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NE Comprehensive Developmental Disabilities Services Waiver

Published on
August 8, 2023
Last updated
August 28, 2024
Written by
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Katie Wilkinson
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The Nebraska Comprehensive Developmental Disabilities Services Waiver offers vital support to individuals with developmental disabilities and empowers caregivers through a self-directed option.
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In healthcare, the Comprehensive Developmental Disabilities Services Waiver is a crucial pillar in Nebraska, offering a lifeline of support to individuals with autism, intellectual disabilities, or developmental disabilities. This comprehensive program extends its reach to those aged 0 and older, encompassing a spectrum of services that cater to diverse needs. From prevocational assistance to medical in-home habilitation, the waiver addresses various requirements enabling participants to thrive in their communities.

Overview of Nebraska Comprehensive Developmental Disabilities Services Waiver

The Nebraska Comprehensive Developmental Disabilities Services Waiver, a cornerstone of the state's healthcare landscape, addresses the unique needs of individuals with autism, intellectual disabilities, or developmental disabilities. This Medicaid waiver program extends its support to individuals aged 0 and older, aiming to enhance their quality of life by providing diverse services. These services encompass various aspects of care, from habilitation and employment support to medical assistance and community integration.

At its core, the waiver seeks to enable participants to achieve their highest level of independence and integration into their communities. By offering an array of services that cater to their individual needs, the program strives to break down barriers and promote inclusivity. The Nebraska Comprehensive Developmental Disabilities Services Waiver operates on empowerment, choice, and dignity, fostering an environment where participants can thrive while maintaining their autonomy and personal preferences.

Aligned with these principles, the waiver also recognizes the instrumental role of family caregivers in the lives of individuals with developmental disabilities. It acknowledges that family caregivers are not merely informal support systems but integral members of the healthcare equation. The program's overarching goal is to holistically address the multifaceted requirements of its participants, enhancing their well-being, social participation, and overall quality of life. In doing so, the Nebraska Comprehensive Developmental Disabilities Services Waiver is a testament to the state's commitment to fostering an inclusive and supportive environment for its diverse population.

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Eligibility Requirements

To qualify for the Nebraska Comprehensive Developmental Disabilities Services Waiver, individuals must meet specific eligibility criteria outlined under Neb. Rev. Stat. §83-1205. The program's requirements are designed to ensure that its services are directed toward those with genuine developmental disabilities who can benefit from its comprehensive support. The eligibility criteria are as follows:

  1. Diagnosis of Developmental Disability: Individuals must have a confirmed diagnosis of a developmental disability. A licensed psychologist or a medical doctor should establish this diagnosis.
  2. Substantial Limitations in Three Areas: Eligibility hinges on significant limitations in each of the following three areas:
    > Conceptual Skills
    : This category includes language, reading, money management, time understanding, number concepts, and the ability for self-direction.
    > Social Skills
    : Interpersonal skills, social responsibility, self-esteem, awareness, social problem-solving, and the capacity to follow laws and rules and avoid victimization fall within this domain.
    > Practical Skills
    : Activities of daily living, personal care, job skills, healthcare management, mobility, and the potential for independent living are encompassed in practical skills.

The application process involves submitting necessary documents, including assessments completed by licensed psychologists, school reports, and relevant information for diagnosis. After submitting your application, the Developmental Disabilities Division (DDD) reviews the documents and typically provides a decision within 30 days.

Eligibility doesn't guarantee immediate service provision, given the limited available funding. Periodic eligibility reviews occur at ages 10 and 18, and if Social Security determines an individual as not disabled, their developmental disabilities eligibility will be assessed.

Upon meeting the eligibility criteria, a level of care assessment is conducted. Based on the Developmental Index, this assessment determines the level of care needed for an individual to reside in an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID). This comprehensive process ensures that the services offered through the Nebraska Comprehensive Developmental Disabilities Services Waiver align closely with each participant's unique needs and circumstances, striving to maximize their potential for independence and well-being.

Services and Supports

The array of waiver services and supports offered through the Nebraska Comprehensive Developmental Disabilities Services Waiver aims to empower individuals of all ages with developmental disabilities. By enhancing their independence and integration within their communities, the program sets a strong foundation for a more inclusive and fulfilling life.

Day Services:

  • The waiver emphasizes finding employment and honing skills essential for community-based work.
  • Services include prevocational training, supported employment, habilitative workshops, and community inclusion programs.
  • A focal point is integrated, competitive employment, promoting equal participation in the workforce.
  • Collaboration initiatives, such as the partnership between the Developmental Disabilities Division (DDD) and Nebraska VR, underscore the commitment to creating meaningful job opportunities.

Residential Services:

  • Tailored to individual circumstances, residential services occur in various settings, such as private homes, apartments, or family residences.
  • The goal is to equip participants with essential independent living skills to engage with their communities actively.
  • Provider-operated options range from shared living arrangements with families to small group homes or Centers for Developmentally Disabled (CDDs) residences licensed by Public Health.

Respite Services:

  • Designed to provide respite care to primary caregivers who live with the participant, allowing them a break from caregiving responsibilities.

Assistive Devices and Modifications:

  • Assistive technology, encompassing devices, controls, and appliances, is offered to enhance participants' autonomy.
  • Environmental modification assessments determine appropriate devices and modifications tailored to individual needs.
  • Home modifications for private residences focus on safety and increased self-sufficiency.
  • Vehicle modifications ensure personal vehicles are suited to participants' needs while prioritizing safety.

Personal Emergency Response System (PERS):

  • Participants receive a device enabling them to request assistance in emergencies.

The Nebraska Comprehensive Developmental Disabilities Services Waiver serves as a comprehensive platform that recognizes the diverse needs of individuals with developmental disabilities. The program reinforces its commitment to fostering a more inclusive society where all members can actively participate and thrive by offering a spectrum of services spanning employment support, residential care, assistive technology, and more.

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Compensation for Family Caregivers

The Nebraska Comprehensive Developmental Disabilities Services Waiver acknowledges the pivotal role of unpaid family caregivers in the lives of individuals with developmental disabilities. Through a self-directed option, the program allows eligible participants and their families to have a more significant say in their care. This self-directed option empowers caregivers to manage and allocate resources, including compensating themselves for the caregiving tasks they provide. By recognizing the essential contributions of family caregivers, the waiver fosters a more equitable approach that aligns with the care recipient's unique needs while supporting the caregivers who play a vital role in their loved one's well-being.

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