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.

Public Comment Period has Ended for DD Waiver Renewals

Pursuant to 42 C.F.R. §441.304(f), the Nebraska Department of Health and Human Services (DHHS) is required to give public notice related to the state's plan to renew Medicaid Home and Community-Based Services (HCBS) waivers. DHHS, the Division of Developmental Disabilities (DDD) is developing a renewal to the 1915(c) Home and Community Based (HCBS) Developmental Disabilities Waivers (4154 and 0394). The 30-day public comment period has ended; it was from September 27, 2021 to October 27, 2021.​ For more information, copies of the waiver drafts, and submitted comments with DDD responses, visit the Public Comment page​.​​

CMS Approved HCBS Waiver Amendments

  • The DD waivers were approved on September 23 and will go into effect October 1, 2021. ​The Public Comment page has the approved DD Waivers and summary of changes.
  • The AD Waiver was approved September 8 and went into effect August 1, 2021. The Regulations and Waivers page​ has the approved AD Waiver in the Current Waivers section.  

​COVID-19 Information

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

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​


      • 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. ​

      News Releases​ and Media

      October 2021

      September 2021

      • September 7: Free Person-Centered Planning for Individuals with Intellectual and Developmental Disabilities and Their Families
      • September 2: Facebook Live with Deputy Director Curtis Walters, Service Coordination Administrator Jillion Lieske, and Service Coordinator Connie Cohen-Nelson. Discussion of the exciting opportunity of becoming a Service Coordinator for Nebraska DHHS. As a Service Coordinator, you would be supporting and improving the lives of Nebraska's most vulnerable populations. Curtis, Jillion, and Connie discussed the competitive pay and benefits that come with the job, as well as the fulfillment and purpose they feel working as Service Coordinators as they strive to improve the lives of Nebraskans. Learn more and apply.

      August 2021

      August 2: Facebook post highlighting DDD Program Manager, Tracy Robledo-Clark, who volunteers at Heartland Equine Therapeutic Riding Academy (HETRA) and was recognized as “Volunteer Substitute of the Year" for the non-profit organization. ​

      May 2021

      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.