Providers of Medicaid HCBS Waiver Services

Medicaid Related Assistance
Developmental Disabilities

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What you need to know

​​​​The following information is applicable to all providers of Medicaid HCBS Waiver Services. ​As a provider, you are responsible to know the information on this page, as well as the information on the page specific to the waiver for which you offer services.

​Grants for Home and Community-Based Service Provider​s 

Home and Community-Based Service providers are invited to apply for new grants available from funding through the American Rescue Plan Act. These grants are available for the purchase of telehealth equipment and for facility conversions. For more information, see the application materials below:

Telehealth Grants

Printable versions

Fillable PDFs

Facility Conversion Grants

Printable versions

Fillable PDFs

Electronic Visit Verification (EVV)

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. 


Home and Community-Based Services Spending Plan - Updated July 19, 2022

​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:

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

Incident Reporting and Follow-Up

​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:

Mortality Review

​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:

State Transition Plan (STP) Assessments

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 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 - the State-Mandated Single Case Management System

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.