The Division of Developmental Disabilities (DD) and the Division of Medicaid & Long-Term Care (MLTC) worked together to reach out to individuals we serve, their families, guardians, advocates, providers, and other stakeholders to participate in workgroups. Workgroups include DHHS employees as well as the public.
Information from workgroups was used to submit waiver applications to the Centers for Medicare & Medicaid Services (CMS). Information will also be used to make system changes and improve service delivery through our 
Long-Term Care Redesign Project.
Workgroup descriptions and additional information on the waiver initiative are found below.
Public comment periods for the waiver have ended.
Questions or Comments may be sent to: DHHS.DDWaiverQuestions@nebraska.gov
Reviewed how people apply for services and how decisions are made regarding eligibility for DD and HCBS waiver services.
Reviewed health care, emergency safety restrictions, and other safety concerns. Worked on actual practice matching written protocol. Prioritized needs.
Person-Centered Planning
Reviewed and improved tools used to ensure people are the focus of services. People have valuable gifts, contribute to the community, and have relationships.
Prioritization and Waitlist
Looked at the function of the DD Registry of Unmet Needs or "waitlist." Identified who should have reserved capacity in the waivers.
Provider Enrollment
Developed a provider enrollment process that allows new and qualified providers to offer services. Discussed what support is needed for new providers be successful.
Quality Improvement
Considered the quality assurance currently used and identified gaps that need to be addressed. Developed performance measures to gauge improvement.
Service Definitions & Rate Methodology
Defined individual services using CMS guidelines. Planned a seamless transition to unbundled services. Determined payment amounts for services.
DHHS Home and Community-Based Services Stakeholder Update
Meeting open to the public. Information from DD shared. Updates given regarding other DHHS Divisions: Medicaid & Long Term Health, Children & Family Services, and Behavioral Health.