Second Public Comment Period - 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 30-day public comment period is from February 2 through March 4, 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 will be given online via Zoom. Slides are posted in the Documents section.
- February 5, 2026, 11:00 AM - 12:00 PM, Central Time
Documents
A hard copy of a waiver application can be requested via mail, email, or phone at 402-471-9156.
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.
Submitting Comments
Interested persons are invited to submit written comments to the Department via the internet, email, or by mail.
The Division has developed Tips for Submitting Effective Comments to support the public in submitting comments.
Written comments must be postmarked or received by March 4, 2026.
Notice: After submission, comments will be processed by the Division and 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.
The same presentation of the proposed changes was given four times online via Zoom.
- December 10 from 2:30 PM to 4:00 PM, Central Time
- December 11 from 8:30 AM to 10:00 AM, Central Time
- December 16 from 2:30 PM to 4:00, Central Time
- December 17 from 4:30 to 6:00 PM, Central Time
Documents
Public Comment Period - 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 is from January 26 through February 25, 2026.
Upon approval by the Centers for Medicare and Medicaid Services (CMS), these waiver amendments would go into effect July 1, 2026.
Presentations
The informational presentations of the proposed changes will be given four times online via Zoom. Slides are posted in the Documents section.
- January 27 from 9:30 AM to 10:15 AM, Central Time
- January 28 from 1:30 PM to 2:15 PM, Central Time
- February 4 from 4:30 PM to 5:15 PM, Central Time
- February 6 from 1:00 PM to 2:15 PM, Central Time
Documents
A hard copy of a waiver application can be requested via mail, email, or phone at 402-471-9156.
Submitting Comments
Interested persons are invited to submit written comments to the Department via the internet, email, or by mail.
The Division has developed Tips for Submitting Effective Comments to support the public in submitting comments.
Written comments must be postmarked or received by February 25, 2026.
Notice: After submission, comments will be processed by the Division and 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.