Nebraska Home and Community-Based Services (HCBS) Waivers
What are Nebraska Home and Community-Based Services (HCBS) Waivers?
What You Need To Know About Waivers!
- If you hear the term “DD Services” or someone tells you to “Apply for DD”, they are talking about Nebraska’s Home and Community-Based Services (HCBS) Waivers.
- HCBS Waivers allow the state of Nebraska to use Federal Medicaid funds to provide services to people with disabilities in their homes and communities who would otherwise be served in an institution.
- Medicaid is a public health insurance program.
- A person must receive Medicaid to be on a Waiver.
- Each Waiver has its own eligibility requirements.
- There is one application for all the Waivers.
- A person can only be on one Waiver at a time, though they may receive services on one Waiver while waiting for another Waiver to become available to them.
The Waiver Facts!
There are FIVE Nebraska HCBS Waivers
There are two Waivers to serve people with disabilities who meet the Nursing Facility (NF) Level of Care and want to receive services and support in their community:
- Aged and Disabled (AD) Waiver: For people of all ages who have a disability and people over 65 years old. Intended to help people live at home.
DHHS Fact Sheet: Aged and Disabled (A&D) Waiver
DHHS Brochure: A&D Waiver Assessment and Funding
DHHS Services Info: A&D Waiver Services Quick Guide - Traumatic Brain Injury (TBI) Waiver: For people ages 18 and older who have had a traumatic brain injury. This Waiver is not for acquired brain injury caused by strokes, tumors, and other non-traumatic causes. Intended to help people with TBIs live at home.
DHHS Fact Sheet: Traumatic Brain Injury (TBI) Waiver
DHHS Services Info: TBI Waiver Services Quick Guide
There are three Waivers to serve people with developmental disabilities who meet the Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) Level of Care. (These are referred to as Developmental Disabilities [DD] Waivers):
DHHS Services Info: FSW, CDD, & DDAD Waiver Services Quick Guide
- Family Support Waiver (FSW): This offers support and services to help children with developmental disabilities continue to live in their family home. This Waiver is for people from birth to age 21 years old.
DHHS Fact Sheet: Family Support Waiver FSW
- Comprehensive Developmental Disabilities (CDD) Waiver: This offers services for daytime community integration and residential support. The focus is on teaching independent living skills in a person’s home. This Waiver is for people of all ages, though day services become available at age 21.
DHHS Fact Sheet: Comprehensive Developmental Disabilities (CDD) Waiver - Developmental Disabilities Adult Day (DDAD) Waiver: This offers services focused on daytime community integration and inclusion, including job support or teaching skills for future employment. This Waiver is for people ages 21 and older.
DHHS Fact Sheet: Developmental Disabilities Adult Day (DDAD) Waiver
Need some help with the Waiver Application process?
We’ve got you!
We’ve recorded a presentation that walks you through how to apply for a Waiver on paper!
You can find it on our PTI Nebraska YouTube channel!
You can access this video here.
We have the Waiver application you need right here.
Click here to download the HCBS Waiver Application.
You can follow along with step-by-step guidance to complete the Nebraska HCBS Waiver Paper Application.
Click here to download PTI Nebraska’s HCBS Waiver Instruction Guide to accompany the presentation.
Other Important Toolkit Information You Will Need!
- Application for Nebraska Medicaid
- Applying for Nebraska Medicaid Instructions
- Applying on iServe Instructions
- Examination for Medicaid Coverage for a Person with a Disability Form
- Medical Documentation Guide for Providers Form
- DHHS-DD Info Sheet for Community Psychologists
- DHHS-DD Info Sheet for School Psychologists
- DM-5 Supplemental Letter for HCBS Waivers for Physicians
- Examination For Medicaid Coverage for a Person with a Disability
- Info Sheet on Services Offered Under Each HCBS Waiver
- Katie Beckett Program (Medicaid) Info Sheet
- Katie Beckett Program FAQs
- PTI and Transition Guided Session on Applying for DD Services Presentation Resource