The application for DD Services is now available on the ACCESSNebraska website.
- This online application has replaced the previous ‘referral’ process. Therefore, the old ‘referral form’ is no longer necessary.
- An application for DD Services must be completed and signed by the applicant, the parent if the applicant is a minor child, or the applicant’s court appointed guardian.
- The process of determining eligibility for DD Services does not begin until a signed application has been received by the Department of Health and Human Services.
Third Party Assistance:
If you are a third party providing assistance to an individual who’s applying for DD Services, applications can also be submitted by one of the following ways:
- Printing and completing a paper copy of the application that’s available on the Developmental Disabilities public website. The applicant or legal guardian must sign the application.
- Contacting the Department of Health and Human Services using the toll free number (877)667-6266.
- Or go to any local DHHS office for assistance.
Supporting Documentation/Records:
After the Department of Health and Human Services receives your submitted application, DHHS may request documentation that’s needed to determine eligibility for DD Services.
The types of documents which may be requested include, but are not limited to, the following:
- Assessments for intellectual or adaptive behavioral functioning completed by a licensed psychologist
- Medical diagnoses prior to age 22 which have affected the applicant’s ability to carry out activities of daily living
- Current or previous psychiatric diagnoses prior to age 22 which have affected the applicant’s ability to carry out activities of daily living
- Educational reports such as Multi-Disciplinary Team (MDT) reports and Individual Education Plans (IEP)
After the application for DD Services has been submitted, the applicant or legal guardian may send records or documentation to support the applicant’s eligibility to one of the addresses listed below:
Mail:
DD Eligibility PO Box 98947 Lincoln, NE 68509
Email:
DHHS.DDEligibility@nebraska.gov
Fax:
(402)742-8384
Select Continue to start the application process. After the application has been submitted, a Confirmation page with your confirmation number will be displayed. This confirmation number is proof that your application has been submitted.
