Regulations and Waivers for DDD

 
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Statutes & Regs
Developmental Disabilities
 
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What would you like to do?

What you need to know

What you need to know

​​​​​​​​​​​​​​​​​​​​Regulations

Medicaid Home and Community-Based Services (HCBS) Waiver services must comply with state regulations, known as the Nebraska Administrative Code (NAC).​

Title 404 Updated - November 19, 2022

Updated regulations were approved through the hearing and adoption process. They went into effect November 19, 2022. 

The following regulations apply to Medicaid HCBS waiver services:

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Medicaid HCBS Waivers

Medicaid Home and Community-Based Services (HCBS) waivers allow Nebraska to use federal Medicaid funds for services in the community. When a person receives waiver services, the state receives federal money. This allows more people to receive services.

The Public Comment page has information about waiver changes.

To be eligible, a person must have Medicaid. To apply for Medicaid, contact your local DHHS office or apply online at iServeNebraska.​

Available HCBS Waivers for Eligible People​ - A quick look at Nebraska's four Medicaid HCBS waivers.

A participant can only be on one waiver at a time. A participant can be on one waiver while waiting for a different waiver.

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Current Medicaid HCBS Waivers

To be on a Medicaid HCBS waiver, a person must meet level of care requirements outlined in the waiver.

  • Aged and Disabled (AD) Waiver - Offers services for people over the age of 65 and people of all ages who have disabilities. Helps people live safely in their own home. A participant must meet level of care for a nursing facility (NF).
  • Comprehensive Developmental Disabilities (CDD) Waiver – Offers services for people of all ages with developmental disabilities. Maximizes independence as participants live, work and socialize in their communities. A participant must have a developmental disability and meet level of care for an intermediate care facility for people with developmental disabilities (ICF/DD). 
  • Developmental Disabilities Adult Day (DDAD) Waiver – Offers services for people ages 21 and over with developmental disabilities. Maximizes participants' independence to work in their communities. There is a focus on competitive, integrated employment. A participant must have a developmental disability and meet level of care for an intermediate care facility for people with developmental disabilities (ICF/DD). 
  • Traumatic Brain Injury (TBI) Waiver​ - Offers services for people ages 18 through 64 who want to live in assisted living. A participant must have a traumatic brain injury and meet level of care for a nursing facility (NF).​

Nebraska Legislature

The Developmental Disabilities Services Act can be found in Nebraska Revised Statute §§83-1202 to 83-1227. On the legislative page, the Act may be viewed by using the right arrow to move through statutes. ​​