DD Rate Reform and OAP Redesign

Disabilities Assistance
Developmental Disabilities

What would you like to do?

What you need to know

​DDD is working to improve Nebraska's current Medicaid Home and Community-Based Services (HCBS) developmental disabilities (DD) waiver rate structure to make sure reimbursement for DD services is appropriate.


Phase I: Rate Rebase - This DD provider study was to understand service costs and cost components. The goal is to update payment rates for DD waiver services.

Phase II: Objective Assessment Process (OAP) Redesign - This process will change to better tie funding to needs.


August 2019 - Draft rate schedule with additional funding appropriated in LB 294

April 10, 2019 - Phase II OAP Redesign PowerPoint

December 4, 2018 - DHHS-DD Rate Model in DD waiver amendments

June 19, 2018 - PowerPoint of June 2018 presentation

April 12, 2018 - PowerPoint of April 2018 presentation

May 25, 2017 - PowerPoint of May 2017 presentation and May 2017 video

March 30, 2017 - PowerPoint of March 2017 presentation and March 2017 video

February 10, 2017 - PowerPoint of February 2017 presentation and February 2017 video (video incorrectly dated 2016)