.1, N.

Cost Reports

Cost Allocation Guidelines - Guidelines for agency providers.
Cost Report Instructions - How to complete and submit.
Cost Report Form - Form to complete for DDD.
Cost Report Validation Tool - Must be completed with form.

Developmental Disabilities Court-Ordered Custody Act

Reviews the Nebraska Developmental Disability Court-Ordered Custody Act (DDCOCA) and procedures related to it. Information in this training is specifically aimed at how DDCOCA affects agency providers as contractors and partners with the Division and the additional responsibilities in such cases.

DDCOCA Provider Training - watch on YouTube

HCBS Final Settings Rule - Assessments and Training

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.

Trainings

In early 2023, DDD provided training on Self-Assessment Tips and Tricks.

Self-Assessment Tips & Tricks Presentation

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.

STP slides
STP Presentation recording - recorded November 10, 2022

Human Legal Rights Advisory Committee - February 2024

DDD and Liberty have created a Human Legal Rights Advisory Committee (HLRAC) that helps protect the rights of people receiving DD Waiver services, promotes best practices for provider committees, and adds a quality outcome focus. The HLRAC reviews cases, makes recommendations, and shares information with the providers and teams to achieve individually defined quality-of-life outcomes.

HLRAC flyer - A quick overview.
HLRAC Stakeholder Training - An overview of human and legal rights, rights for participants of DD Waiver services, rights restrictions, and rights review committees, as well as an introduction to the newly implemented Human and Legal Rights Advisory Committee (HLRAC).

HLRAC Stakeholder slides
HLRAC Stakeholder presentation recording - Recorded February 2024

HLRAC Provider Training - February 2024 - For DD Agency Providers. Includes the necessary information to be submitted to agency HLRCs in accordance with DDD policies and regulations; the new agency provider Therap reporting requirements for HLRC information; and an overview of the HLRAC role and functions and the referral process.

Flyer for HLRAC Provider Training
HLRAC Provider slides
HLRAC Provider presentation recording - Recorded February 2024

Human Legal Rights Committee Requirements for Agency Providers - Sept 2024

As of March 15, 2024, DD agency providers are required to enter their HLRC information in Therap.

DD Provider Bulletin 24-02: Agency Human and Legal Rights Committee (HLRC) Requirements - issued 3/5/24
Agency Provider HLRC Requirements Guide - effective 3/15/24
Training for DD Agency Providers - Reviewed the HLRC Case Note Questionnaire requirement for all DD Waiver agency providers. Attendees had the chance to ask questions and share useful tips based on their experiences.

Training flyer
HLRC Requirements slides
HLRC Requirements presentation recording - Recorded September 2024

Medication Administration Records

Medication Administration Record (MAR) Guidance - Expectations for using MARs in Therap.

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

Shared Living Provider (SLP) Requirements - January 2024

Shared Living Provider requirements:

DD Policy Manual - updated January 1, 2024
Home Study Survey - complete form
SLP Training for DD Providers - slides from November 9, 2023

Specialized Add-On Services

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

DD Independent Provider Information

DD Independent Providers Directory - Includes alphabetical and geographical listings, what services each provider offers, and contact information.

Abuse and Neglect Training

Providers must have training on Abuse and Neglect. Free training is available:

Child and Vulnerable Adult Abuse, Neglect, and Exploitation - Meets the training requirement for independent providers. Covers the Child and Adult Protective Services Acts. Explains mandatory reporters. Discusses reasonable cause. Outlines how to report and explains how an investigation happens. Talks about the Central Registry and penalties for violating laws.

Abuso, abandono y explotación infantil y de adultos vulnerables - Training in Spanish

Protecting Senior and Vulnerable Nebraskans from Fraud, Abuse, and Exploitation - Twenty-eight minute video from NET. Information about financial exploitation and how to protect against it. Law enforcement gives an overview on investigations and the court system. Medical experts explain how to spot increased vulnerability.

DHHS Processes for Independent Providers

DHHS Secure Mail User Guide - How to send secure emails. Any emails with confidential information must be sent securely.

How to Become an Independent Provider for DD Services - Explains developmental disability services, provider qualifications and how to become an independent provider.

Independent Provider Adding Services - Process for current DD providers - How an independent provider adds a new service through Maximus.

In Spanish

Medicaid Enrollment Requirements Quick Reference Guide - A list of items needed to enroll in Maximus initially and for annual review.

Habilitative Program Writing

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:

Habilitation Program Overview – Step-by-step guide to writing habilitation programs.
Live online habilitation training for independent providers information is posted on the DDD homepage, on the calendar.

Slides for Habilitation Training - Viewing slides should not replace attending training.

Therap habilitative training – ISP Programs & Data – Training on habilitation programs in Therap. Trainings are in the orange box on the independent provider page of Therap. You must sign in to your Therap training account.

Therap Resources Specific to Independent Providers

Therap's Nebraska Independent Provider page - This page includes much information, including training events organized by DDD Provider Relations.

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What would you like to do?

What would you like to do?

What you need to know

What you need to know

Add Services

Information for All DD Providers

2024 Provider Meetings

DD Rates and Fee Schedules

DD Agency Provider Information

DD Independent Provider Information​

More

Developmental Disabilities (DD) Waiver Providers

DD Independent Provider Information