Providers of Medicaid HCBS Waiver Services

The Federal 21st Century Cures Act includes a Medicaid requirement for Electronic Visit Verification (EVV). EVV allows in-home care providers to check in and out electronically. 

• Electronic Visit Verification - Main Medicaid page for EVV.
  
• Therap Electronic Visit Verification - EVV page specific to EVV with Therap.
  

• ​Nebraska Home and Community-Based Waiver Notification of Death Form - Form to report death of participant, in addition to incident reports. This is used for participants of any HCBS waiver.
  
• AD and TBI Incident Review Process  - Instructions for reporting incidents, including deaths, for participants of these waivers.
  
• Instructions for DD incident process is in the Therap section below.
  
• Physical Exam Form - May be used for any HCBS participant's annual exam, but use is not required. 
  
• Request for Fair Hearing - File an appeal when you do not agree with a decision about provider enrollment or payment made by DDD.
  

​Nebraska Medicaid's spending plan for the additional funds available for home and community-based services (HCBS) through the American Rescue Plan Act received conditional approval from the federal government on January 31, 2022. 

Medicaid's most recent quarterly update to CMS is below:

• ​Quarterly Spending Plan Update  (July 14, 2022)​

Below are previous spending plan updates and correspondence from the federal government:

• Quarterly Spending Plan Update (April 15, 2022)​
• FFY 2022 - Q3 Spending Plan Approval (From CMS, May 2, 2022) 
  
• HCBS Spending Plan - Conditional Approval (From CMS, January 31, 2022)
  
• Quarterly Spending Plan Update (January 31, 2022)
  

• Nebraska Medicaid Quarterly Spending Plan Update (October 15, 2021)
• HCBS Spending Plan - Partial Approval (From CMS, September 30, 2021)
• Nebraska HCBS Spending Plan (July 12, 2021)
  

​HCBS providers are required to complete incident reports and follow-up on Therap. Currently, all incidents for participants on the CDD and DDAD Waivers are required. Incidents for the AD and TBI Waivers will begin being reported in 2023. 

Instructions are available:

• Incident Reporting and GER Guide in Therap 
  
• Incident Follow-up Guide  
• GER Training Video - Provided to assist DD Providers with October 1, 2022 changes 
• Questions about the process can be submitted to NeGERHelp@libertyhealth.com​

​DDD partners with Liberty Healthcare, an independent quality improvement company. Liberty Healthcare is working with DDD to review operations and make recommendations for improvements to its systems and practices. For more information on mortality review:

• Liberty Bulletin for Mortality Review
  
• Nebraska Home and Community-Based Waiver Notification of Death Form
  

DD Providers

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.

AD and TBI Providers

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

For more information on the plan for home and community-based services, visit the State Transition Plan page.

Therap is used for many things, including incident reports, billing, referrals and secure communication. 

• Therap Log In - The portal to enter your Therap account.
  
• Therap Training Academy - Sign up for free! Anyone can view and attend the offered trainings. Therap keeps track of your courses.