Quality Assurance for HCBS Waiver Services

Disabilities 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

​​​​​​​Quality Strategy for Aged and Disabled Waiver

DDD uses a quality improvement system to ensure the health and well-being of participants through continuous, participant-focused monitoring and improvement.

  • The quality improvement system is guided by key principles and defined roles and functions.
  • A quality council advises on strategies to improve all aspects of the quality improvement system and reviews progress on strategies.
  • Processes are used to measure compliance, CMS assurances, participant outcomes and utilization.
  • Survey results and reports are compiled from data obtained through the quality improvement system processes.

The quality improvement plan process focuses on standards compliance and contract performance expectations with formal quality assurance.

National Core Indicators (NCI) for AD Waiver

Nebraska is participating in a National Core Indicators – Aging and Disabilities (NCI-AD) project survey to assess the quality of life for adults receiving long-term care services through DDD. Visit the NCI website to learn more.

NCI Aging and Disabilities Adult Consumer Survey Reports

​Quality Strategy for Developmental Disabilities Waivers

DDD has a quality management and improvement plan to promote and monitor quality of services and lives for waiver participants. This was a result of Nebraska Revised State Statute §83-1209

Quality Management Strategy (QMS) Reports

​Since September 2017, DDD has given updates on quality activities to Nebraska Legislature​.

DD Waiver Participant Surveys

The Participant Experience Survey is conducted with participants to help DDD prioritize how to improve the quality of services.

National Core Indicators (NCI) for DD Waivers

​The National Core Indicators (NCI) project is an effort by public DD agencies to measure and track performance. NCI is a collaboration between the National Association of State DD Directors and the Human Services Research Institute.

NCI offers an introduction video to explain surveys, who can participate, and how the information is used.

DDD began participating in NCI for the 2016-17 survey.   

Staff Stability Survey

This survey compares Nebraska's workforce data to other states. DHHS can measure improvements made by policy or programmatic changes. The online survey is filled out yearly by direct support employees of agency providers who serve adult participants.

Adult In-Person Survey

This survey assesses the quality of life for adult participants. The survey used to be called the Adult Consumer Survey.

DDD partners with the University of Nebraska Medical Center, Munroe-Meyer Institute (MMI) to conduct this survey with randomly selected participants. MMI provides survey information on their website.

If you are an adult participant, or someone in your family receives services, you may be contacted. ​

NCI Reports

Visit the NCI website to view reports

Liberty Partnership 

Liberty Partnership Quality Project - DDD and Liberty Healthcare Corporation are working together through a contract centered around quality improvement to make services better and more centered around the wishes and needs of each person supported.​