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.
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.
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.
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 firstname.lastname@example.org , 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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