HCBS Statewide Transition Plan

 
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Medicaid Related Assistance
Developmental Disabilities
 
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What you need to know

​​​​​​The Centers for Medicare and Medicaid Services (CMS) published a final rule for Medicaid Home and Community Based Services effective March 17, 2014. The final rule requires states to ensure people receiving Home and Community-Based Services (HCBS) have the benefits of community living. 

Each state must review policies, practices, and settings where HCBS are provided. Each state must have a plan for this review and making any changes needed. This plan is called the Statewide Transition Plan.

Nebraska's State Transition Plan


Public Comment April 1-30, 2022

The Nebraska Department of Health and Human Services (DHHS) asked for feedback on the portion of its draft Statewide Transition Plan related to settings that completed the heightened scrutiny process and the process Nebraska DHHS followed in assessing compliance. The public comment period was April 1, 2022 to April 30, 2022. For information, visit the Public Comment page.


Setting Assessments - Including Heightened Scrutiny

AD Waiver

AD Providers will have an assessment completed by their Resource Development worker when then enroll as a new provider and during their annual review. AD Providers may complete the heightened scrutiny worksheet as requested by DDD.​


DD Waivers

When a DD provider opens a new residential service setting, the provider must complete a self-assessment at least 15 business days before opening. Residential settings include group homes, host homes, and shared living homes. 

When a DD provider opens a new non-residential site, the provider must notify DDD Provider Relations at DHHS.DDProviderRelations@nebraska.gov so an assessment can be completed at least 15 business days before opening. Non-residential settings include workshops, hubs, enclaves, and other locations where day services occur.


TBI Waiver

TBI Providers will have an assessment completed by their Resource Development worker when then enroll as a new provider and during their annual review. TBI Providers may complete the heightened scrutiny worksheet as requested by DDD.


Questions can be emailed to DHHS.DDProviderRelations@nebraska.gov​