1. Define the Program or Service 

Residential Habilitation in Nebraska is a habilitative service that provides individually tailored supports to assist individuals with developmental disabilities in acquiring, retaining, or improving skills related to living in the community. This service includes personal care, protective oversight, and supervision, and is delivered in a residence owned, operated, or controlled by the provider. It aims to support the highest level of independent living possible in an integrated setting. 

2. Regulations Governing the Program 

The program is governed by: 

• Nebraska Revised Statutes §§68-901 to 68-949, which cover the Nebraska Medical Assistance Program. 

• Title 403 NAC, which regulates Medicaid Home and Community-Based Services (HCBS) Waivers for individuals with developmental disabilities 

• Title 404 NAC, which outlines requirements for providers of Medicaid HCBS DD services 

3. Licensing or Certification Requirements 

Operating as a Residential Habilitation provider in Nebraska requires a license. Providers must comply with all applicable Titles of the Nebraska Administrative Code and be a Medicaid provider 

4. Responsible State Agency 

The Nebraska Department of Health and Human Services (DHHS) is responsible for issuing licenses and overseeing compliance for Residential Habilitation services. 

5. Application Process 

The application process involves submitting a completed application to DHHS. While specific online platforms are not detailed, applications typically require original signatures and supporting documents, which may need to be mailed to DHHS. 

6. Required Documentation 

Applicants must provide: 

• A completed application form. 

• Proof of compliance with physical plant standards (if applicable). 

• Organizational charts, job descriptions, policies, procedures, and forms demonstrating compliance with operational standards. 

• Proof of Medicaid provider status. 

• Payment of licensing fees as stipulated in relevant NAC chapters. 

7. Timeline for Approval 

Once a complete application is received, DHHS will review it and schedule an onsite inspection if necessary. The timeline for approval can vary based on the completeness of the application and readiness for inspection. 

8. Pre-Application Process 

There is no formal pre-license application process; however, applicants should ensure they meet all operational standards and have necessary documentation ready before submitting their application. 

9. Pre-Application Training 

While specific pre-application training is not mandated for Residential Habilitation providers, they must comply with all applicable regulations and standards, which may include training on habilitation programs and data recording 

10. Additional Notes 

• Providers must comply with federal and state regulations regarding HCBS settings to ensure services are delivered in integrated community settings 

• Residential Habilitation services cannot include costs for room and board or facility maintenance