Provider Bulletins from the Division of Disability and Aging

 
4
Disabilities Assistance
Developmental Disabilities
https://public.govdelivery.com/accounts/NESTATE/subscriber/new?topic_id=NESTATE_656
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​​Division Name

Bulletins issued prior to July 18, 2026 include the old Division name. Unless repealed, they are considered pertinent​ to the Division of Disability and Aging.​


Active Bulletins​

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Repealed Bulletins

Unless otherwise specified, bulletins were repealed due to guidance being found elsewhere, typically in the DD Policy Manual​. 

2025 Bulletins

  • PB 25-01: Waiver Amend​ments Approved - point-in-time information; repealed 1/1/26 

2024 Bulletins

  • ​PB 24-05: Waiver Services Outside of the United States and Nebraska - repealed 9/30/24​
  • PB 24-04: Employee Background Checks and Specific Crimes - repealed 8/29/25
  • PB 24-03: Updates to Root Cause Analysis Timelines - repealed 8/29/25
  • PB 24-02: Agency Human and Legal Rights Committee (HLRC) Requirements - repealed 8/29/25​ 

2023 Bulletin

  • PB 23-01: Developmental Disabilities (DD) Shared Living Service Changes - repealed 8/29/25 

2022 Bulletins

  • PB 22-05: Employee Background Checks and Specific Crimes - replaced with PB 24-04 
  • PB 22-04: Title 404 Regulations - repealed 8/29/25
  • PB 22-03: Correction to Incident Reporting & GER Guide Effective October 1, 2022 - repealed 8/29/25
  • PB 22-02: STP Assessment Requirements for AD and TBI Providers - repealed 8/29/25    
  • PB 22-01: STP Assessment Requirements for DD Providers - repealed 8/29/25

2021 Bulletins

  • PB 21-01: Documentation of Participant COVID-19 Vaccination - repealed 8/29/25  

2020 Bulletins

  • PB 20-07: Emergency Safety Intervention (ESI) - repealed 8/29/25
  • PB 20-06: Developmental Disabilities Policy Manual - repealed 8/29/25 
  • PB 20-05: 2019 Novel Coronavirus (COVID-19) Reporting Requirements - repealed 5/10/22 - Covid reporting guidelines in the GER Guide.
  • PB 20-04: Notification and Assessment Requirements for New HCBS Sites - repealed 8/10/22 
  • PB 20-03: DD Agency Provider Accounting System - repealed 1/1/26​
  • PB 20-02: Therap Employment Module - repealed 8/10/22​
  • PB 20-01: Therap Validation of Attendance - repealed 8/29/25

2019 Bulletins

  • PB 19-05: DD Services Fee Schedule - Repealed 10/16/20; fee schedules are now posted to allow providers to access both past and current service rates.
  • PB 19-04: Use of SComm in Therap for Secure Communication - Repealed 8/29/25
  • PB 19-03: Use of Appointments in the Therap Health Tracking Module - Repealed 8/29/25​
  • PB 19-02: Guardians employed by Medicaid HCBS DD Agency Service Providers - Repealed 8/29/25 
  • PB 19-01: Background Check Requirements for Medicaid HCBS DD Agency Service Providers - Repealed 6/6/19; was meant to clarify specifics in regards to types of background checks required. DDD received feedback that it was confusing. We pulled this bulletin to work with our Medicaid Division partners to clarify requirements. The annual background check requirement has not been repealed.​

2018 Bulletins

  • PB 18-07: Habilitative Community Inclusion Service to Support Hobby Activities – Repealed 8/10/22
  • PB 18-06: Sub-Contracting for Direct Provision of DD Services - Repealed 6/6/19; the dates are inaccurate, due to the extended timeline for the submission of the DD Waiver amendments to CMS. 
  • PB 18-05: Title 403 Regulations - Repealed 8/29/25
  • PB 18-04: ISP Programs in Therap - Repealed 8/10/22
  • PB 18-03: Therap Attendance and Billing for Independent Providers - Repealed 2/16/21
  • PB 18-02: Change in Notification of Death Form and Instructions - Repealed 10/11/21; requirement in the new Notice of Death form.
  • PB 18-01: Habilitation Plan Writing Guidelines - Repealed 8/10/22

2017 Bulletins

  • PB 17-17: Use of Psychotropic Medications - Repealed 6/5/25; information no longer relevant; current guidance provided elsewhere.  
  • PB 17-16: Coverage of Medical Escort Services - Repealed 8/29/25
  • PB 17-15: Functional Behavioral Assessments - Repealed 8/10/22; information no longer relevant.
  • PB 17-14: Incident Reporting: Completing General Event Reports (GERs) in Therap - Repealed 2/8/22
  • PB 17-13: Authorizations to Provide Transportation (3764) - Repealed 5/23/22; service authorizations for transportation available 6/19/17.
  • PB 17-12: Requirements for Therap Documentation - MAR and Billing/Attendance - Repealed 2/16/21
  • PB 17-11: Use of PRN Medications - repealed 8/29/25
  • PB 17-10: General Service Contracts & Service Provider Agreements - Repealed 5/23/22; was point-in-time. MC-19 has been sole agreement as of 7/1/17.
  • PB 17-09: Service Authorization Dates for New HCBS-DD Waiver Services - Repealed 5/23/22; was point-in-time to transfer to waivers in 2017.
  • PB 17-08: Alternative Compliance to 404 NAC for Centers for Developmentally Disabled - Repealed 8/29/25
  • PB 17-07: Requirements for Independent Providers of DD Waiver Services - Repealed 2/16/21
  • PB 17-06: Independent Providers of Respite Services - Repealed 8/10/22 
  • PB 17-05: Medicaid HCBS DD Waivers Fee Schedule - Repealed 5/23/22; fee schedule from 8/1/17 has expired.
  • PB 17-04: Criminal History Background Checks - Repealed 5/23/22; was point-in-time. DHHS stopped paying for background checks 4/25/17.
  • PB 17-03: 2017 Billing Clarifications Re: 15 Leave Days - Repealed 8/10/22; information no longer relevant.
  • PB 17-02: Independent Provider Crosswalk of Unbundled Services - Repealed 5/23/22; was for six months following 3/1/17 waiver implementation.
  • PB 17-01: Agency Provider Crosswalk of Unbundled Services - Repealed 5/23/22; was for six months following 3/1/17 waiver implementation. 

2016 Bulletins 

  • PB 16-03: Non-Specialized Billing Process - Repealed 2/16/21
  • PB 16-02: Service Provider Agency Directory - Repealed 2/19/21; point-in-time request ending June 25, 2016.
  • PB 16-01: Specialized Provider Rate Update for SFY17 - Repealed 5/23/22; point-in-time for FY 2017.