Statutes, codes, and regulations
Nebraska Administrative Code
HEALTH AND HUMAN SERVICES SYSTEMTitle 403 - MEDICAID HOME AND COMMUNITY-BASED WAIVER SERVICES (HCBS) FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Chapter 5 - COMPREHENSIVE DEVELOPMENTAL DISABILITIES SERVICES WAIVER
Section 403-5-003 - SERVICE REQUIREMENTS

403 Neb. Admin. Code, ch. 5, § 003

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Current through September 17, 2024
Section 403-5-003 - SERVICE REQUIREMENTS
003.01INDIVIDUALIZED SERVICES. Services are individualized based on the outcomes of the participant-directed support planning team process, and are to be delivered as authorized and described in the Individual Support Plan.
003.02RESTRICTED HOURS. Services under this chapter shall not replace or duplicate any services available through public education programs funded under the Individuals with Disabilities Education Act (IDEA), or other services available through public education programs in the participant's local school district, including, but not limited to, after school supervision and daytime services when school is not in session. Program services cannot be provided during regular school hours, as set by the local public school district, even if a participant is home-schooled.
003.03DUPLICATE SERVICES. Services under this chapter shall not replace or duplicate services provided through other Medicaid Home and Community-Based Services (HCBS) Waivers or Medicaid State Plan services.
003.04EMPLOYMENT SERVICES. All employment-related services must be provided in a manner that promotes integration into the workplace and interaction between participants and people without disabilities in those workplaces. Employment-related services include:
(A) Prevocational Service;
(B) Small Group Vocational Support;
(C) Supported Employment - Follow Along; and
(D) Supported Employment - Individual.
003.05SERVICE HOURS. Employment-related services, Adult Day Services, Habilitative Community Integration, and Day Support Services, in any combination, cannot be provided to a participant in excess of 35 hours per week.
003.06OTHER BENEFITS. Participants shall apply for and accept any other federally-funded benefits for which they may be eligible.
003.07PROVIDER REQUIREMENTS. Independent Providers of services under Medicaid Home and Community-Based Services Waivers must meet requirements established in Title 404 Nebraska Administratice Code (NAC) 5.

403 Neb. Admin. Code, ch. 5, § 003

Amended effective 5/7/2024