No
Closed: Public Comment - AD and TBI Waivers
Pursuant to 42 C.F.R. §441.304(f), the Nebraska Department of Health and Human Services (DHHS) is required to give public notice related to the state's plan to renew the 1915(c) Medicaid Home and Community Based Services (HCBS) Aged and Adult and Children with Disabilities (NE.0187) waiver and amend the Traumatic Brain Injury Waiver (NE.40199).
The second public comment period was from February 2 through March 9, 2026. Written comments had to be postmarked or received by March 9, 2026.
Upon approval by the Centers for Medicare and Medicaid Services (CMS), these waiver amendments would go into effect July 1, 2026.
Presentation
An informational presentation of the proposed changes was given online via Zoom on February 5, 2026. Slides are posted in the Documents section.
Documents
Modified Service Cap
The posted waivers indicate a modified cap of 150% for waiver services. As Nursing Facility level of care waivers, this limit is based on the average per capita nursing facility spending in SFY 2025, which is $92,438. This amount reflects total annual nursing facility expenditures divided by the average number of recipients in SFY 2025.
Accordingly, the modified cap, and the associated exception review when services provided by out-of-home caregivers are necessary to protect the participant's immediate health and safety, would be triggered when waiver spending exceeds $138,657.
Next Steps
Comments are being processed by the Division and will be posted to the DDD Public Comment website. Efforts will be made to redact personally identifiable information when significant privacy concerns are identified but public comments may be posted in their entirety and without edits.
Presentations
The same presentation of proposed changes was given four times online via Zoom: December 10, December 11, December 16, and December 17.
Documents
Closed: Public Comment - CDD and DDAD Waivers
Pursuant to 42 C.F.R. §441.304(f), the Nebraska Department of Health and Human Services (DHHS) is required to give public notice related to the state's plan to amend the 1915(c) Medicaid Home and Community Based Services (HCBS) Comprehensive Developmental Disabilities Services (NE.4154) waiver and the Developmental Disabilities Day Services Waiver for Adults (NE.0394).
The 30-day public comment period was from January 26 through February 25, 2026. Written comments had to be postmarked or received by February 25.
Upon approval by the Centers for Medicare and Medicaid Services (CMS), these waiver amendments would go into effect July 1, 2026.
Presentations
Presentations of proposed changes were given online via Zoom: January 27, January 28, February 4, and February 6. Slides are posted in the Documents section.
Documents
Next Steps
Comments are being processed by the Division and will be posted to the DDD Public Comment website. Efforts will be made to redact personally identifiable information when significant privacy concerns are identified but public comments may be posted in their entirety and without edits.