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Home and Community-Based Services (HCBS) Waivers 

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Home and Community-Based Services (HCBS) Waivers 

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Information about services and links to apply for waivers (AD, DD, FSW)

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​​​​​​​​​​​​​​​​​​​​​​​​​​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:

Otherwise, select the topic you are interested in. The Participant/Family and Provider sections contain information specific to those groups.

HCBS Waiver Updates

The Public Comment page has the summary of public comments and DDD responses, including changes made to the AD and DD waivers.

DDD submited the DD Waivers to the Centers for Medicare and Medicaid on June 30, 2021.

DDD submitted the AD Waiver to the Centers for Medicare and Medicaid on April 28, 2021.

​COVID-19 Information

The National Association of State Directors of Developmental Disabilities Services (NASDDDS) issued guidance for returning to services outside the home. This guidance is intended for state agencies, providers, families, participants, and other stakeholders. The goal is a carefully planned, safe, and phased approach to providing meaningful opportunities and support.

The Medicaid HCBS Waiver Appendix K amendments and extensions for waivers were approved by CMS. Appendix K is in response to the COVID-19 pandemic and outline temporary changes to services.

Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - April 15, 2021 Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - March 24, 2021 Appendix K Approved Amendments for Nebraska's Medicaid HCBS Waivers - December 17, 2020 Appendix K Extensions for Nebraska's Medicaid HCBS Waivers - September 14, 2020 Appendix K for Nebraska's Medicaid HCBS Waivers - April 20, 2020
Additional Information:

Advocacy​ Groups

DDD Director Tony Green toured a DD agency provider, Hands of Heartland in Omaha, on May 10. KETV-7 reporter Alexandra Stone documented the visit, highlighting the return to in-person services in a news st​ory.​

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

Initiatives

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

Level of Care Redesign - DDD and MLTC are working to assess and improve Nebraska's level of care assessments.

Rate Reform and OAP Redesign - DDD is working to assess and improve the rate structure for Nebraska's Medicaid HCBS DD Waivers. This will ensure appropriate reimbursement.

State Transition Plan - DDD and MLTC are working on the state transition plan.

Final Rule FAQs - How the final rule affects developmental disabilities services.

News Releases​

​July 2021

July 2: Certain Services Return To Normal For The State's Division Of Developmental Disabilities As State Of Emergency & Executive Orders End​

Email List

Want to stay up to date? Sign up for our stakeholder email list! You will receive emails about upcoming changes and public events hosted by DDD. You will also receive emails with local and federal information affecting the people we serve. To sign up, send an email to: DHHS.DDDCommunityBasedServices@nebraska.gov .

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​​​​​​​​​​​​​​​​​​​​​​​​​​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: Otherwise, select the topic you are interested in.

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Apply for Social Security Benefits

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Apply for Social Security Benefits | SSA

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Different ways to apply for Social Security benefits.

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Contact information for the local Omaha Social Security Office

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Information and resources about Surrogate Decision-Making in Nebraska including guardianship, power of attorney, representative payee, and conservatorship.

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El propósito de esta guía es ayudar a las personas que trabajan con los ancianos y personas con discapacidades a determinar que opciones podrían ser mejores en situaciones en que sea necesario tomar decisiones sustitutas. Cubre temas referentes al nombramiento de un beneficiario, fiduciario, voluntad anticipada, curaduría y tutela.

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Information about Medicaid and the link to apply.

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There are Many Ways to Apply for Medicaid:

Fill out an application online at iServe​

Call one of the numbers below to apply over the phone or to request a paper application. Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday.

(855) 632-7633

In Lincoln: (402) 473-7000

In Omaha: (402) 595-1178

Visit a local DHHS office

Am I eligible for Medicaid?

You may be eligible if you are:

65 years of age or older

An individual under 65 years of age who has a disability, or is visually impaired according to Social Security guidelines

An individual 18 years of age or younger

An adult aged 19 to 64

A pregnant woman

A parent or caretaker

A former foster care youth

Individuals with disabilities who apply for Medicaid may also have to apply for disability benefits. For more information, see the page below:

What resources may I have and be eligible for Medicaid?

Some individuals have their income and resources taken into account when they apply for Medicaid. Some resources are not counted, such as:

Your home

One motor vehicle

Property you use to operate a trade or business (such as machinery and equipment)

Irrevocable burial fund

Resources, in addition to the above, which do not exceed:

$4,000 for a one-member family

$6,000 for a two-member family

$25 for each additional family member

Children age 18 and younger and eligible pregnant women are not subject to a resource test.

For income guidelines, see the following chart:

Enable Accounts - Save Money
Enable accounts offer checking, savings, and investment accounts for people ​who are blind or have a disability who became blind or disabled before age 26. These accounts give participants the ability to save money without it affecting their benefits (up to $100,000).

Important Update for Parents

Nebraska Medicaid is extending continuous coverage for all children found newly eligible for Medicaid from six months to a full year. This includes one year of continuous eligibility for kids found eligible at the time of their annual renewal. You can submit a Medicaid application for your family at any time.

To learn more and find out if you qualify for Medicaid, please stay connected in the following ways:​

Fill out an application online with iServe​

Call one of the numbers below to apply over the phone or to request a paper application. Phone lines are open from 8:00 a.m. to 5:00 p.m., Monday through Friday

Visit a local DHHS office

More information can be found in the FAQ here​.​​ A Spanish version of the FAQ can be found here ​.

What type of care is available under Nebraska Medicaid?

For more information, see our list of covered services:
Medicaid Services
What is CHIP?

The Children's Health Insurance Program, or CHIP, is a type of Medicaid for certain children who are without other health insurance and who do not qualify for Medicaid. It provides the same services covered under Medicaid in Nebraska.

CHIP has several benefits, namely:

Improved access and continuity of care for children age 18 years and younger

Consistent, preventive care

Simplify eligibility

Improves Medicaid's goal of easier and faster enrollment

The 599 CHIP program is designed for unborn children of pregnant women who are otherwise ineligible for coverage under Medicaid or CHIP.

For more information, see our 599 CHIP one-pager​.

​​What if I'm determined ineligible for Medicaid?

If you are determined ineligible for Medicaid, your application is sent to the Federal Marketplace ( healthcare.gov​). The Marketplace can assist you with private insurance coverage.

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Overview of eligibility guidelines for Medicaid in Nebraska

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Information and resources to guide families through transition in Nebraska.

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Transition planning is a critical process ensuring Nebraska students are prepared for post-secondary citizenship. The Nebraska Office of Special Education provides technical assistance to empower educators, students, families, and agency partners in gathering valuable and usable information for planning an individual student's adult life, which include both current and post-secondary needs.

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Nebraska Council on Developmental Disabilities - Along The Way Guides

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Nebraska Council on Developmental Disabilities - Along The Way Guides

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The Along the Way guides are a series of resource guides for individuals with intellectual and developmental disabilities (I/DD) and their families as they move through the stages of life. There is one for Adolescents and Young Adults!

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The Duties of a Guardian and a Conservator in Nebraska

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A copy of the presentation on Guardianship & Conservatorship given at Transition Program on 4.29.2025

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Nebraska Medicaid - presentation handout on how to apply

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Nebraska Medicaid - presentation handout on how to apply

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From PTI & SE Nebraska Transition presentation on 1/12/26

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Medicaid -  PRINT ONLY Submit & Shine presentation

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Nebraska Medicaid Waivers - presentation handout on how to apply

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Nebraska Medicaid Waivers - presentation handout on how to apply

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From PTI & SE Nebraska Transition presentation on 1/12/26

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2025-2026 Nebraska Transition Parent Series

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2025-2026 Nebraska Transition Parent Series

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Links to the recordings of the Parent Transition Series presentations and resources for 2025-2026 school year

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Links to the recordings of the Parent Transition Series presentations and resources for 2024-2025 school year

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Archived Parent Series Landing Page 2024 25.pdf