1. Define the Program or Service 

Assistive Technology (AT) Services in Nebraska are designed to provide devices, equipment, or appliances that increase, maintain, or improve the functional capacities of individuals with disabilities. These services include assessments, consultations, training, and support for using AT devices to enhance independence and community integration. 

2. Regulations Governing the Program 

The program is governed by: 

• Nebraska Administrative Code (NAC), which outlines specific regulations for healthcare services. 

• Medicaid HCBS Waivers, which cover assistive technology supports under the Comprehensive Developmental Disabilities (CDD) Waiver, Developmental Disabilities Adult Day (DDAD) Waiver, and Family Support Waiver (FSW)  

• Nebraska Rule 51, which mandates team-based decision-making for children on Individual Education Plans (IEPs) or Individualized Family Service Plans (IFSPs)  

3. Licensing or Certification Requirements 

To provide Assistive Technology Services, providers typically need to be Medicaid providers. There is no specific license required for AT services, but providers must comply with all applicable state regulations and standards. 

4. Responsible State Agency 

The Nebraska Department of Health and Human Services (DHHS), specifically the Division of Developmental Disabilities, is responsible for overseeing Assistive Technology Services under Medicaid waivers. The Nebraska Department of Education also plays a role through the Assistive Technology Partnership (ATP). 

5. Application Process 

The application process involves becoming a Medicaid provider and complying with DHHS requirements. 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 Medicaid provider application. 

• Proof of compliance with all applicable Titles of the Nebraska Administrative Code. 

• Documentation showing adherence to standards as described in the Division of Medicaid and Long-Term Care Service Provider Agreement. 

• Proof of staff qualifications and training plans. 

7. Timeline for Approval 

Once a complete application is received, DHHS will review it. The timeline for approval can vary based on the completeness of the application and readiness for any necessary inspections. 

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, providers must comply with all applicable regulations and standards. Training may include understanding operational standards, quality assurance, and performance improvement programs. 

10. Additional Notes 

• Assistive Technology Services are often coordinated through the Assistive Technology Partnership (ATP), which provides statewide services and resources for individuals with disabilities 

• Services must be documented in the participant’s Individual Support Plan (ISP) and are subject to annual budget caps under Medicaid waivers