Medicaid Related 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

​​​​​​​​​​​​​​​​​​​​​​​​​​The Division of Developmental Disabilities (DDD) provides funding and oversight for Medicaid Home and Community-Based Services (HCBS) Waivers. This includes determining eligibility, providing service coordination for eligible people, monitoring services, and paying providers.

For information about available services, select the waiver you are interested in:

Otherwise, select the topic you are interested in. The Participant/Family and Provider sections contain information specific to those groups.

HCBS Waiver Updates

The Public Comment page has the summary of public comments and DDD responses, including changes made to the AD and DD waivers.

  • DDD submitted​ the DD Waivers to the Centers for Medicare and Medicaid on June 30, 2021. 
  • DDD submitted the AD Waiver to the Centers for Medicare and Medicaid on April 28, 2021. 

​COVID-19 Information

Appendix K ended June 30, 2021

Appendix K for COVID-19 for all four HCBS waivers expired June 30, 2021. If you have any questions about this, please contact DHHS at DHHS.DDProviderRelations@nebraska.gov.

DDD Director Tony Green toured a DD agency provider, Hands of Heartland in Omaha, on May 10. KETV-7 reporter Alexandra Stone documented the visit, highlighting the return to in-person services in a news st​ory.​

Reopening Guidelines after COVID-19

The National Association of State Directors of Developmental Disabilities Services (NASDDDS) issued guidance for returning to services outside the home. This guidance is intended for state agencies, providers, families, participants, and other stakeholders. The goal is a carefully planned, safe, and phased approach to providing meaningful opportunities and support.

Appendix K for COVID-19 - March 6, 2020 to June 30, 2021

The Medicaid HCBS Waiver Appendix K amendments and extensions for waivers were approved by CMS. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to services.

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:

      Advocacy​ Groups 

      The following groups help with our mission of helping people live better lives:

      • A governor-appointed committee. 
      • See page for opportunities to join!
      • Open to all interested people.
      • A governor-appointed council within DHHS - Public Health​


      • Electronic Visit Verification - The Federal 21st Century Cures Act includes a Medicaid requirement for Electronic Visit Verification (EVV) for in-home care providers to check in and out electronically.
      • Level of Care Redesign - DDD and MLTC are working to assess and improve Nebraska's level of care assessments.
      • Rate Reform and OAP Redesign - DDD is working to assess and improve the rate structure for Nebraska's Medicaid HCBS DD Waivers. This will ensure appropriate reimbursement.
      • State Transition Plan - DDD and MLTC are working on the state transition plan. 
        • Final Rule FAQs - How the final rule affects developmental disabilities services.

      News Releases​

      ​July 2021

      July 2: Certain Services Return To Normal For The State's Division Of Developmental Disabilities As State Of Emergency & Executive Orders End

      Email List

      Want to stay up to date? Sign up for our stakeholder email list! You will receive emails about upcoming changes and public events hosted by DDD. You will also receive emails with local and federal information affecting the people we serve. To sign up, send an email to: DHHS.DDDCommunityBasedServices@nebraska.gov.