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).​

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 iServe​.

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).​

COVID-19 Appendix K Amendments - March 6, 2020 to June 30, 2022

Appendix K is in response to the COVID-19 pandemic and outline temporary changes to the service delivery system. Appendix K did not require public comment as it was in response to a state of emergency. 

Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - March 17, 2022

Nebraska extended flexibilities from June 30, 2021 through June 30, 2022 for the flexibility to allow Habilitative Workshop, Community Inclusion, and Adult Day Service in an alternative setting for the CDD and DDAD Waivers. Additionally, Nebraska is increasing rates for services from January 1, 2022 through June 30, 2022. 

Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - April 15, 2021

Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - March 24, 2021

Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - December 17, 2020

Appendix K Extensions for Nebraska's Medicaid HCBS Waivers - September 14, 2020

Appendix K for Nebraska's Medicaid HCBS Waivers - April 20, 2020

    Additional Information:

      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. ​​