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:

Or select a topic. The Participant/Family and Provider sections contain information specific to those groups.


Approval for TBI Waiver

​Nebraska DHHS has received approval from the Centers for Medicare and Medicaid Services (CMS) for the Traumatic Brain Injury (TBI) Waiver Renewal. This waiver is effective October 1, 2023.

Family Support Waiver Update - NEW Public Comment Period​​

DHHS – Division of Developmental Disabilities plans to implement a new 1915(c) Home and Community Based (HCBS) Family Support Waiver. Substantive changes to the waiver application have been made, which require an additional public comment period. These changes include the removal of the Fiscal Management Service (FMS) from the waiver application, the removal of the waiver service titled Participant Directed Goods and Services, and changes to provider qualification training requirements. 

The new 30-day public comment period is from September 8 through October 8, 2023. For more information, including presentations, visit the Public Comment webpage​.

Public Hearing - Title 404 NAC 4

DHHS will host a public hearing on Title 404 NAC 4 on November 1, 2023 at 1:00 PM, CT.

The purpose of this hearing is to receive comments on proposed changes to Title 404, Chapter 4 of the Nebraska Administrative Code (NAC) – Certification Requirements For Certified Providers of Services. These regulations govern community-based services for persons with developmental disabilities. The proposed changes update requirements and add clarification language for background checks, crimes, and administrative sanctions;   update section headings, formatting, re-numbering sections, and correct punctuation.

Authority for these regulations is found in Neb. Rev. Stat. §§ 81-3117(7) and 83-1226.

Interested persons may attend the hearing and provide verbal or written comments, or mail, fax, or email written comments, no later than the day of the hearing to:  DHHS Legal Services, PO Box 95026, Lincoln, NE 68509-5026, (402) 742-2382 (fax) or dhhs.regulations@nebraska.gov , respectively.

A copy of the proposed changes is available online at http://www.sos.ne.gov​, or by contacting DHHS at the mailing address or email above, or by phone at (402) 471-8417. The fiscal impact statement for these proposed changes may be obtained at the office of the Secretary of State, Regulations Division, 1201 N Street, Suite 120, Lincoln, NE 68508, or by calling (402) 471-2385.

Auxiliary aids or reasonable accommodations needed to participate in a hearing can be requested by calling (402) 471-8417.  Individuals who are deaf or hard of hearing may call DHHS via the Nebraska Relay System at 711 or (800) 833-7352 TDD at least 2 weeks prior to the hearing.

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Advocacy​​ Groups 

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

News Releases​ and Media​​​​​

​September 2023


December 2022

November 2022

​October 2022

September 2022

June 2022

May 2022

April 2022

  • ​April 1: Facebook and Twitter posts about Director Tony Green taking part in a conference call with international organizations about the current struggles facing Ukrainians with intellectual and developmental disabilities

March 2022

February 2022

January 2022​



  • ​November 3: KLKN News Story​ - State programs help those with disabilities gain and maintain employment​



  • Sept​ember 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 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. 






 Calendar of Events