How Nebraska pays for disability services
Nebraska ranks 32 of 51 on Medicaid waiver funding for people with intellectual and developmental disabilities, with a score of 60.3 out of 100.
Medicaid waivers in Nebraska
Waiver inventory
| Program name | Authority | Population served | Enrollment (with year) | Residential covered? | Official URL |
|---|---|---|---|---|---|
| Comprehensive Developmental Disabilities (CDD) Waiver | 1915(c), NE.4154.R07.00 | People of all ages with developmental disabilities meeting ICF/IID level of care | 5,023 (FY2024) | Yes: Continuous Home, Youth Continuous Home, Host Home, Shared Living, Behavioral In-Home Habilitation, Medical In-Home Habilitation, plus Independent Living and Supported Family Living | dhhs.ne.gov |
| Developmental Disabilities Adult Day (DDAD) Waiver | 1915(c), NE.0394.R04.00 | Adults 21+ with developmental disabilities, employment and day focus | 499 (FY2024) | Limited: Independent Living and Supported Family Living (hourly, in the person's own or family home). No 24-hour provider-controlled residential | dhhs.ne.gov |
| Family Support Waiver (FSW) | 1915(c), NE.2366.R00.00 | Children birth through 21 living with family; $10,000 annual budget | 19 (FY2024, launched March 1, 2024); over 800 children reported enrolled by March 2024 press release | Limited: Independent Living, Supported Family Living, LRI Personal Care, Homemaker, Respite in the family home | dhhs.ne.gov |
| Aged and Disabled (AD) Waiver | 1915(c), NE.0187.R08.00 | Ages 65+ and people with physical disabilities 0-64 | 10,054 (FY2024) | Supported Residential Living (renamed from Assisted Living in the pending amendment) | medicaid.gov |
| Traumatic Brain Injury Waiver | 1915(c), NE.40199.R05.00 | Adults 18+ with brain injury | 21 (FY2024) | No dedicated residential habilitation identified | medicaid.gov |
| Service coordination | Administrative function, not a waiver service | All DD waiver participants | Not published | Not applicable | dhhs.ne.gov |
Nebraska operates no 1915(i), 1915(b)(3), 1915(k)/CFC, or 1115 authority for IDD. The CMS factsheet for Nebraska lists only 1915(c) waivers. The AD waiver is listed because Nebraska's own Division of Developmental Disabilities administers it and reports it in the DD Division annual report, but it is not the state's main DD vehicle.
State-only funded programs
None identified as an ongoing state-only DD service program. Neb. Rev. Stat. 83-1216 now directs the Department to administer DD services through the Medicaid HCBS waivers and states legislative intent that the Department "take all possible steps to maximize federal funding," requiring all eligible residents to apply for and accept Medicaid (https://nebraskalegislature.gov/laws/statutes.php?statute=83-1216). The May 2025 eligibility brochure confirms that DD services now require Medicaid eligibility as point one of eligibility (https://dhhs.ne.gov/DD%20Documents/Eligibility%20for%20DD%20Services.pdf).
Two state-dollar items that are not federally matched:
- Individuals with Intellectual and Developmental Disabilities Support Act nonrefundable tax credit (LB 937, 2024; Neb. Rev. Stat. 77-3154 to 77-3162). Employer credits of $500 per direct support professional, $1,000 per qualified employee serving Medicaid waiver recipients, and $1,000 per eligible individual receiving prevocational, supported employment, or small group vocational support. Annual state fiscal year cap: $1,000,000 for July 1, 2025 to June 30, 2026; $1,500,000 for FY2026-27; $2,000,000 thereafter. Administered by the Nebraska Department of Revenue. revenue.nebraska.gov
- State general fund share of Beatrice State Developmental Center operations, an ICF/IID that is Medicaid-certified, so it is matched rather than state-only. FY2024 expenditure $31,238,072 for 81 residents. dhhs.ne.gov
Checked: DHHS Division of Developmental Disabilities service array page, DD eligibility brochure, DD regulations page (Titles 403, 404, 480), Neb. Rev. Stat. 83-1202 to 83-1227, the FY2024 DD Division annual report, and the Nebraska Department of Revenue. Historically the Division reported that 1,204 of the 2,712 people on the April 2024 registry were receiving "some state-funded service," but that population was moved onto waivers during the waitlist elimination completed in 2025.
County / regional / local funding
None identified. Nebraska's DD system is state-administered through DHHS with regional DHHS service coordination offices staffed by state employees, not county boards. Searches for Nebraska county DD levies, county boards of developmental disabilities, and county mill levies returned only Ohio and Colorado results. There is no Nebraska analogue to the Ohio county board or Colorado mill levy model.
Funding scale
- Total DD Division expenditures FY2024, all funds and all programs administered: $844,317,753. dhhs.ne.gov
- DD-specific FY2024 components: CDD Waiver $467,342,835; DDAD Waiver $9,935,624; Beatrice State Developmental Center $31,238,072; FSW $0. AD Waiver $335,112,544 and TBI Waiver $688,678 make up the balance. dhhs.ne.gov
- SFY2025 Medicaid: DD waiver services $492.3 million; ICF/DD $65.6 million; total Medicaid $4.017 billion. dhhs.ne.gov
- FMAP: 57.52% for FFY2025 per the Nebraska Medicaid annual report, implying a state share of roughly 42.48%. KFF reports 55.94% for FY2026. dhhs.ne.gov and kff.org
- Average annual cost per person FY2024: CDD $93,041; DDAD $19,911; Beatrice State Developmental Center $385,655; AD $33,331; TBI $32,794. dhhs.ne.gov
- People served in DD waivers FY2024: 5,541 across CDD, DDAD, and FSW (5,023 + 499 + 19). dhhs.ne.gov
- Waiting list: eliminated. 2,712 people were on the registry in April 2024; the Governor announced elimination on June 23, 2025, reporting more than 3,000 people removed over 15 months with an investment of over $18 million in state funds plus federal match. dhhs.ne.gov and governor.nebraska.gov
- Nebraska Medicaid average monthly enrollment SFY2025: 338,130, or 16.86% of the state population. DD waiver services remain carved out of Heritage Health managed care and are paid fee-for-service. dhhs.ne.gov
Residential funding detail
Nebraska splits residential support into intermittent and continuous categories (https://dhhs.ne.gov/Pages/DD-Service-Array.aspx):
Continuous, 24-hour support (CDD Waiver only), paid as a per-day rate with five acuity tiers: Basic, Intermediate, High, Advanced, Risk.
- Continuous Home (code 3992): a provider-controlled home staffed by shift employees, the closest Nebraska analogue to a group home. $220.32 to $862.32 per day.
- Youth Continuous Home (code 2214): same setting for people 18 and younger. Identical tier rates, $220.32 to $862.32 per day.
- Host Home, Employee model (code 9293): the person lives in the home of a provider agency employee. $178.96 to $707.76 per day.
- Shared Living, Independent Contractor model (code 1472): the person lives in the home of a contractor to the provider agency. $153.28 to $617.12 per day.
Intermittent support in the person's own or family home, paid hourly with staffing-ratio steps (1:1, 1:2, 1:3) and separate agency and independent provider rates.
- Independent Living (code 2639): agency 1:1 $43.74/hour down to independent 1:3 $8.54/hour.
- Supported Family Living (code 7494): agency 1:1 $40.11/hour down to independent 1:3 $8.31/hour.
- Available on all three waivers, which is how the FSW and DDAD waivers touch residential support without funding 24-hour placements.
Institutional. Beatrice State Developmental Center is the state-operated ICF/IID, census 81 at the end of FY2024, average age 57, average length of stay 39 years, cost per person $385,655 per year. Private ICF/DD facilities cost Medicaid $65.6 million in SFY2025. dhhs.ne.gov and dhhs.ne.gov
Room and board. Not found in a Nebraska-specific published policy. The residential per diems in the DD fee schedule are habilitation rates, and federal rules bar Medicaid payment for room and board in non-institutional HCBS settings, so shelter and food costs fall to the person's own income, typically SSI. Nebraska has not posted a room and board policy memo comparable to New Hampshire's. I could not confirm a state-funded room and board subsidy.
Rate structure link: dhhs.ne.gov
Comparable service rates
| Service (national label) | State's service name | Unit | Current rate | Effective date | Source URL |
|---|---|---|---|---|---|
| Residential group home 24-hour | Continuous Home, Agency (code 3992) | Day | Basic $220.32; Intermediate $254.41; High $371.36; Advanced $568.86; Risk $862.32 | July 1, 2026 | dhhs.ne.gov |
| Supported living / host home / shared living | Host Home Employee (9293); Shared Living Independent Contractor (1472); Independent Living (2639) | Day for host/shared; Hour for Independent Living | Host Home $178.96 to $707.76/day; Shared Living $153.28 to $617.12/day; Independent Living agency 1:1 $43.74/hour | July 1, 2026 | dhhs.ne.gov |
| Day habilitation | Adult Day (6221); Child Day Habilitation (6396); Day Support (8652) | Hour | Adult Day $10.84 all levels; Child Day Habilitation agency $13.25 to $60.12; Day Support $10.39 to $48.67 | July 1, 2026 | dhhs.ne.gov |
| Community supports / personal assistance (hourly) | LRI Personal Care (8317 agency, 3593 independent); Homemaker (9769 agency, 9393 independent); Community Integration (9845) | Hour | LRI Personal Care agency $32.13, independent $16.55; Homemaker agency $20.73, independent $14.52; Community Integration agency $13.25 to $60.12 | July 1, 2026 | dhhs.ne.gov |
| Respite | Respite, Agency In-Home (2656); Agency Out-of-Home (9307); Independent (8148/9042) | Hour | Agency $29.96; Independent $16.58 | July 1, 2026 | dhhs.ne.gov |
| Supported employment | Supported Employment Individual (9695); Follow Along (2141) | Hour | Individual agency $62.11, independent $33.62; Follow Along agency $58.63, independent $31.80 | July 1, 2026 | dhhs.ne.gov |
| Case management / service coordination | Service Coordination | Not applicable | Not published, see fee schedule. Service coordination is an administrative function performed by DHHS state employees, not a billable waiver service, and carries no published rate | Not applicable | dhhs.ne.gov |
Official rate schedule links
- DD Waivers Fee Schedule effective July 1, 2026: dhhs.ne.gov
- DD Waivers Fee Schedule effective January 1, 2026 through June 30, 2026: dhhs.ne.gov
- DD Fee Schedule index: dhhs.ne.gov
- DD Provider Rate Memo: dhhs.ne.gov
- Nebraska Medicaid provider rates and fee schedules index: dhhs.ne.gov
Notable features and flags
- June 23, 2025: Governor Pillen announced elimination of the DD waitlist, the first time in state history. More than 3,000 people were removed from the list over 15 months at a cost of over $18 million in state funds plus federal match. governor.nebraska.gov
- July 2025: Waiver capacity limits were removed, following the September 2024 to January 2025 interRAI assessment pilot. The state now assigns people to FSW, DDAD, or CDD based on assessed need rather than list position. dhhs.ne.gov
- December 5, 2025 to January 5, 2026: Public comment on AD and TBI waiver amendments proposing high-utilization review at 150%, individual cost limits capped at 175% of institutional cost (nursing facility baseline $92,438 per person in SFY2025), assistive technology raised from $2,500 to $10,000 per five years, and three new provider types including a Direct Care Provider. Implementation planned July 2026 pending CMS approval. dhhs.ne.gov
- January 1, 2026 and July 1, 2026: DD fee schedule rates are identical across both postings, meaning no rate increase took effect at the start of SFY2027. DHHS reported provider rate increases totaling 36.6% since 2020. dhhs.ne.gov and dhhs.ne.gov
- Taxable years beginning on or after January 1, 2025: The IDD Support Act employer tax credits became operative, with applications through eDASH starting February 2026 and a $1,000,000 cap for SFY2026 rising to $2,000,000 in later years. revenue.nebraska.gov
- Self-direction and independent providers: Nebraska expanded independent provider options and paid Legally Responsible Individual models as part of the waitlist initiative, reflected in the fee schedule's dual agency and independent rate columns and in LRI Personal Care codes. governor.nebraska.gov
Confidence
Solid: the waiver inventory, the complete July 1, 2026 fee schedule with rates by tier and staffing ratio, FY2024 enrollment and cost-per-person by waiver, SFY2025 Medicaid DD waiver and ICF/DD expenditures, the FFY2025 FMAP, and the waitlist elimination narrative with dates and the $18 million state figure. All come from Nebraska DHHS or Governor's office primary documents. Estimated or derived: the DD-only subtotal of $508.5 million for FY2024, which I computed by summing the CDD, DDAD, and Beatrice State Developmental Center lines and excluding the AD and TBI waivers. Could not find: a FY2025 DD Division annual report (only FY2024 is posted), a Nebraska room and board policy for waiver residential settings, a published service coordination rate, current-year enrollment figures for the three DD waivers after the waitlist elimination, and any explicit state-only non-Medicaid DD service appropriation. The FSW enrollment figure of 19 for FY2024 conflicts with the March 2024 press release claim of over 800 children served, which likely reflects offers extended rather than paid claims in the fiscal year.
Named programs in Nebraska and how to apply
Every Medicaid waiver and related program the state runs, with its waiting list status and the providers in the Atlas tied to it. Open a program for the steps to apply.
| Program | Authority | Waiting list | Providers in the Atlas |
|---|---|---|---|
| Aged and Disabled (AD) Waiver | 1915(c) waiver | No waiting list | 0 |
| Comprehensive Developmental Disabilities (CDD) Waiver | 1915(c) waiver | No waiting list | 0 |
| Developmental Disabilities Adult Day (DDAD) Waiver | 1915(c) waiver | No waiting list | 0 |
| Family Support Waiver (FSW) | 1915(c) waiver | No waiting list | 0 |
| Traumatic Brain Injury Waiver | 1915(c) waiver | No waiting list | 0 |
Vocational rehabilitation in Nebraska
The state agency that pays for job training, job coaching, and help finding work, including Pre-Employment Transition Services for students.
Nebraska VR
General agency · rank 22 of 73 · score 67.8
Agency profile
Sits inside
Nebraska Department of Education
Authority
Rehabilitation Act of 1973, Title I, as amended by WIOA; Nebraska Department of Education Title 92 NAC Chapter 71 (formal review of VR determinations) and Chapter 72 (VR cost containment)
Who it serves
Nebraska residents with disabilities, injuries, illnesses, or impairments seeking competitive integrated employment; also serves employers/businesses seeking workers with disabilities and transition-age students (does not serve blind/visually impaired consumers, who are served separately by the Nebraska Commission for the Blind and Visually Impaired)
Order of selection
Not on OOS, serving all eligible · the agency states "The 2024-2027 WIOA Combined State Plan effective July 1, 2024 marks an official end to operating under Order of Selection!" AS OF July 1, 2024 · vr.nebraska.gov
Waiting list
None · consistent with the July 2024 end of Order of Selection; no waitlist figure is published · vr.nebraska.gov
People served
3,536 total served in the FY2024-25 annual report period; 2,399 applied for services, 1,660 received services in the same period (a separate, undated marketing statement on the "Who We Are" page claims the agency "works with more than 6,000... each year," which is not reconciled with the annual-report figure) · vr.nebraska.gov ; vr.nebraska.gov
Outcomes
604 successfully employed out of 1,660 who received services in FY2024-25 (about 36%); 49% of those employed are full-time; average hourly wage $18.88; average annual earnings after Nebraska VR services $30,534.40 · vr.nebraska.gov
State match and federal drawdown
Nebraska VR reports "Every $1.00 appropriated to Nebraska VR from the State of Nebraska earns $3.69 in Federal Funding" (i.e., a state share of roughly 1/4.69 ≈ 21%, consistent with the 21.3% federal formula), with total FY2024-25 program cost of $26,365,035; the state share is a general-fund appropriation from the Nebraska Unicameral Legislature to the Department of Education. No mention of relinquished federal funds or a reallotment request/award amount was found in the annual report or on the agency site; the "$0.553 (55.3%) received on reallotment" lead could not be verified from Nebraska VR's own published materials · vr.nebraska.gov
Pre-employment transition services
$620,205 in Pre-ETS expenditures reported for FY2024-25; the report does not state this figure as a share of the 15% federal reserve requirement · vr.nebraska.gov
Supported employment
Supported employment expenditures of $2,066,899 in FY2024-25. Program description: job development and placement, employer coordination, and job coaching "to learn job tasks, build appropriate workplace behaviors, increase independence, and maintain employment over time," with Nebraska VR "coordinat[ing] with community agencies and collaborat[ing] with the Department of Health and Human Services' developmental disabilities and behavioral health divisions to provide extended support options" for long-term (Title VI post-period) supports, rather than operating its own dedicated state-funded extended-employment program · vr.nebraska.gov ; vr.nebraska.gov
Notable
- July 1, 2024 · Nebraska VR's 2024-2027 WIOA Combined State Plan ended the agency's Order of Selection, moving to serving all eligible applicants · vr.nebraska.gov - FY2024-25 · agency served 3,536 individuals, with 604 achieving employment out of 1,660 who received services · vr.nebraska.gov - FY2024-25 · total program cost reached $26,365,035, with the state appropriation leveraging federal funds at a $1-state-to-$3.69-federal ratio · vr.nebraska.gov - FY2024-25 · Pre-ETS expenditures were $620,205 and supported-employment expenditures were $2,066,899 · vr.nebraska.gov - Nebraska VR's own site links to a Rule 72 "Vocational Rehabilitation Cost Containment" regulation, but the linked PDF (education.ne.gov/LEGAL/webrulespdf/CLEANRule72_2008.pdf) resolves to a rules table-of-contents page rather than the rule text in automated fetches, so its cost-containment limits could not be confirmed · education.ne.gov
Confidence
Solid · the July 2024 end of Order of Selection (direct quote from agency site) and the FY2024-25 headline service/outcome/funding statistics (direct quote from the SRC-published annual report PDF). Uncertain · the "6,000 served/year" and "1887 employed" figures on the "Who We Are" marketing page are undated and inconsistent with the dated annual-report figures; which is current is unclear. Could not find · the Nebraska Combined State Plan PDF linked from the agency's own resources page returned a 404 on repeated fetch attempts; Rule 72's actual cost-containment fee limits (link resolves to a TOC, not the rule text); any reallotment request/award dollar figures or percentage.
Nebraska Commission for the Blind and Visually Impaired (NCBVI)
Blind agency · rank 49 of 73 · score 50.0
Agency profile
Sits inside
Independent commission · NCBVI operates under its own title of Nebraska Administrative Code (Title 192) rather than as a subunit of another cabinet department; governed by a Board of Commissioners
Authority
Rehabilitation Act of 1973, Title I (VR) and Title VI-C (supported employment), as amended by WIOA; Nebraska Administrative Code Title 192, Chapter 1 ("Scope of Vocational Rehabilitation Services for the Blind and Cost Containment"); Nebraska Revised Statute 71-8611 (state property vending/Randolph-Sheppard priority)
Who it serves
Blind and low-vision Nebraskans of all ages, including transition-age blind/visually impaired youth (14-24, Pre-ETS), older individuals experiencing vision loss (OIB program, 55+), individuals under 55 needing independent living services, and deaf-blind individuals, statewide across all 93 counties
Order of selection
Not published as a current status · NCBVI's Chapter 1 regulations (Section 009) establish a three-category Order of Selection policy (Category 1: most significant disabilities; Category 2: significant disabilities; Category 3: all other eligible individuals) to be invoked "only if the Commission has insufficient resources," but neither the regulation nor the 2024 Annual Report states whether OOS is currently in effect or which categories are open/closed · ncbvi.nebraska.gov
Waiting list
Not published · Chapter 1 §009.07 provides that a category-specific waiting list "will be established, based on date of application" if OOS is invoked, but no current waitlist count is published · ncbvi.nebraska.gov
People served
495 consumers received active VR services; 104 served through Independent Living; 745 through the Older Individuals who are Blind (OIB) program; 214 transition-aged youth (14-24) served, including 149 Pre-ETS students; 2,220 NFB-Newsline subscribers statewide · all per the 2024 Annual Report (federal fiscal year) · ncbvi.nebraska.gov
Outcomes
40 individuals achieved competitive employment through VR during the reporting FFY; 97 transition-aged youth obtained employment (supported and non-supported combined); no median/average earnings figure is published · ncbvi.nebraska.gov
State match and federal drawdown
The 2024 Annual Report states NCBVI "successfully secured $500,000 in federal reallotment funds" after "meeting the required non-federal match," confirming the state met its 21.3% match obligation and was able to draw down additional federal reallotment dollars beyond its formula grant (the inverse of Montana's/Nevada's shortfall pattern) · ncbvi.nebraska.gov This corroborates the task brief's lead that Nebraska's two agencies both pursued reallotment; the specific "55.3% received" figure combines both Nebraska agencies and could not be separately confirmed for NCBVI alone from its own annual report.
Pre-employment transition services
Chapter 1 regulations require the agency to "invest fifteen (15) percent of Vocational Rehabilitation (VR) funds in Pre-ETS services"; 149 Pre-ETS students were served in the reporting year, but no dollar amount of Pre-ETS spending is published · ncbvi.nebraska.gov
Supported employment
Title VI-C is referenced in Chapter 1's Order of Selection provisions as part of the priority-category framework, but no separate Title VI policy document, state supplement amount, or supported-employment expenditure figure is published; "Senior Blind funds" support consumers over 55 at the Nebraska Center for the Blind, and a $15,000 grant from the Enrichment Foundation supports the PILBO program · ncbvi.nebraska.gov ; ncbvi.nebraska.gov
State-funded programs outside the federal grant
- Senior Blind funds · state-funded program supporting consumers over 55 at the Nebraska Center for the Blind; appropriation amount not published · ncbvi.nebraska.gov - PILBO program · supplemented by a $15,000 private grant from the Enrichment Foundation (not a state appropriation, but noted as it is the only dollar figure published for a discrete program) · ncbvi.nebraska.gov - Nebraska Business Enterprises (Randolph-Sheppard vending program under Neb. Rev. Stat. 71-8611) · ncbvi.nebraska.gov
Notable
- 2024 Annual Report period · NCBVI "successfully secured $500,000 in federal reallotment funds" after meeting its non-federal match requirement · ncbvi.nebraska.gov - 2024 Annual Report period · 495 consumers received active VR services and 40 achieved competitive employment · ncbvi.nebraska.gov - 2024 Annual Report period · 745 older individuals were served through the OIB program, more than any other single NCBVI program line · ncbvi.nebraska.gov - Chapter 1 cost-containment rule caps self-employment start-up financial assistance at "up to a maximum of $10,000" for the initial six-month establishment period, one of the only fixed dollar figures in NCBVI's published rules · ncbvi.nebraska.gov - Chapter 1's Order of Selection provisions (§009) are written as a contingency policy "only if the Commission has insufficient resources," and neither the rule nor the 2024 Annual Report discloses whether that contingency is currently active · ncbvi.nebraska.gov
Confidence
Solid · 2024 Annual Report service/outcome counts and the $500,000 reallotment figure (direct quote from a primary NCBVI document); the full text of the Order of Selection and cost-containment rule (Chapter 1 PDF fetched directly). Uncertain · whether OOS is presently invoked (not stated anywhere found); the general state authorizing statute beyond the vending-specific citation. Could not find · a program-level median/average earnings figure; a Pre-ETS or supported-employment dollar expenditure figure (only the 15%-reserve policy and consumer counts are published); confirmation of NCBVI's specific share of the combined-agency "55.3% of reallotment received" figure in the task brief.
VR service rates: Nebraska Commission for the Blind and Visually Impaired (NCBVI)
rank 50 of 78 · 1 of 7 priced
NCBVI does not publish a fixed statewide fee schedule. Nearly all purchased services (assessment, job coaching, job development/placement, supported employment, training) are priced through individually negotiated written agreements with CRPs, cooperating agencies, or businesses under Chapter 1's cost-containment framework. The one fixed dollar figure in the regulation is the $10,000 cap on self-employment start-up financial assistance; vocational training cost containment references "in-state" tuition/fee levels as the ceiling rather than a dollar figure.
| Comparable service | Agency’s own service name | Unit | Current rate | Effective | Source |
|---|---|---|---|---|---|
| Vocational assessment and discovery | "Vocational assessment and evaluation" · individually negotiated, no published rate | n/a | Not published (negotiated per written agreement) | n/a | ncbvi.nebraska.gov |
| Job development and placement | "Job placement services" · individually negotiated, no published rate | n/a | Not published (negotiated per written agreement) | n/a | ncbvi.nebraska.gov |
| Job coaching | "Job coaching" · individually negotiated, no published rate | n/a | Not published (negotiated per written agreement) | n/a | ncbvi.nebraska.gov |
| Supported employment | "Supported employment services" · individually negotiated, no published rate | n/a | Not published (negotiated per written agreement) | n/a | ncbvi.nebraska.gov |
| Pre-employment transition services | Not published · 15% VR-fund reserve requirement stated, but no per-unit Pre-ETS rate | n/a | Not published | n/a | ncbvi.nebraska.gov |
| Benefits counseling | Not published · no benefits counseling rate or service line found in Chapter 1 or the annual report | n/a | Not published | n/a | ncbvi.nebraska.gov |
| Retention and extended services | Not published as a rate; the only fixed dollar figure in the rule is the self-employment start-up cap | maximum grant | Self-employment start-up assistance "not to exceed six (6) months, up to a maximum of $10,000" (not a retention/extended-services rate per se) | Current rule text | ncbvi.nebraska.gov |
VR service rates: Nebraska VR
rank 22 of 78 · 0 of 7 priced
Nebraska VR appears to negotiate/authorize purchased-service costs case-by-case under its Program Manual and Rule 72 cost-containment ceilings rather than publishing a fixed public fee schedule; the Program Manual and case-services forms are hosted on webforms.nebraska.gov, which was not fetchable as static content (form portal, not a document repository) · webforms.nebraska.gov
| Comparable service | Agency’s own service name | Unit | Current rate | Effective | Source |
|---|---|---|---|---|---|
| Vocational assessment and discovery | Not published · no public fee schedule found; presumably governed by Rule 72 cost-containment ceilings not accessible via automated fetch | n/a | Not published | n/a | education.ne.gov |
| Job development and placement | Not published · described only narratively as part of "Supported Employment Services" | n/a | Not published | n/a | vr.nebraska.gov |
| Job coaching | Not published · described only narratively | n/a | Not published | n/a | vr.nebraska.gov |
| Supported employment | Not published as a rate; only aggregate FY2024-25 spending ($2,066,899) is public, not a unit rate | n/a | Not published (aggregate spend only) | FY2024-25 | vr.nebraska.gov |
| Pre-employment transition services | Not published as a rate; only aggregate FY2024-25 spending ($620,205) is public, not a unit rate | n/a | Not published (aggregate spend only) | FY2024-25 | vr.nebraska.gov |
| Benefits counseling | Not published · described narratively as a partner service, no rate disclosed | n/a | Not published | n/a | vr.nebraska.gov |
| Retention and extended services | Not published · agency describes coordinating with DHHS developmental disabilities/behavioral health divisions for extended supports rather than purchasing at a published rate | n/a | Not published | n/a | vr.nebraska.gov |
Find services in Nebraska
Providers that take Medicaid waivers How to apply in Nebraska
From ConnectIDD's State Disability Funding Atlas research (August and September 2026). Waiting list status and program steps updated October 2026. Every figure carries its fiscal year.