Nebraska

States - Big Screen

With the right level of focus on Employment First systems-change efforts, individuals with disabilities could be living "The Good Life" in the state of Nebraska.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Nebraska’s VR Rates and Services

2015 State Population.
0.77%
Change from
2014 to 2015
1,896,190
2015 Number of people with disabilities (all disabilities, ages 18-64).
-1.01%
Change from
2014 to 2015
101,734
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
4.43%
Change from
2014 to 2015
49,485
2015 Percentage of working age people who are employed (all disabilities).
5.39%
Change from
2014 to 2015
48.64%
2015 Percentage of working age people who are employed (NO disabilities).
-0.58%
Change from
2014 to 2015
83.42%

General

2013 2014 2015
Population. 1,868,516 1,881,503 1,896,190
Number of people with disabilities (all disabilities, ages 18-64). 99,698 102,762 101,734
Number of people with disabilities who are employed (all disabilities, ages 18-64). 45,352 47,291 49,485
Number of people without disabilities who are employed (ages 18-64). 847,216 859,992 858,156
Percentage of working age people who are employed (all disabilities). 45.49% 46.02% 48.64%
Percentage of working age people who are employed (NO disabilities). 82.60% 83.90% 83.42%
Overall unemployment rate. 3.80% 3.30% 3.00%
Poverty Rate (all disabilities). 19.10% 20.70% 18.80%
Poverty Rate (NO disabilities). 12.50% 11.40% 11.80%
Number of males with disabilities (all ages). 106,142 106,883 106,683
Number of females with disabilities (all ages). 99,212 105,721 102,638
Number of Caucasians with disabilities (all ages). 185,160 190,121 187,720
Number of African Americans with disabilities (all ages). 8,791 9,975 11,733
Number of Hispanic/Latinos with disabilities (all ages). 11,269 12,110 12,277
Number of American Indians/Alaska Natives with disabilities (all ages). 2,163 2,768 3,320
Number of Asians with disabilities (all ages). 3,043 2,921 1,650
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 3,158 4,582 2,743
Number of others with disabilities (all ages). 3,003 2,095 2,121

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 2,951 2,915 3,062
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 11.40% 11.20% 11.70%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 42,192 42,347 42,162

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 4,780 4,878 5,237
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,164 8,234 8,451
Number of adults served who have a known employment status. 15,208 14,727 15,165
Percentage of all state mental health agency consumers served in the community who are employed. 31.40% 33.10% 34.50%
Percentage of supported employment services evidence based practices (EBP). 3.60% 6.10% 5.30%
Percentage of supported housing services evidence based practices (EBP). 5.60% 5.30% 7.00%
Percentage of assertive community treatment services evidence based practices (EBP). 1.60% 1.80% 1.00%
Percentage of medications management evidence based practices (EBP). 43.80% 44.40% 54.10%
Number of evidence based practices (EBP) supported employment services. 497 843 605
Number of evidence based practices (EBP) supported housing services. 772 734 801
Number of evidence based practices (EBP) assertive community treatment services. 223 246 115
Number of evidence based practices (EBP) medications management. 6,037 6,122 6,163

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,250 4,143 5,183
Proportion of registered job seekers with a disability. 0.04 0.06 0.06

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 23 12 27
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 18 11 19
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 78.00% 92.00% 70.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.97 0.59 1.00

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,933
3,037
3,260
Number of people with visual impairments served under VR. N/A N/A 2
Number of people with communicative (hearing loss, deafness) impairments served under VR. 187 220 243
Number of people with physical impairments served under VR. 700 603 613
Number of people cognitive impairments served under VR. 1,446 1,005 970
Number of people psychosocial impairments served under VR. 206 776 889
Number of people with mental impairments served under VR. 394 433 543
Percentage of overall closures into employment under VR. 34.70% 38.80% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,657 1,715
Number of eligible ticket to work beneficiaries. N/A 60,681 61,150
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 81 N/A N/A
Total number of ID competitive labor market closures. 184 199 N/A

 

IDD OUTCOMES

2010 2011 2014
Dollars spent on day/employment services for integrated employment funding. $931,000 $1,254,000 $1,134,000
Dollars spent on day/employment services for facility-based work funding. $2,554,000 $2,377,000 $34,020,000
Dollars spent on day/employment services for facility-based non-work funding. $46,337,000 $48,465,000 $113,941,000
Dollars spent on day/employment services for community based non-work funding. $6,288,000 $6,212,000 $84,723,000
Percentage of people served in integrated employment. 6.00% 5.00% 4.00%
Number of people served in community based non-work. 1,066 1,014 2,546
Number of people served in facility based work. 344 322 2,011
Number of people served in facility based non-work. 3,161 3,101 1,551
Number supported in integrated employment per 100,000 individuals in the general state population. 13.00 13.40 8.90

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 74.86% 74.59% 76.07%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 6.20% 6.34% 6.36%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.08% 2.15% 2.22%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 85.37% 77.24% 92.25%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 35.60% 36.85% 37.05%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 64.30% 66.93% 66.79%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 83.50% 82.97% 85.01%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 28.70% 30.07% 29.74%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 165,689
Number of overall total blind and SD workers. 251
Number of AbilityOne blind and SD hours (products). 73,915
Number of AbilityOne blind and SD hours (services). 88,454
Number of AbilityOne blind and SD hours (combined). 162,369
Number of AbilityOne blind and SD workers (products). 82
Number of AbilityOne blind and SD workers (services). 167
Number of AbilityOne blind and SD workers (combined). 249
AbilityOne wages (products). $791,551
AbilityOne wages (services). $849,657

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 5 5 4
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 25 22 24
Number of 14(c) certificate holding patient workers. N/A 3 3
Total Number of 14(c) certificate holding entities. N/A 30 31
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 13 12
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 1,702 1,884
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 138 138
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,853 2,034

 


Nebraska ABLE Legislation (LB 591) - 05/27/2015

A BILL FOR AN ACT relating to revenue and taxation; to amend sections 72-1239.01, 77-3504, and 84-618, Reissue Revised Statutes of Nebraska, and sections 68-1201, 77-2715.07, and 77-2716, Revised Statutes Cumulative Supplement, 2014; to define terms; to create the achieving a better life experience program; to provide powers and duties; to change provisions relating to federal tax credits; to provide for adjustments to taxable income; to redefine household income for purposes of the homestead exemption; to provide startup funding; to harmonize provisions; to provide operative dates; to repeal the original sections; and to declare an emergency. Be it enacted by the people of the State of Nebraska.  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

No Executive Orders have been entered for this state.


Nebraska Developmental Disabilities Provider Handbook - 01/01/2017

“DDD provides funding and oversight of community-based providers. DD services can be provided by either an independent or agency provider. Developmental Disability (DD) Services focus on helping participants live the most independent lives possible. Goals are identified and habilitation programs (training) may be developed to teach skills. Goals focus on employment, independent living, and community access. DD Service Coordination provides oversight”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)

NE State Plan - State Vocational Rehabilitation Services Program (FY 2015) - 09/30/2014

4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))   (b) Employment of individuals with disabilities. The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

"The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Title 404 - Community Supports Program (CSP) - 07/16/2011

Section 9-003.02D The Community Living and Day Supports service includes the following components:    • Supports to enable the individual to maintain or obtain employment. This may include someone hired to accompany and support the individual in an integrated work setting. Integrated settings are those considered as available to all members of the community. Payment for the work performed by the individual is the responsibility of the employer. Covered services do not include those provided in specialized developmental disability provider settings, workstations, or supported employment services.     • Supports to enable the individual to access services and opportunities available in community settings. This may include accessing general community activities, performing community volunteer work, and accessing services provided in community settings such as senior centers and adult day centers. Supports provided under CLDS must be those that are above and beyond the usual services provided in such a setting and not duplicate services expected to be the responsibility of the center.   
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services

Nebraska Community Supports Program (CSP) - 07/16/2011

 “The Department offers a system of supports and services intended to allow individuals with developmental disabilities to maximize their independence as they live, work, recreate, and participate in their communities.”

 

“The Community Supports Program (CSP) is designed to offer alternatives to the traditional model of services available through the Department. The traditional model provides for services consisting of day and residential habilitation and respite care, provided only by agencies certified as specialized providers of developmental disabilities services. The CSP allows for a broader array of services to be provided by developmental disability service providers and/or other community (individual or agency) providers. This is intended to give the individual more control over the type of services received and providers of those services, as well as allowing individuals to purchase services other than habilitative training. The underlying philosophy of the Community Supports Program is to build upon the individual and family strengths and to strengthen and support informal and formal services already in place.”  

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Nebraska Alliance for Full Participation - 01/12/2011

 

“The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nebraska Planning Council on Developmental Disabilities State Plan 2017-2021

Goal 3: Employment

 Influence systems change to provide increased opportunities for more individuals with intellectual and other developmental disabilities (I/DD) of diverse identities to pursue an employment path of their choice.

· Provide support to address barriers, advocate for, and expand opportunities for an increased number of individuals to participate in community integrated employment or entrepreneurship.

 · Increase opportunities for self-advocates to share employment experiences and promote community integrated employment and entrepreneurship with peers and stakeholders.

· Provide access to benefits planning services for an increased number of service providers, individuals with intellectual and other developmental disabilities and their families to support the person’s employment choices.

 

 

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Self-Employment
  • Asset Development / Financial Capability

NE State Plan for Developmental Disabilities (2012 - 2016)

Goal #2:  Employment 

  To increase the employment of individuals with developmental disabilities working in integrated settings and earning at least minimum wage in projects funded by the Council.     • Improve two policies that impact transition services from school to work resulting in jobs after graduation.     • Increase training and education on employment directed at service providers, individuals, families, employers, service coordinators, and community members.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Nebraska Alliance for Full Participation

 “The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.   Nebraska Alliance for Full Participation Guiding Principles: (developed May, 2010)  - We believe all people have value. - We believe all people with developmental disabilities are capable of working with the appropriate level of support. - We believe that true person-centered career planning should drive all decisions, supports and services. - We believe all people have a right to work. - We believe all people have a right to make informed choice. - We believe in the dignity of taking calculated risk.”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Alliance for Full Participation - 01/12/2011

The Nebraska Division of Developmental Disabilities was invited to participate in the Nebraska State Team of the Alliance for Full Participation (AFP). “AFT is a national, formal partnership of leading organizations serving the developmental disabilities field that share a common vision – to help create a better and more fulfilling quality of life for people with developmental disabilities. The group put out a call to all states to help it achieve the national goal of doubling the employment rate of people with developmental disabilities in the next five years.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE Project SEARCH - 10/21/2010

 

“Project SEARCH helps students with disabilities learn vocational and competitive skills to help them enter the workplace and to become more independent in the work environment. Nebraska VR will expand Project SEARCH and its services for students with disabilities next year from seven locations statewide to ten. In each of these communities, Project SEARCH has grown through a partnership with Nebraska VR, local community businesses, local schools, the Nebraska Commission for the Blind and Visually Impaired, Assistive Technology Partnership and the Division of Developmental Disabilities (DD Services).”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Self Employment Services - 07/01/2006

"The Abilities Fund has a number of programs and services available to entrepreneurs, many that are open to any individual in the US with a disability. Other programs and services are available based upon your location, gender, or other factors established by our funders. Please check each program for specific eligibility guidelines. Nebraska Self Employment Services is available to residents who are active clients of Nebraska Vocational Rehabilitation Services."

 
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Easter Seals Benefit Analysis - 05/01/2002

In May 2002 Vocational Rehabilitation entered into a partnership with Easter Seals Nebraska to provide Benefit Analysis to individuals served by VR who receive Social Security benefits. Easter Seals Nebraska has benefit planners with extensive training regarding work incentives designed to assist Social Security beneficiaries in maximizing their work potential. The Benefit Analysis provides the individual with:    1. Answers to any questions they have regarding their current benefits.    2. An outline of available work incentive options to assist them in transitioning back to work.    3. A projection of financial outcomes for each work incentive option.    4. An opportunity to make an informed decision about the work incentive strategies that will work best for them.  
Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships

NE Assistive Technology Partnership - 06/15/1989

 

“Vocational Rehabilitation (VR) and the Assistive Technology Partnership (ATP) have worked together since 1989 when VR wrote the grant to establish a technology-related assistance project (ATP) in Nebraska. ATP Technology Specialists conduct on-site assessments for consumers referred by VR. The assessments may be for students preparing to work and consumers who are ready to work or returning to work after an injury or illness.”

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Acquired Brain Injury Supported Employment Partners

"Nebraska VR partners with Goodwill Industries of Greater Nebraska and Career Solutions, Inc. to provide supported employment services to individuals who have experienced an Acquired Brain Injury (ABI) and require specialized assistance to obtain and maintain competitive employment. Our VR liaison staff in Grand Island, Hastings, Kearney, and Omaha work jointly with employment specialists from these programs to assist individuals in overcoming employment barriers."

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Client Assistance Program Hotline

The Hotline provides information and referral to Nebraskans who have questions or concerns related to a disability. This includes information about rehabilitation services, transportation, special parking permits, legal rights, and any other questions related to a disability

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE VR Public School Partnerships

 

“The purpose of VR’s Partnership with schools is to provide information to educators about Vocational Rehabilitation Programs and help educators and VR staff to better coordinate transition services on the behalf of students with disabilities. This partnership will facilitate a discussion between local educators and VR staff and serve as a catalyst to create a process to effectively help students’ transition from school to work.

This planning effort will help:

1.     Promote a coordinated effort between the school district, ESU and the local Vocational Rehabilitation Office;

2.     Implement strategies that will facilitate effective transition services and eliminate duplication of services, and;

3.     Ensure the development of an effective partnership on behalf of students with disabilities.”

   
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska Aging and Disability Resource Center

Partnership between the Nebraska Department of Health and Human Services,  Nebraska Money Follows the Person Program, DHHS Division of Medicaid & Long-Term Care. A key goal in our ADRC five-year plan is to establish regional partnerships of aging and disability agencies which collaborate in providing ADRC services. We are now actively planning for a regional ADRC network, with Aging Partners Area Agency on Aging serving as a lead agency. An important role of the ADRC lead agency will be working with aging and disability service providers to plan and implement the regional ADRC. Next steps are convening the regional ADRC advisory group and writing the regional work plan.

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Mental Health Partnerships

“Nebraska Vocational Rehabilitation (VR) continues its long standing partnership with Nebraska Department of Health and Human Services - Behavioral Health Services (NE-DHHS) to make available employment services to Nebraskans with severe mental illness. VR and NE-DHHS fund six regional programs that provide Supported Employment services across the State.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Youth Leadership Council

“The Nebraska Youth Leadership Council (NYLC) began in the spring of 2009. The offices of Special Education and Vocational Rehabilitation cosponsored this program initiative to provide opportunities for transition age youth with disabilities to develop leadership skills and to promote membership in other youth organizations where students with disabilities were not previously participating.  The NYLC is a youth-led, youth-driven program, and as such, members plan for and participate in giving presentations to students, educators and other professionals regarding transition and disability-related topics. Other activities include: providing input on the Vocational Rehabilitation Transition Planning booklet; writing, planning, and filming an Employment Retention video for youth; planning and participating in a Summer Youth Leadership Conference; and attending a National Youth Leadership Conference just to name a few.”

 

 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Vocational Rehabilitation Workforce Development Partnerships

There are currently three local service delivery areas and 20 One-Stop Career Centers in Nebraska. Local Workforce Investment Boards oversee the Greater Lincoln, Greater Omaha and Greater Nebraska service delivery areas. In addition, there is a Nebraska Workforce Investment Board that is responsible for administering the statewide system. Collaboration between Nebraska VR and the other mandated partners is intended to provide:

1.     Easier access to services

2.     More comprehensive services

3.     Better labor market information

4.     A seamless system of service delivery

5.     Improved long-term employment outcomes for persons with disabilities

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

NE SAMHSA Employment Development Initiative (EDI) 2012

 

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NE Money Follows the Person

 

"Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community...Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services... [can] help people live successfully in community-based settings..."

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Opening Doors: A Transition Guide

“This protocol is the result of the dialogue and cooperation of the Nebraska

Transition Team members and other statewide representatives. Members met for three sessions with a facilitator for the purpose of better defining roles, responsibilities, tasks, principles, and relationships between entities working with blind, visually impaired, and deaf-blind children and youth…The result of this collaborative effort is intended to foster a more comprehensive seamless transition model for children and youth -birth through adulthood. By drawing on knowledge from a wide variety of resources we are able to better leverage learning, provide informed choice, and produce individual programs that are creative and responsive to needed and appropriate services”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska SAMHSA Employment Development Initiative (EDI)

 In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).   This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.  
Systems
  • Department of Mental Health
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Transition Capacity Building Initiative for All Students - 02/16/2016

Effective and successful transition planning for All students requires school staff to be knowledgeable of a broad range of post school agencies and resources, which can be time intensive and frustrating. Well-functioning School-Community-Agency Partnerships coordinate time, effort, and resources. In an effort to build transition capacity and assist school districts and agencies in becoming more efficient and effective, the Nebraska Department of Education is offering assistance and support funded through the NDE Transition Grant in facilitating a School District- Agency-Community Partnership meeting at your school district.

Meeting Objectives:

• Increase efficiency in transition planning of services and activities (IEP requirements) Reduce duplications of: assessments, career exploration, transition experiences

• Expand job shadow, work-based learning, and supported work experiences

• Collaboration and Partnership building between school and agency staffs

• Increase knowledge of services and resources for districts and agencies

• Define roles and process for school/agency referral and involvement

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Annual Nebraska Youth Conference 2010 - 07/01/2010

Student Sessions     • Using Technology     • Getting a Job     • Being a Self-Advocate    Teacher Sessions     • Technology     • Ideas For The Classroom     • Agency Options  
Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • School-to-Work Transition

Nebraska Department of Developmental Disabilities Training Resources

“The Division of Developmental Disabilities is committed to providing training that results in improved lives for our participants. Please feel free to use as many training resources as you see fit.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Supported Employment

This presentation provides an explanation of, and service descriptions and payment rates for, Supported Employment. It includes Customized Employment as a valid application as Supported Employment.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation

Nebraska DOE: Opening Doors

For close coordination and continuity of educational planning and services for blind, visually impaired, deaf-blind students, and their families in Nebraska

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning for Nebraska Youth and Young Adults with Intellectual or Developmental Disabilities

 

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 
Systems
  • Other
Topics
  • School-to-Work Transition
  • Mental Health

NE Setting Employment as the 1st Priority

 

“Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization.”

 
Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning Youth and Young Adults with Disabilities

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 

 
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition

Customized Self-Employment

This presentation by Griffin Hammis & Associates covers community-based, integrated employment opportunities for people with disabilities from the perspective of customized self-employment.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Nebraska Alliance for Full Participation Webinars - Employment First

Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization. 

 

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….”

 

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska HCBS Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska Medicaid State Plan

The State Plan is a public record and is a large, comprehensive statement describing the scope and nature of the Medical Assistance Program in Nebraska. The Plan outlines Medicaid (Title XIX) eligibility standards, policies, and reimbursement methodologies to ensure that the Program receives matching federal funds under Title XIX of the Social Security Act.

Systems
  • Medicaid Agencies

Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Comprehensive DD Waiver for Adults (0396.R02.00)

Provides group home residential hab, integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, companion home residential hab, extended family home residential hab, home mods, in-home residential hab, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

NE Day Services Waiver for Adults w/DD (0394.R02.00)

Provides integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, home mods, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NE HCBS Waiver for Children w/DD and their Families (4154.R05.00)

Provides day hab, group home residential hab, homemaker, integrated community employment-individual employment support, prevocational hab, respite, behavioral risk service, community living and day supports, companion home residential hab, extended family home residential hab, habilitative child care, home mods, in-home residential hab, medical risk services, team behavioral consultation, vocational planning hab, workstation hab for individuals w/IID/DD ages 0 – 21

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Large Tablet

Snapshot

With the right level of focus on Employment First systems-change efforts, individuals with disabilities could be living "The Good Life" in the state of Nebraska.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Nebraska’s VR Rates and Services

2015 State Population.
0.77%
Change from
2014 to 2015
1,896,190
2015 Number of people with disabilities (all disabilities, ages 18-64).
-1.01%
Change from
2014 to 2015
101,734
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
4.43%
Change from
2014 to 2015
49,485
2015 Percentage of working age people who are employed (all disabilities).
5.39%
Change from
2014 to 2015
48.64%
2015 Percentage of working age people who are employed (NO disabilities).
-0.58%
Change from
2014 to 2015
83.42%

State Data

General

2013 2014 2015
Population. 1,868,516 1,881,503 1,896,190
Number of people with disabilities (all disabilities, ages 18-64). 99,698 102,762 101,734
Number of people with disabilities who are employed (all disabilities, ages 18-64). 45,352 47,291 49,485
Number of people without disabilities who are employed (ages 18-64). 847,216 859,992 858,156
Percentage of working age people who are employed (all disabilities). 45.49% 46.02% 48.64%
Percentage of working age people who are employed (NO disabilities). 82.60% 83.90% 83.42%
Overall unemployment rate. 3.80% 3.30% 3.00%
Poverty Rate (all disabilities). 19.10% 20.70% 18.80%
Poverty Rate (NO disabilities). 12.50% 11.40% 11.80%
Number of males with disabilities (all ages). 106,142 106,883 106,683
Number of females with disabilities (all ages). 99,212 105,721 102,638
Number of Caucasians with disabilities (all ages). 185,160 190,121 187,720
Number of African Americans with disabilities (all ages). 8,791 9,975 11,733
Number of Hispanic/Latinos with disabilities (all ages). 11,269 12,110 12,277
Number of American Indians/Alaska Natives with disabilities (all ages). 2,163 2,768 3,320
Number of Asians with disabilities (all ages). 3,043 2,921 1,650
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 3,158 4,582 2,743
Number of others with disabilities (all ages). 3,003 2,095 2,121

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 2,951 2,915 3,062
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 11.40% 11.20% 11.70%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 42,192 42,347 42,162

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 4,780 4,878 5,237
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,164 8,234 8,451
Number of adults served who have a known employment status. 15,208 14,727 15,165
Percentage of all state mental health agency consumers served in the community who are employed. 31.40% 33.10% 34.50%
Percentage of supported employment services evidence based practices (EBP). 3.60% 6.10% 5.30%
Percentage of supported housing services evidence based practices (EBP). 5.60% 5.30% 7.00%
Percentage of assertive community treatment services evidence based practices (EBP). 1.60% 1.80% 1.00%
Percentage of medications management evidence based practices (EBP). 43.80% 44.40% 54.10%
Number of evidence based practices (EBP) supported employment services. 497 843 605
Number of evidence based practices (EBP) supported housing services. 772 734 801
Number of evidence based practices (EBP) assertive community treatment services. 223 246 115
Number of evidence based practices (EBP) medications management. 6,037 6,122 6,163

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,250 4,143 5,183
Proportion of registered job seekers with a disability. 0.04 0.06 0.06

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 23 12 27
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 18 11 19
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 78.00% 92.00% 70.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.97 0.59 1.00

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,933
3,037
3,260
Number of people with visual impairments served under VR. N/A N/A 2
Number of people with communicative (hearing loss, deafness) impairments served under VR. 187 220 243
Number of people with physical impairments served under VR. 700 603 613
Number of people cognitive impairments served under VR. 1,446 1,005 970
Number of people psychosocial impairments served under VR. 206 776 889
Number of people with mental impairments served under VR. 394 433 543
Percentage of overall closures into employment under VR. 34.70% 38.80% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,657 1,715
Number of eligible ticket to work beneficiaries. N/A 60,681 61,150
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 81 N/A N/A
Total number of ID competitive labor market closures. 184 199 N/A

 

IDD OUTCOMES

2010 2011 2014
Dollars spent on day/employment services for integrated employment funding. $931,000 $1,254,000 $1,134,000
Dollars spent on day/employment services for facility-based work funding. $2,554,000 $2,377,000 $34,020,000
Dollars spent on day/employment services for facility-based non-work funding. $46,337,000 $48,465,000 $113,941,000
Dollars spent on day/employment services for community based non-work funding. $6,288,000 $6,212,000 $84,723,000
Percentage of people served in integrated employment. 6.00% 5.00% 4.00%
Number of people served in community based non-work. 1,066 1,014 2,546
Number of people served in facility based work. 344 322 2,011
Number of people served in facility based non-work. 3,161 3,101 1,551
Number supported in integrated employment per 100,000 individuals in the general state population. 13.00 13.40 8.90

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 74.86% 74.59% 76.07%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 6.20% 6.34% 6.36%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.08% 2.15% 2.22%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 85.37% 77.24% 92.25%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 35.60% 36.85% 37.05%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 64.30% 66.93% 66.79%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 83.50% 82.97% 85.01%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 28.70% 30.07% 29.74%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 165,689
Number of overall total blind and SD workers. 251
Number of AbilityOne blind and SD hours (products). 73,915
Number of AbilityOne blind and SD hours (services). 88,454
Number of AbilityOne blind and SD hours (combined). 162,369
Number of AbilityOne blind and SD workers (products). 82
Number of AbilityOne blind and SD workers (services). 167
Number of AbilityOne blind and SD workers (combined). 249
AbilityOne wages (products). $791,551
AbilityOne wages (services). $849,657

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 5 5 4
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 25 22 24
Number of 14(c) certificate holding patient workers. N/A 3 3
Total Number of 14(c) certificate holding entities. N/A 30 31
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 13 12
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 1,702 1,884
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 138 138
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,853 2,034

 

Legislation


Nebraska ABLE Legislation (LB 591) - 05/27/2015

A BILL FOR AN ACT relating to revenue and taxation; to amend sections 72-1239.01, 77-3504, and 84-618, Reissue Revised Statutes of Nebraska, and sections 68-1201, 77-2715.07, and 77-2716, Revised Statutes Cumulative Supplement, 2014; to define terms; to create the achieving a better life experience program; to provide powers and duties; to change provisions relating to federal tax credits; to provide for adjustments to taxable income; to redefine household income for purposes of the homestead exemption; to provide startup funding; to harmonize provisions; to provide operative dates; to repeal the original sections; and to declare an emergency. Be it enacted by the people of the State of Nebraska.  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Nebraska Developmental Disabilities Provider Handbook - 01/01/2017

“DDD provides funding and oversight of community-based providers. DD services can be provided by either an independent or agency provider. Developmental Disability (DD) Services focus on helping participants live the most independent lives possible. Goals are identified and habilitation programs (training) may be developed to teach skills. Goals focus on employment, independent living, and community access. DD Service Coordination provides oversight”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)

NE State Plan - State Vocational Rehabilitation Services Program (FY 2015) - 09/30/2014

4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))   (b) Employment of individuals with disabilities. The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

"The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Title 404 - Community Supports Program (CSP) - 07/16/2011

Section 9-003.02D The Community Living and Day Supports service includes the following components:    • Supports to enable the individual to maintain or obtain employment. This may include someone hired to accompany and support the individual in an integrated work setting. Integrated settings are those considered as available to all members of the community. Payment for the work performed by the individual is the responsibility of the employer. Covered services do not include those provided in specialized developmental disability provider settings, workstations, or supported employment services.     • Supports to enable the individual to access services and opportunities available in community settings. This may include accessing general community activities, performing community volunteer work, and accessing services provided in community settings such as senior centers and adult day centers. Supports provided under CLDS must be those that are above and beyond the usual services provided in such a setting and not duplicate services expected to be the responsibility of the center.   
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services

Nebraska Community Supports Program (CSP) - 07/16/2011

 “The Department offers a system of supports and services intended to allow individuals with developmental disabilities to maximize their independence as they live, work, recreate, and participate in their communities.”

 

“The Community Supports Program (CSP) is designed to offer alternatives to the traditional model of services available through the Department. The traditional model provides for services consisting of day and residential habilitation and respite care, provided only by agencies certified as specialized providers of developmental disabilities services. The CSP allows for a broader array of services to be provided by developmental disability service providers and/or other community (individual or agency) providers. This is intended to give the individual more control over the type of services received and providers of those services, as well as allowing individuals to purchase services other than habilitative training. The underlying philosophy of the Community Supports Program is to build upon the individual and family strengths and to strengthen and support informal and formal services already in place.”  

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Nebraska Alliance for Full Participation - 01/12/2011

 

“The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nebraska Planning Council on Developmental Disabilities State Plan 2017-2021

Goal 3: Employment

 Influence systems change to provide increased opportunities for more individuals with intellectual and other developmental disabilities (I/DD) of diverse identities to pursue an employment path of their choice.

· Provide support to address barriers, advocate for, and expand opportunities for an increased number of individuals to participate in community integrated employment or entrepreneurship.

 · Increase opportunities for self-advocates to share employment experiences and promote community integrated employment and entrepreneurship with peers and stakeholders.

· Provide access to benefits planning services for an increased number of service providers, individuals with intellectual and other developmental disabilities and their families to support the person’s employment choices.

 

 

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Self-Employment
  • Asset Development / Financial Capability

NE State Plan for Developmental Disabilities (2012 - 2016)

Goal #2:  Employment 

  To increase the employment of individuals with developmental disabilities working in integrated settings and earning at least minimum wage in projects funded by the Council.     • Improve two policies that impact transition services from school to work resulting in jobs after graduation.     • Increase training and education on employment directed at service providers, individuals, families, employers, service coordinators, and community members.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Nebraska Alliance for Full Participation

 “The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.   Nebraska Alliance for Full Participation Guiding Principles: (developed May, 2010)  - We believe all people have value. - We believe all people with developmental disabilities are capable of working with the appropriate level of support. - We believe that true person-centered career planning should drive all decisions, supports and services. - We believe all people have a right to work. - We believe all people have a right to make informed choice. - We believe in the dignity of taking calculated risk.”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Partnerships


Alliance for Full Participation - 01/12/2011

The Nebraska Division of Developmental Disabilities was invited to participate in the Nebraska State Team of the Alliance for Full Participation (AFP). “AFT is a national, formal partnership of leading organizations serving the developmental disabilities field that share a common vision – to help create a better and more fulfilling quality of life for people with developmental disabilities. The group put out a call to all states to help it achieve the national goal of doubling the employment rate of people with developmental disabilities in the next five years.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE Project SEARCH - 10/21/2010

 

“Project SEARCH helps students with disabilities learn vocational and competitive skills to help them enter the workplace and to become more independent in the work environment. Nebraska VR will expand Project SEARCH and its services for students with disabilities next year from seven locations statewide to ten. In each of these communities, Project SEARCH has grown through a partnership with Nebraska VR, local community businesses, local schools, the Nebraska Commission for the Blind and Visually Impaired, Assistive Technology Partnership and the Division of Developmental Disabilities (DD Services).”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Self Employment Services - 07/01/2006

"The Abilities Fund has a number of programs and services available to entrepreneurs, many that are open to any individual in the US with a disability. Other programs and services are available based upon your location, gender, or other factors established by our funders. Please check each program for specific eligibility guidelines. Nebraska Self Employment Services is available to residents who are active clients of Nebraska Vocational Rehabilitation Services."

 
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Easter Seals Benefit Analysis - 05/01/2002

In May 2002 Vocational Rehabilitation entered into a partnership with Easter Seals Nebraska to provide Benefit Analysis to individuals served by VR who receive Social Security benefits. Easter Seals Nebraska has benefit planners with extensive training regarding work incentives designed to assist Social Security beneficiaries in maximizing their work potential. The Benefit Analysis provides the individual with:    1. Answers to any questions they have regarding their current benefits.    2. An outline of available work incentive options to assist them in transitioning back to work.    3. A projection of financial outcomes for each work incentive option.    4. An opportunity to make an informed decision about the work incentive strategies that will work best for them.  
Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships

NE Assistive Technology Partnership - 06/15/1989

 

“Vocational Rehabilitation (VR) and the Assistive Technology Partnership (ATP) have worked together since 1989 when VR wrote the grant to establish a technology-related assistance project (ATP) in Nebraska. ATP Technology Specialists conduct on-site assessments for consumers referred by VR. The assessments may be for students preparing to work and consumers who are ready to work or returning to work after an injury or illness.”

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Acquired Brain Injury Supported Employment Partners

"Nebraska VR partners with Goodwill Industries of Greater Nebraska and Career Solutions, Inc. to provide supported employment services to individuals who have experienced an Acquired Brain Injury (ABI) and require specialized assistance to obtain and maintain competitive employment. Our VR liaison staff in Grand Island, Hastings, Kearney, and Omaha work jointly with employment specialists from these programs to assist individuals in overcoming employment barriers."

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Client Assistance Program Hotline

The Hotline provides information and referral to Nebraskans who have questions or concerns related to a disability. This includes information about rehabilitation services, transportation, special parking permits, legal rights, and any other questions related to a disability

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE VR Public School Partnerships

 

“The purpose of VR’s Partnership with schools is to provide information to educators about Vocational Rehabilitation Programs and help educators and VR staff to better coordinate transition services on the behalf of students with disabilities. This partnership will facilitate a discussion between local educators and VR staff and serve as a catalyst to create a process to effectively help students’ transition from school to work.

This planning effort will help:

1.     Promote a coordinated effort between the school district, ESU and the local Vocational Rehabilitation Office;

2.     Implement strategies that will facilitate effective transition services and eliminate duplication of services, and;

3.     Ensure the development of an effective partnership on behalf of students with disabilities.”

   
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska Aging and Disability Resource Center

Partnership between the Nebraska Department of Health and Human Services,  Nebraska Money Follows the Person Program, DHHS Division of Medicaid & Long-Term Care. A key goal in our ADRC five-year plan is to establish regional partnerships of aging and disability agencies which collaborate in providing ADRC services. We are now actively planning for a regional ADRC network, with Aging Partners Area Agency on Aging serving as a lead agency. An important role of the ADRC lead agency will be working with aging and disability service providers to plan and implement the regional ADRC. Next steps are convening the regional ADRC advisory group and writing the regional work plan.

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Mental Health Partnerships

“Nebraska Vocational Rehabilitation (VR) continues its long standing partnership with Nebraska Department of Health and Human Services - Behavioral Health Services (NE-DHHS) to make available employment services to Nebraskans with severe mental illness. VR and NE-DHHS fund six regional programs that provide Supported Employment services across the State.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Youth Leadership Council

“The Nebraska Youth Leadership Council (NYLC) began in the spring of 2009. The offices of Special Education and Vocational Rehabilitation cosponsored this program initiative to provide opportunities for transition age youth with disabilities to develop leadership skills and to promote membership in other youth organizations where students with disabilities were not previously participating.  The NYLC is a youth-led, youth-driven program, and as such, members plan for and participate in giving presentations to students, educators and other professionals regarding transition and disability-related topics. Other activities include: providing input on the Vocational Rehabilitation Transition Planning booklet; writing, planning, and filming an Employment Retention video for youth; planning and participating in a Summer Youth Leadership Conference; and attending a National Youth Leadership Conference just to name a few.”

 

 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Vocational Rehabilitation Workforce Development Partnerships

There are currently three local service delivery areas and 20 One-Stop Career Centers in Nebraska. Local Workforce Investment Boards oversee the Greater Lincoln, Greater Omaha and Greater Nebraska service delivery areas. In addition, there is a Nebraska Workforce Investment Board that is responsible for administering the statewide system. Collaboration between Nebraska VR and the other mandated partners is intended to provide:

1.     Easier access to services

2.     More comprehensive services

3.     Better labor market information

4.     A seamless system of service delivery

5.     Improved long-term employment outcomes for persons with disabilities

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


NE SAMHSA Employment Development Initiative (EDI) 2012

 

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NE Money Follows the Person

 

"Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community...Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services... [can] help people live successfully in community-based settings..."

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Opening Doors: A Transition Guide

“This protocol is the result of the dialogue and cooperation of the Nebraska

Transition Team members and other statewide representatives. Members met for three sessions with a facilitator for the purpose of better defining roles, responsibilities, tasks, principles, and relationships between entities working with blind, visually impaired, and deaf-blind children and youth…The result of this collaborative effort is intended to foster a more comprehensive seamless transition model for children and youth -birth through adulthood. By drawing on knowledge from a wide variety of resources we are able to better leverage learning, provide informed choice, and produce individual programs that are creative and responsive to needed and appropriate services”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska SAMHSA Employment Development Initiative (EDI)

 In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).   This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.  
Systems
  • Department of Mental Health
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


Transition Capacity Building Initiative for All Students - 02/16/2016

Effective and successful transition planning for All students requires school staff to be knowledgeable of a broad range of post school agencies and resources, which can be time intensive and frustrating. Well-functioning School-Community-Agency Partnerships coordinate time, effort, and resources. In an effort to build transition capacity and assist school districts and agencies in becoming more efficient and effective, the Nebraska Department of Education is offering assistance and support funded through the NDE Transition Grant in facilitating a School District- Agency-Community Partnership meeting at your school district.

Meeting Objectives:

• Increase efficiency in transition planning of services and activities (IEP requirements) Reduce duplications of: assessments, career exploration, transition experiences

• Expand job shadow, work-based learning, and supported work experiences

• Collaboration and Partnership building between school and agency staffs

• Increase knowledge of services and resources for districts and agencies

• Define roles and process for school/agency referral and involvement

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Annual Nebraska Youth Conference 2010 - 07/01/2010

Student Sessions     • Using Technology     • Getting a Job     • Being a Self-Advocate    Teacher Sessions     • Technology     • Ideas For The Classroom     • Agency Options  
Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • School-to-Work Transition

Nebraska Department of Developmental Disabilities Training Resources

“The Division of Developmental Disabilities is committed to providing training that results in improved lives for our participants. Please feel free to use as many training resources as you see fit.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Supported Employment

This presentation provides an explanation of, and service descriptions and payment rates for, Supported Employment. It includes Customized Employment as a valid application as Supported Employment.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation

Nebraska DOE: Opening Doors

For close coordination and continuity of educational planning and services for blind, visually impaired, deaf-blind students, and their families in Nebraska

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning for Nebraska Youth and Young Adults with Intellectual or Developmental Disabilities

 

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 
Systems
  • Other
Topics
  • School-to-Work Transition
  • Mental Health

NE Setting Employment as the 1st Priority

 

“Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization.”

 
Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning Youth and Young Adults with Disabilities

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 

 
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition

Customized Self-Employment

This presentation by Griffin Hammis & Associates covers community-based, integrated employment opportunities for people with disabilities from the perspective of customized self-employment.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Nebraska Alliance for Full Participation Webinars - Employment First

Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization. 

 

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Enforcement


Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….”

 

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Medicaid & Employment


Nebraska HCBS Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska Medicaid State Plan

The State Plan is a public record and is a large, comprehensive statement describing the scope and nature of the Medical Assistance Program in Nebraska. The Plan outlines Medicaid (Title XIX) eligibility standards, policies, and reimbursement methodologies to ensure that the Program receives matching federal funds under Title XIX of the Social Security Act.

Systems
  • Medicaid Agencies

Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Comprehensive DD Waiver for Adults (0396.R02.00)

Provides group home residential hab, integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, companion home residential hab, extended family home residential hab, home mods, in-home residential hab, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

NE Day Services Waiver for Adults w/DD (0394.R02.00)

Provides integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, home mods, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NE HCBS Waiver for Children w/DD and their Families (4154.R05.00)

Provides day hab, group home residential hab, homemaker, integrated community employment-individual employment support, prevocational hab, respite, behavioral risk service, community living and day supports, companion home residential hab, extended family home residential hab, habilitative child care, home mods, in-home residential hab, medical risk services, team behavioral consultation, vocational planning hab, workstation hab for individuals w/IID/DD ages 0 – 21

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Small Tablet

Snapshot

With the right level of focus on Employment First systems-change efforts, individuals with disabilities could be living "The Good Life" in the state of Nebraska.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Nebraska’s VR Rates and Services

2015 State Population.
0.77%
Change from
2014 to 2015
1,896,190
2015 Number of people with disabilities (all disabilities, ages 18-64).
-1.01%
Change from
2014 to 2015
101,734
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
4.43%
Change from
2014 to 2015
49,485
2015 Percentage of working age people who are employed (all disabilities).
5.39%
Change from
2014 to 2015
48.64%
2015 Percentage of working age people who are employed (NO disabilities).
-0.58%
Change from
2014 to 2015
83.42%

State Data

General

2013 2014 2015
Population. 1,868,516 1,881,503 1,896,190
Number of people with disabilities (all disabilities, ages 18-64). 99,698 102,762 101,734
Number of people with disabilities who are employed (all disabilities, ages 18-64). 45,352 47,291 49,485
Number of people without disabilities who are employed (ages 18-64). 847,216 859,992 858,156
Percentage of working age people who are employed (all disabilities). 45.49% 46.02% 48.64%
Percentage of working age people who are employed (NO disabilities). 82.60% 83.90% 83.42%
Overall unemployment rate. 3.80% 3.30% 3.00%
Poverty Rate (all disabilities). 19.10% 20.70% 18.80%
Poverty Rate (NO disabilities). 12.50% 11.40% 11.80%
Number of males with disabilities (all ages). 106,142 106,883 106,683
Number of females with disabilities (all ages). 99,212 105,721 102,638
Number of Caucasians with disabilities (all ages). 185,160 190,121 187,720
Number of African Americans with disabilities (all ages). 8,791 9,975 11,733
Number of Hispanic/Latinos with disabilities (all ages). 11,269 12,110 12,277
Number of American Indians/Alaska Natives with disabilities (all ages). 2,163 2,768 3,320
Number of Asians with disabilities (all ages). 3,043 2,921 1,650
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A N/A N/A
Number of with multiple races disabilities (all ages). 3,158 4,582 2,743
Number of others with disabilities (all ages). 3,003 2,095 2,121

 

SSA OUTCOMES

2013 2014 2015
Number of SSI recipients with disabilities who work. 2,951 2,915 3,062
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 11.40% 11.20% 11.70%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 42,192 42,347 42,162

 

MENTAL HEALTH OUTCOMES

2013 2014 2015
Number of mental health services consumers who are employed. 4,780 4,878 5,237
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,164 8,234 8,451
Number of adults served who have a known employment status. 15,208 14,727 15,165
Percentage of all state mental health agency consumers served in the community who are employed. 31.40% 33.10% 34.50%
Percentage of supported employment services evidence based practices (EBP). 3.60% 6.10% 5.30%
Percentage of supported housing services evidence based practices (EBP). 5.60% 5.30% 7.00%
Percentage of assertive community treatment services evidence based practices (EBP). 1.60% 1.80% 1.00%
Percentage of medications management evidence based practices (EBP). 43.80% 44.40% 54.10%
Number of evidence based practices (EBP) supported employment services. 497 843 605
Number of evidence based practices (EBP) supported housing services. 772 734 801
Number of evidence based practices (EBP) assertive community treatment services. 223 246 115
Number of evidence based practices (EBP) medications management. 6,037 6,122 6,163

 

WAGNER PEYSER OUTCOMES

2013 2014 2015
Number of registered job seekers with a disability. 4,250 4,143 5,183
Proportion of registered job seekers with a disability. 0.04 0.06 0.06

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2012 2013 2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 23 12 27
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 18 11 19
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 78.00% 92.00% 70.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 0.97 0.59 1.00

 

VR OUTCOMES

2013 2014 2015
Total Number of people served under VR.
2,933
3,037
3,260
Number of people with visual impairments served under VR. N/A N/A 2
Number of people with communicative (hearing loss, deafness) impairments served under VR. 187 220 243
Number of people with physical impairments served under VR. 700 603 613
Number of people cognitive impairments served under VR. 1,446 1,005 970
Number of people psychosocial impairments served under VR. 206 776 889
Number of people with mental impairments served under VR. 394 433 543
Percentage of overall closures into employment under VR. 34.70% 38.80% N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. N/A 1,657 1,715
Number of eligible ticket to work beneficiaries. N/A 60,681 61,150
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). 81 N/A N/A
Total number of ID competitive labor market closures. 184 199 N/A

 

IDD OUTCOMES

2010 2011 2014
Dollars spent on day/employment services for integrated employment funding. $931,000 $1,254,000 $1,134,000
Dollars spent on day/employment services for facility-based work funding. $2,554,000 $2,377,000 $34,020,000
Dollars spent on day/employment services for facility-based non-work funding. $46,337,000 $48,465,000 $113,941,000
Dollars spent on day/employment services for community based non-work funding. $6,288,000 $6,212,000 $84,723,000
Percentage of people served in integrated employment. 6.00% 5.00% 4.00%
Number of people served in community based non-work. 1,066 1,014 2,546
Number of people served in facility based work. 344 322 2,011
Number of people served in facility based non-work. 3,161 3,101 1,551
Number supported in integrated employment per 100,000 individuals in the general state population. 13.00 13.40 8.90

 

EDUCATION OUTCOMES

2012 2013 2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 74.86% 74.59% 76.07%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 6.20% 6.34% 6.36%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.08% 2.15% 2.22%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 85.37% 77.24% 92.25%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 35.60% 36.85% 37.05%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 64.30% 66.93% 66.79%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 83.50% 82.97% 85.01%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 28.70% 30.07% 29.74%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 165,689
Number of overall total blind and SD workers. 251
Number of AbilityOne blind and SD hours (products). 73,915
Number of AbilityOne blind and SD hours (services). 88,454
Number of AbilityOne blind and SD hours (combined). 162,369
Number of AbilityOne blind and SD workers (products). 82
Number of AbilityOne blind and SD workers (services). 167
Number of AbilityOne blind and SD workers (combined). 249
AbilityOne wages (products). $791,551
AbilityOne wages (services). $849,657

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2014 2015 2016
Number of 14(c) certificate-holding private businesses. 5 5 4
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0 0 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 25 22 24
Number of 14(c) certificate holding patient workers. N/A 3 3
Total Number of 14(c) certificate holding entities. N/A 30 31
Reported number of people with disabilities working under 14(c) certificate holding private businesses. N/A 13 12
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). N/A 0 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). N/A 1,702 1,884
Reported number of people with disabilities working under 14(c) certificate holding patient workers. N/A 138 138
Total reported number of people with disabilities working under 14(c) certificate holding entities. N/A 1,853 2,034

 

Legislation


Nebraska ABLE Legislation (LB 591) - 05/27/2015

A BILL FOR AN ACT relating to revenue and taxation; to amend sections 72-1239.01, 77-3504, and 84-618, Reissue Revised Statutes of Nebraska, and sections 68-1201, 77-2715.07, and 77-2716, Revised Statutes Cumulative Supplement, 2014; to define terms; to create the achieving a better life experience program; to provide powers and duties; to change provisions relating to federal tax credits; to provide for adjustments to taxable income; to redefine household income for purposes of the homestead exemption; to provide startup funding; to harmonize provisions; to provide operative dates; to repeal the original sections; and to declare an emergency. Be it enacted by the people of the State of Nebraska.  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Nebraska Developmental Disabilities Provider Handbook - 01/01/2017

“DDD provides funding and oversight of community-based providers. DD services can be provided by either an independent or agency provider. Developmental Disability (DD) Services focus on helping participants live the most independent lives possible. Goals are identified and habilitation programs (training) may be developed to teach skills. Goals focus on employment, independent living, and community access. DD Service Coordination provides oversight”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)

NE State Plan - State Vocational Rehabilitation Services Program (FY 2015) - 09/30/2014

4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))   (b) Employment of individuals with disabilities. The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

"The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Title 404 - Community Supports Program (CSP) - 07/16/2011

Section 9-003.02D The Community Living and Day Supports service includes the following components:    • Supports to enable the individual to maintain or obtain employment. This may include someone hired to accompany and support the individual in an integrated work setting. Integrated settings are those considered as available to all members of the community. Payment for the work performed by the individual is the responsibility of the employer. Covered services do not include those provided in specialized developmental disability provider settings, workstations, or supported employment services.     • Supports to enable the individual to access services and opportunities available in community settings. This may include accessing general community activities, performing community volunteer work, and accessing services provided in community settings such as senior centers and adult day centers. Supports provided under CLDS must be those that are above and beyond the usual services provided in such a setting and not duplicate services expected to be the responsibility of the center.   
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services

Nebraska Community Supports Program (CSP) - 07/16/2011

 “The Department offers a system of supports and services intended to allow individuals with developmental disabilities to maximize their independence as they live, work, recreate, and participate in their communities.”

 

“The Community Supports Program (CSP) is designed to offer alternatives to the traditional model of services available through the Department. The traditional model provides for services consisting of day and residential habilitation and respite care, provided only by agencies certified as specialized providers of developmental disabilities services. The CSP allows for a broader array of services to be provided by developmental disability service providers and/or other community (individual or agency) providers. This is intended to give the individual more control over the type of services received and providers of those services, as well as allowing individuals to purchase services other than habilitative training. The underlying philosophy of the Community Supports Program is to build upon the individual and family strengths and to strengthen and support informal and formal services already in place.”  

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Nebraska Alliance for Full Participation - 01/12/2011

 

“The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nebraska Planning Council on Developmental Disabilities State Plan 2017-2021

Goal 3: Employment

 Influence systems change to provide increased opportunities for more individuals with intellectual and other developmental disabilities (I/DD) of diverse identities to pursue an employment path of their choice.

· Provide support to address barriers, advocate for, and expand opportunities for an increased number of individuals to participate in community integrated employment or entrepreneurship.

 · Increase opportunities for self-advocates to share employment experiences and promote community integrated employment and entrepreneurship with peers and stakeholders.

· Provide access to benefits planning services for an increased number of service providers, individuals with intellectual and other developmental disabilities and their families to support the person’s employment choices.

 

 

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Self-Employment
  • Asset Development / Financial Capability

NE State Plan for Developmental Disabilities (2012 - 2016)

Goal #2:  Employment 

  To increase the employment of individuals with developmental disabilities working in integrated settings and earning at least minimum wage in projects funded by the Council.     • Improve two policies that impact transition services from school to work resulting in jobs after graduation.     • Increase training and education on employment directed at service providers, individuals, families, employers, service coordinators, and community members.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Nebraska Alliance for Full Participation

 “The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.   Nebraska Alliance for Full Participation Guiding Principles: (developed May, 2010)  - We believe all people have value. - We believe all people with developmental disabilities are capable of working with the appropriate level of support. - We believe that true person-centered career planning should drive all decisions, supports and services. - We believe all people have a right to work. - We believe all people have a right to make informed choice. - We believe in the dignity of taking calculated risk.”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Partnerships


Alliance for Full Participation - 01/12/2011

The Nebraska Division of Developmental Disabilities was invited to participate in the Nebraska State Team of the Alliance for Full Participation (AFP). “AFT is a national, formal partnership of leading organizations serving the developmental disabilities field that share a common vision – to help create a better and more fulfilling quality of life for people with developmental disabilities. The group put out a call to all states to help it achieve the national goal of doubling the employment rate of people with developmental disabilities in the next five years.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE Project SEARCH - 10/21/2010

 

“Project SEARCH helps students with disabilities learn vocational and competitive skills to help them enter the workplace and to become more independent in the work environment. Nebraska VR will expand Project SEARCH and its services for students with disabilities next year from seven locations statewide to ten. In each of these communities, Project SEARCH has grown through a partnership with Nebraska VR, local community businesses, local schools, the Nebraska Commission for the Blind and Visually Impaired, Assistive Technology Partnership and the Division of Developmental Disabilities (DD Services).”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Self Employment Services - 07/01/2006

"The Abilities Fund has a number of programs and services available to entrepreneurs, many that are open to any individual in the US with a disability. Other programs and services are available based upon your location, gender, or other factors established by our funders. Please check each program for specific eligibility guidelines. Nebraska Self Employment Services is available to residents who are active clients of Nebraska Vocational Rehabilitation Services."

 
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Easter Seals Benefit Analysis - 05/01/2002

In May 2002 Vocational Rehabilitation entered into a partnership with Easter Seals Nebraska to provide Benefit Analysis to individuals served by VR who receive Social Security benefits. Easter Seals Nebraska has benefit planners with extensive training regarding work incentives designed to assist Social Security beneficiaries in maximizing their work potential. The Benefit Analysis provides the individual with:    1. Answers to any questions they have regarding their current benefits.    2. An outline of available work incentive options to assist them in transitioning back to work.    3. A projection of financial outcomes for each work incentive option.    4. An opportunity to make an informed decision about the work incentive strategies that will work best for them.  
Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships

NE Assistive Technology Partnership - 06/15/1989

 

“Vocational Rehabilitation (VR) and the Assistive Technology Partnership (ATP) have worked together since 1989 when VR wrote the grant to establish a technology-related assistance project (ATP) in Nebraska. ATP Technology Specialists conduct on-site assessments for consumers referred by VR. The assessments may be for students preparing to work and consumers who are ready to work or returning to work after an injury or illness.”

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Acquired Brain Injury Supported Employment Partners

"Nebraska VR partners with Goodwill Industries of Greater Nebraska and Career Solutions, Inc. to provide supported employment services to individuals who have experienced an Acquired Brain Injury (ABI) and require specialized assistance to obtain and maintain competitive employment. Our VR liaison staff in Grand Island, Hastings, Kearney, and Omaha work jointly with employment specialists from these programs to assist individuals in overcoming employment barriers."

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Client Assistance Program Hotline

The Hotline provides information and referral to Nebraskans who have questions or concerns related to a disability. This includes information about rehabilitation services, transportation, special parking permits, legal rights, and any other questions related to a disability

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE VR Public School Partnerships

 

“The purpose of VR’s Partnership with schools is to provide information to educators about Vocational Rehabilitation Programs and help educators and VR staff to better coordinate transition services on the behalf of students with disabilities. This partnership will facilitate a discussion between local educators and VR staff and serve as a catalyst to create a process to effectively help students’ transition from school to work.

This planning effort will help:

1.     Promote a coordinated effort between the school district, ESU and the local Vocational Rehabilitation Office;

2.     Implement strategies that will facilitate effective transition services and eliminate duplication of services, and;

3.     Ensure the development of an effective partnership on behalf of students with disabilities.”

   
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska Aging and Disability Resource Center

Partnership between the Nebraska Department of Health and Human Services,  Nebraska Money Follows the Person Program, DHHS Division of Medicaid & Long-Term Care. A key goal in our ADRC five-year plan is to establish regional partnerships of aging and disability agencies which collaborate in providing ADRC services. We are now actively planning for a regional ADRC network, with Aging Partners Area Agency on Aging serving as a lead agency. An important role of the ADRC lead agency will be working with aging and disability service providers to plan and implement the regional ADRC. Next steps are convening the regional ADRC advisory group and writing the regional work plan.

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Mental Health Partnerships

“Nebraska Vocational Rehabilitation (VR) continues its long standing partnership with Nebraska Department of Health and Human Services - Behavioral Health Services (NE-DHHS) to make available employment services to Nebraskans with severe mental illness. VR and NE-DHHS fund six regional programs that provide Supported Employment services across the State.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Youth Leadership Council

“The Nebraska Youth Leadership Council (NYLC) began in the spring of 2009. The offices of Special Education and Vocational Rehabilitation cosponsored this program initiative to provide opportunities for transition age youth with disabilities to develop leadership skills and to promote membership in other youth organizations where students with disabilities were not previously participating.  The NYLC is a youth-led, youth-driven program, and as such, members plan for and participate in giving presentations to students, educators and other professionals regarding transition and disability-related topics. Other activities include: providing input on the Vocational Rehabilitation Transition Planning booklet; writing, planning, and filming an Employment Retention video for youth; planning and participating in a Summer Youth Leadership Conference; and attending a National Youth Leadership Conference just to name a few.”

 

 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Vocational Rehabilitation Workforce Development Partnerships

There are currently three local service delivery areas and 20 One-Stop Career Centers in Nebraska. Local Workforce Investment Boards oversee the Greater Lincoln, Greater Omaha and Greater Nebraska service delivery areas. In addition, there is a Nebraska Workforce Investment Board that is responsible for administering the statewide system. Collaboration between Nebraska VR and the other mandated partners is intended to provide:

1.     Easier access to services

2.     More comprehensive services

3.     Better labor market information

4.     A seamless system of service delivery

5.     Improved long-term employment outcomes for persons with disabilities

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


NE SAMHSA Employment Development Initiative (EDI) 2012

 

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NE Money Follows the Person

 

"Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community...Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services... [can] help people live successfully in community-based settings..."

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Opening Doors: A Transition Guide

“This protocol is the result of the dialogue and cooperation of the Nebraska

Transition Team members and other statewide representatives. Members met for three sessions with a facilitator for the purpose of better defining roles, responsibilities, tasks, principles, and relationships between entities working with blind, visually impaired, and deaf-blind children and youth…The result of this collaborative effort is intended to foster a more comprehensive seamless transition model for children and youth -birth through adulthood. By drawing on knowledge from a wide variety of resources we are able to better leverage learning, provide informed choice, and produce individual programs that are creative and responsive to needed and appropriate services”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska SAMHSA Employment Development Initiative (EDI)

 In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).   This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.  
Systems
  • Department of Mental Health
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


Transition Capacity Building Initiative for All Students - 02/16/2016

Effective and successful transition planning for All students requires school staff to be knowledgeable of a broad range of post school agencies and resources, which can be time intensive and frustrating. Well-functioning School-Community-Agency Partnerships coordinate time, effort, and resources. In an effort to build transition capacity and assist school districts and agencies in becoming more efficient and effective, the Nebraska Department of Education is offering assistance and support funded through the NDE Transition Grant in facilitating a School District- Agency-Community Partnership meeting at your school district.

Meeting Objectives:

• Increase efficiency in transition planning of services and activities (IEP requirements) Reduce duplications of: assessments, career exploration, transition experiences

• Expand job shadow, work-based learning, and supported work experiences

• Collaboration and Partnership building between school and agency staffs

• Increase knowledge of services and resources for districts and agencies

• Define roles and process for school/agency referral and involvement

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Annual Nebraska Youth Conference 2010 - 07/01/2010

Student Sessions     • Using Technology     • Getting a Job     • Being a Self-Advocate    Teacher Sessions     • Technology     • Ideas For The Classroom     • Agency Options  
Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • School-to-Work Transition

Nebraska Department of Developmental Disabilities Training Resources

“The Division of Developmental Disabilities is committed to providing training that results in improved lives for our participants. Please feel free to use as many training resources as you see fit.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Supported Employment

This presentation provides an explanation of, and service descriptions and payment rates for, Supported Employment. It includes Customized Employment as a valid application as Supported Employment.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation

Nebraska DOE: Opening Doors

For close coordination and continuity of educational planning and services for blind, visually impaired, deaf-blind students, and their families in Nebraska

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning for Nebraska Youth and Young Adults with Intellectual or Developmental Disabilities

 

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 
Systems
  • Other
Topics
  • School-to-Work Transition
  • Mental Health

NE Setting Employment as the 1st Priority

 

“Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization.”

 
Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning Youth and Young Adults with Disabilities

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 

 
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition

Customized Self-Employment

This presentation by Griffin Hammis & Associates covers community-based, integrated employment opportunities for people with disabilities from the perspective of customized self-employment.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Nebraska Alliance for Full Participation Webinars - Employment First

Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization. 

 

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Enforcement


Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….”

 

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Medicaid & Employment


Nebraska HCBS Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska Medicaid State Plan

The State Plan is a public record and is a large, comprehensive statement describing the scope and nature of the Medical Assistance Program in Nebraska. The Plan outlines Medicaid (Title XIX) eligibility standards, policies, and reimbursement methodologies to ensure that the Program receives matching federal funds under Title XIX of the Social Security Act.

Systems
  • Medicaid Agencies

Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Comprehensive DD Waiver for Adults (0396.R02.00)

Provides group home residential hab, integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, companion home residential hab, extended family home residential hab, home mods, in-home residential hab, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

NE Day Services Waiver for Adults w/DD (0394.R02.00)

Provides integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, home mods, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NE HCBS Waiver for Children w/DD and their Families (4154.R05.00)

Provides day hab, group home residential hab, homemaker, integrated community employment-individual employment support, prevocational hab, respite, behavioral risk service, community living and day supports, companion home residential hab, extended family home residential hab, habilitative child care, home mods, in-home residential hab, medical risk services, team behavioral consultation, vocational planning hab, workstation hab for individuals w/IID/DD ages 0 – 21

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phablet

Snapshot

With the right level of focus on Employment First systems-change efforts, individuals with disabilities could be living "The Good Life" in the state of Nebraska.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Nebraska’s VR Rates and Services

2015 State Population.
0.77%
Change from
2014 to 2015
1,896,190
2015 Number of people with disabilities (all disabilities, ages 18-64).
-1.01%
Change from
2014 to 2015
101,734
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
4.43%
Change from
2014 to 2015
49,485
2015 Percentage of working age people who are employed (all disabilities).
5.39%
Change from
2014 to 2015
48.64%
2015 Percentage of working age people who are employed (NO disabilities).
-0.58%
Change from
2014 to 2015
83.42%

State Data

General

2015
Population. 1,896,190
Number of people with disabilities (all disabilities, ages 18-64). 101,734
Number of people with disabilities who are employed (all disabilities, ages 18-64). 49,485
Number of people without disabilities who are employed (ages 18-64). 858,156
Percentage of working age people who are employed (all disabilities). 48.64%
Percentage of working age people who are employed (NO disabilities). 83.42%
Overall unemployment rate. 3.00%
Poverty Rate (all disabilities). 18.80%
Poverty Rate (NO disabilities). 11.80%
Number of males with disabilities (all ages). 106,683
Number of females with disabilities (all ages). 102,638
Number of Caucasians with disabilities (all ages). 187,720
Number of African Americans with disabilities (all ages). 11,733
Number of Hispanic/Latinos with disabilities (all ages). 12,277
Number of American Indians/Alaska Natives with disabilities (all ages). 3,320
Number of Asians with disabilities (all ages). 1,650
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 2,743
Number of others with disabilities (all ages). 2,121

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 3,062
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 11.70%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 42,162

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 5,237
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,451
Number of adults served who have a known employment status. 15,165
Percentage of all state mental health agency consumers served in the community who are employed. 34.50%
Percentage of supported employment services evidence based practices (EBP). 5.30%
Percentage of supported housing services evidence based practices (EBP). 7.00%
Percentage of assertive community treatment services evidence based practices (EBP). 1.00%
Percentage of medications management evidence based practices (EBP). 54.10%
Number of evidence based practices (EBP) supported employment services. 605
Number of evidence based practices (EBP) supported housing services. 801
Number of evidence based practices (EBP) assertive community treatment services. 115
Number of evidence based practices (EBP) medications management. 6,163

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,183
Proportion of registered job seekers with a disability. 0.06

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 27
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 19
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 70.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.00

 

VR OUTCOMES

2015
Total Number of people served under VR.
3,260
Number of people with visual impairments served under VR. 2
Number of people with communicative (hearing loss, deafness) impairments served under VR. 243
Number of people with physical impairments served under VR. 613
Number of people cognitive impairments served under VR. 970
Number of people psychosocial impairments served under VR. 889
Number of people with mental impairments served under VR. 543
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 1,715
Number of eligible ticket to work beneficiaries. 61,150
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2014
Dollars spent on day/employment services for integrated employment funding. $1,134,000
Dollars spent on day/employment services for facility-based work funding. $34,020,000
Dollars spent on day/employment services for facility-based non-work funding. $113,941,000
Dollars spent on day/employment services for community based non-work funding. $84,723,000
Percentage of people served in integrated employment. 4.00%
Number of people served in community based non-work. 2,546
Number of people served in facility based work. 2,011
Number of people served in facility based non-work. 1,551
Number supported in integrated employment per 100,000 individuals in the general state population. 8.90

 

EDUCATION OUTCOMES

2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 76.07%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 6.36%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.22%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 92.25%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 37.05%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.79%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 85.01%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 29.74%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 165,689
Number of overall total blind and SD workers. 251
Number of AbilityOne blind and SD hours (products). 73,915
Number of AbilityOne blind and SD hours (services). 88,454
Number of AbilityOne blind and SD hours (combined). 162,369
Number of AbilityOne blind and SD workers (products). 82
Number of AbilityOne blind and SD workers (services). 167
Number of AbilityOne blind and SD workers (combined). 249
AbilityOne wages (products). $791,551
AbilityOne wages (services). $849,657

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2016
Number of 14(c) certificate-holding private businesses. 4
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 24
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 31
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 12
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 1,884
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 138
Total reported number of people with disabilities working under 14(c) certificate holding entities. 2,034

 

Legislation


Nebraska ABLE Legislation (LB 591) - 05/27/2015

A BILL FOR AN ACT relating to revenue and taxation; to amend sections 72-1239.01, 77-3504, and 84-618, Reissue Revised Statutes of Nebraska, and sections 68-1201, 77-2715.07, and 77-2716, Revised Statutes Cumulative Supplement, 2014; to define terms; to create the achieving a better life experience program; to provide powers and duties; to change provisions relating to federal tax credits; to provide for adjustments to taxable income; to redefine household income for purposes of the homestead exemption; to provide startup funding; to harmonize provisions; to provide operative dates; to repeal the original sections; and to declare an emergency. Be it enacted by the people of the State of Nebraska.  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Nebraska Developmental Disabilities Provider Handbook - 01/01/2017

“DDD provides funding and oversight of community-based providers. DD services can be provided by either an independent or agency provider. Developmental Disability (DD) Services focus on helping participants live the most independent lives possible. Goals are identified and habilitation programs (training) may be developed to teach skills. Goals focus on employment, independent living, and community access. DD Service Coordination provides oversight”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)

NE State Plan - State Vocational Rehabilitation Services Program (FY 2015) - 09/30/2014

4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))   (b) Employment of individuals with disabilities. The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

"The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Title 404 - Community Supports Program (CSP) - 07/16/2011

Section 9-003.02D The Community Living and Day Supports service includes the following components:    • Supports to enable the individual to maintain or obtain employment. This may include someone hired to accompany and support the individual in an integrated work setting. Integrated settings are those considered as available to all members of the community. Payment for the work performed by the individual is the responsibility of the employer. Covered services do not include those provided in specialized developmental disability provider settings, workstations, or supported employment services.     • Supports to enable the individual to access services and opportunities available in community settings. This may include accessing general community activities, performing community volunteer work, and accessing services provided in community settings such as senior centers and adult day centers. Supports provided under CLDS must be those that are above and beyond the usual services provided in such a setting and not duplicate services expected to be the responsibility of the center.   
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services

Nebraska Community Supports Program (CSP) - 07/16/2011

 “The Department offers a system of supports and services intended to allow individuals with developmental disabilities to maximize their independence as they live, work, recreate, and participate in their communities.”

 

“The Community Supports Program (CSP) is designed to offer alternatives to the traditional model of services available through the Department. The traditional model provides for services consisting of day and residential habilitation and respite care, provided only by agencies certified as specialized providers of developmental disabilities services. The CSP allows for a broader array of services to be provided by developmental disability service providers and/or other community (individual or agency) providers. This is intended to give the individual more control over the type of services received and providers of those services, as well as allowing individuals to purchase services other than habilitative training. The underlying philosophy of the Community Supports Program is to build upon the individual and family strengths and to strengthen and support informal and formal services already in place.”  

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Nebraska Alliance for Full Participation - 01/12/2011

 

“The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nebraska Planning Council on Developmental Disabilities State Plan 2017-2021

Goal 3: Employment

 Influence systems change to provide increased opportunities for more individuals with intellectual and other developmental disabilities (I/DD) of diverse identities to pursue an employment path of their choice.

· Provide support to address barriers, advocate for, and expand opportunities for an increased number of individuals to participate in community integrated employment or entrepreneurship.

 · Increase opportunities for self-advocates to share employment experiences and promote community integrated employment and entrepreneurship with peers and stakeholders.

· Provide access to benefits planning services for an increased number of service providers, individuals with intellectual and other developmental disabilities and their families to support the person’s employment choices.

 

 

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Self-Employment
  • Asset Development / Financial Capability

NE State Plan for Developmental Disabilities (2012 - 2016)

Goal #2:  Employment 

  To increase the employment of individuals with developmental disabilities working in integrated settings and earning at least minimum wage in projects funded by the Council.     • Improve two policies that impact transition services from school to work resulting in jobs after graduation.     • Increase training and education on employment directed at service providers, individuals, families, employers, service coordinators, and community members.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Nebraska Alliance for Full Participation

 “The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.   Nebraska Alliance for Full Participation Guiding Principles: (developed May, 2010)  - We believe all people have value. - We believe all people with developmental disabilities are capable of working with the appropriate level of support. - We believe that true person-centered career planning should drive all decisions, supports and services. - We believe all people have a right to work. - We believe all people have a right to make informed choice. - We believe in the dignity of taking calculated risk.”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Partnerships


Alliance for Full Participation - 01/12/2011

The Nebraska Division of Developmental Disabilities was invited to participate in the Nebraska State Team of the Alliance for Full Participation (AFP). “AFT is a national, formal partnership of leading organizations serving the developmental disabilities field that share a common vision – to help create a better and more fulfilling quality of life for people with developmental disabilities. The group put out a call to all states to help it achieve the national goal of doubling the employment rate of people with developmental disabilities in the next five years.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE Project SEARCH - 10/21/2010

 

“Project SEARCH helps students with disabilities learn vocational and competitive skills to help them enter the workplace and to become more independent in the work environment. Nebraska VR will expand Project SEARCH and its services for students with disabilities next year from seven locations statewide to ten. In each of these communities, Project SEARCH has grown through a partnership with Nebraska VR, local community businesses, local schools, the Nebraska Commission for the Blind and Visually Impaired, Assistive Technology Partnership and the Division of Developmental Disabilities (DD Services).”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Self Employment Services - 07/01/2006

"The Abilities Fund has a number of programs and services available to entrepreneurs, many that are open to any individual in the US with a disability. Other programs and services are available based upon your location, gender, or other factors established by our funders. Please check each program for specific eligibility guidelines. Nebraska Self Employment Services is available to residents who are active clients of Nebraska Vocational Rehabilitation Services."

 
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Easter Seals Benefit Analysis - 05/01/2002

In May 2002 Vocational Rehabilitation entered into a partnership with Easter Seals Nebraska to provide Benefit Analysis to individuals served by VR who receive Social Security benefits. Easter Seals Nebraska has benefit planners with extensive training regarding work incentives designed to assist Social Security beneficiaries in maximizing their work potential. The Benefit Analysis provides the individual with:    1. Answers to any questions they have regarding their current benefits.    2. An outline of available work incentive options to assist them in transitioning back to work.    3. A projection of financial outcomes for each work incentive option.    4. An opportunity to make an informed decision about the work incentive strategies that will work best for them.  
Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships

NE Assistive Technology Partnership - 06/15/1989

 

“Vocational Rehabilitation (VR) and the Assistive Technology Partnership (ATP) have worked together since 1989 when VR wrote the grant to establish a technology-related assistance project (ATP) in Nebraska. ATP Technology Specialists conduct on-site assessments for consumers referred by VR. The assessments may be for students preparing to work and consumers who are ready to work or returning to work after an injury or illness.”

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Acquired Brain Injury Supported Employment Partners

"Nebraska VR partners with Goodwill Industries of Greater Nebraska and Career Solutions, Inc. to provide supported employment services to individuals who have experienced an Acquired Brain Injury (ABI) and require specialized assistance to obtain and maintain competitive employment. Our VR liaison staff in Grand Island, Hastings, Kearney, and Omaha work jointly with employment specialists from these programs to assist individuals in overcoming employment barriers."

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Client Assistance Program Hotline

The Hotline provides information and referral to Nebraskans who have questions or concerns related to a disability. This includes information about rehabilitation services, transportation, special parking permits, legal rights, and any other questions related to a disability

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE VR Public School Partnerships

 

“The purpose of VR’s Partnership with schools is to provide information to educators about Vocational Rehabilitation Programs and help educators and VR staff to better coordinate transition services on the behalf of students with disabilities. This partnership will facilitate a discussion between local educators and VR staff and serve as a catalyst to create a process to effectively help students’ transition from school to work.

This planning effort will help:

1.     Promote a coordinated effort between the school district, ESU and the local Vocational Rehabilitation Office;

2.     Implement strategies that will facilitate effective transition services and eliminate duplication of services, and;

3.     Ensure the development of an effective partnership on behalf of students with disabilities.”

   
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska Aging and Disability Resource Center

Partnership between the Nebraska Department of Health and Human Services,  Nebraska Money Follows the Person Program, DHHS Division of Medicaid & Long-Term Care. A key goal in our ADRC five-year plan is to establish regional partnerships of aging and disability agencies which collaborate in providing ADRC services. We are now actively planning for a regional ADRC network, with Aging Partners Area Agency on Aging serving as a lead agency. An important role of the ADRC lead agency will be working with aging and disability service providers to plan and implement the regional ADRC. Next steps are convening the regional ADRC advisory group and writing the regional work plan.

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Mental Health Partnerships

“Nebraska Vocational Rehabilitation (VR) continues its long standing partnership with Nebraska Department of Health and Human Services - Behavioral Health Services (NE-DHHS) to make available employment services to Nebraskans with severe mental illness. VR and NE-DHHS fund six regional programs that provide Supported Employment services across the State.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Youth Leadership Council

“The Nebraska Youth Leadership Council (NYLC) began in the spring of 2009. The offices of Special Education and Vocational Rehabilitation cosponsored this program initiative to provide opportunities for transition age youth with disabilities to develop leadership skills and to promote membership in other youth organizations where students with disabilities were not previously participating.  The NYLC is a youth-led, youth-driven program, and as such, members plan for and participate in giving presentations to students, educators and other professionals regarding transition and disability-related topics. Other activities include: providing input on the Vocational Rehabilitation Transition Planning booklet; writing, planning, and filming an Employment Retention video for youth; planning and participating in a Summer Youth Leadership Conference; and attending a National Youth Leadership Conference just to name a few.”

 

 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Vocational Rehabilitation Workforce Development Partnerships

There are currently three local service delivery areas and 20 One-Stop Career Centers in Nebraska. Local Workforce Investment Boards oversee the Greater Lincoln, Greater Omaha and Greater Nebraska service delivery areas. In addition, there is a Nebraska Workforce Investment Board that is responsible for administering the statewide system. Collaboration between Nebraska VR and the other mandated partners is intended to provide:

1.     Easier access to services

2.     More comprehensive services

3.     Better labor market information

4.     A seamless system of service delivery

5.     Improved long-term employment outcomes for persons with disabilities

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


NE SAMHSA Employment Development Initiative (EDI) 2012

 

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NE Money Follows the Person

 

"Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community...Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services... [can] help people live successfully in community-based settings..."

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Opening Doors: A Transition Guide

“This protocol is the result of the dialogue and cooperation of the Nebraska

Transition Team members and other statewide representatives. Members met for three sessions with a facilitator for the purpose of better defining roles, responsibilities, tasks, principles, and relationships between entities working with blind, visually impaired, and deaf-blind children and youth…The result of this collaborative effort is intended to foster a more comprehensive seamless transition model for children and youth -birth through adulthood. By drawing on knowledge from a wide variety of resources we are able to better leverage learning, provide informed choice, and produce individual programs that are creative and responsive to needed and appropriate services”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska SAMHSA Employment Development Initiative (EDI)

 In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).   This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.  
Systems
  • Department of Mental Health
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


Transition Capacity Building Initiative for All Students - 02/16/2016

Effective and successful transition planning for All students requires school staff to be knowledgeable of a broad range of post school agencies and resources, which can be time intensive and frustrating. Well-functioning School-Community-Agency Partnerships coordinate time, effort, and resources. In an effort to build transition capacity and assist school districts and agencies in becoming more efficient and effective, the Nebraska Department of Education is offering assistance and support funded through the NDE Transition Grant in facilitating a School District- Agency-Community Partnership meeting at your school district.

Meeting Objectives:

• Increase efficiency in transition planning of services and activities (IEP requirements) Reduce duplications of: assessments, career exploration, transition experiences

• Expand job shadow, work-based learning, and supported work experiences

• Collaboration and Partnership building between school and agency staffs

• Increase knowledge of services and resources for districts and agencies

• Define roles and process for school/agency referral and involvement

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Annual Nebraska Youth Conference 2010 - 07/01/2010

Student Sessions     • Using Technology     • Getting a Job     • Being a Self-Advocate    Teacher Sessions     • Technology     • Ideas For The Classroom     • Agency Options  
Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • School-to-Work Transition

Nebraska Department of Developmental Disabilities Training Resources

“The Division of Developmental Disabilities is committed to providing training that results in improved lives for our participants. Please feel free to use as many training resources as you see fit.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Supported Employment

This presentation provides an explanation of, and service descriptions and payment rates for, Supported Employment. It includes Customized Employment as a valid application as Supported Employment.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation

Nebraska DOE: Opening Doors

For close coordination and continuity of educational planning and services for blind, visually impaired, deaf-blind students, and their families in Nebraska

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning for Nebraska Youth and Young Adults with Intellectual or Developmental Disabilities

 

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 
Systems
  • Other
Topics
  • School-to-Work Transition
  • Mental Health

NE Setting Employment as the 1st Priority

 

“Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization.”

 
Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning Youth and Young Adults with Disabilities

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 

 
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition

Customized Self-Employment

This presentation by Griffin Hammis & Associates covers community-based, integrated employment opportunities for people with disabilities from the perspective of customized self-employment.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Nebraska Alliance for Full Participation Webinars - Employment First

Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization. 

 

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Enforcement


Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….”

 

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Medicaid & Employment


Nebraska HCBS Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska Medicaid State Plan

The State Plan is a public record and is a large, comprehensive statement describing the scope and nature of the Medical Assistance Program in Nebraska. The Plan outlines Medicaid (Title XIX) eligibility standards, policies, and reimbursement methodologies to ensure that the Program receives matching federal funds under Title XIX of the Social Security Act.

Systems
  • Medicaid Agencies

Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Comprehensive DD Waiver for Adults (0396.R02.00)

Provides group home residential hab, integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, companion home residential hab, extended family home residential hab, home mods, in-home residential hab, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

NE Day Services Waiver for Adults w/DD (0394.R02.00)

Provides integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, home mods, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NE HCBS Waiver for Children w/DD and their Families (4154.R05.00)

Provides day hab, group home residential hab, homemaker, integrated community employment-individual employment support, prevocational hab, respite, behavioral risk service, community living and day supports, companion home residential hab, extended family home residential hab, habilitative child care, home mods, in-home residential hab, medical risk services, team behavioral consultation, vocational planning hab, workstation hab for individuals w/IID/DD ages 0 – 21

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

States - Phone

Snapshot

With the right level of focus on Employment First systems-change efforts, individuals with disabilities could be living "The Good Life" in the state of Nebraska.

State VR Rates and Services

A list of services offered by this state’s Vocational Rehabilitation agency, along with the standard rates paid for the performance of those services.

PDF icon Nebraska’s VR Rates and Services

2015 State Population.
0.77%
Change from
2014 to 2015
1,896,190
2015 Number of people with disabilities (all disabilities, ages 18-64).
-1.01%
Change from
2014 to 2015
101,734
2015 Number of people with disabilities who are employed (all disabilities, ages 18-64).
4.43%
Change from
2014 to 2015
49,485
2015 Percentage of working age people who are employed (all disabilities).
5.39%
Change from
2014 to 2015
48.64%
2015 Percentage of working age people who are employed (NO disabilities).
-0.58%
Change from
2014 to 2015
83.42%

State Data

General

2015
Population. 1,896,190
Number of people with disabilities (all disabilities, ages 18-64). 101,734
Number of people with disabilities who are employed (all disabilities, ages 18-64). 49,485
Number of people without disabilities who are employed (ages 18-64). 858,156
Percentage of working age people who are employed (all disabilities). 48.64%
Percentage of working age people who are employed (NO disabilities). 83.42%
Overall unemployment rate. 3.00%
Poverty Rate (all disabilities). 18.80%
Poverty Rate (NO disabilities). 11.80%
Number of males with disabilities (all ages). 106,683
Number of females with disabilities (all ages). 102,638
Number of Caucasians with disabilities (all ages). 187,720
Number of African Americans with disabilities (all ages). 11,733
Number of Hispanic/Latinos with disabilities (all ages). 12,277
Number of American Indians/Alaska Natives with disabilities (all ages). 3,320
Number of Asians with disabilities (all ages). 1,650
Number of Hawaiians/Pacific Islanders with disabilities (all ages). N/A
Number of with multiple races disabilities (all ages). 2,743
Number of others with disabilities (all ages). 2,121

 

SSA OUTCOMES

2015
Number of SSI recipients with disabilities who work. 3,062
Percentage of SSI recipients with disabilities who work relative to total SSI recipients with disabilities. 11.70%
Old Age Survivor and Disability Insurance (OASDI) recipients/workers with disabilities. 42,162

 

MENTAL HEALTH OUTCOMES

2015
Number of mental health services consumers who are employed. 5,237
Number of mental health services consumers who are part of the labor force (employed or actively looking for employment). 8,451
Number of adults served who have a known employment status. 15,165
Percentage of all state mental health agency consumers served in the community who are employed. 34.50%
Percentage of supported employment services evidence based practices (EBP). 5.30%
Percentage of supported housing services evidence based practices (EBP). 7.00%
Percentage of assertive community treatment services evidence based practices (EBP). 1.00%
Percentage of medications management evidence based practices (EBP). 54.10%
Number of evidence based practices (EBP) supported employment services. 605
Number of evidence based practices (EBP) supported housing services. 801
Number of evidence based practices (EBP) assertive community treatment services. 115
Number of evidence based practices (EBP) medications management. 6,163

 

WAGNER PEYSER OUTCOMES

2015
Number of registered job seekers with a disability. 5,183
Proportion of registered job seekers with a disability. 0.06

 

WORKFORCE DEVELOPMENT OUTCOMES (ADULTS)

2014
Total number of people with a disability that is a substantial barrier to work served by Job Training and Partnership Act/Workforce Investment Act programs. 27
Total number of people with a disability that is a substantial barrier to work who entered unsubsidized employment. 19
Percentage of people with a disability that is a substantial barrier to work who entered unsubsidized employment relative to total the number of people with a disability that is a substantial barrier to work. 70.00%
Incidence rate of people with a disability that is a substantial barrier to work who entered unsubsidized employment per 100,000 individuals in the general state population. 1.00

 

VR OUTCOMES

2015
Total Number of people served under VR.
3,260
Number of people with visual impairments served under VR. 2
Number of people with communicative (hearing loss, deafness) impairments served under VR. 243
Number of people with physical impairments served under VR. 613
Number of people cognitive impairments served under VR. 970
Number of people psychosocial impairments served under VR. 889
Number of people with mental impairments served under VR. 543
Percentage of overall closures into employment under VR. N/A
Number of employment network (EN) and vocational rehabilitation (VR) tickets assigned. 1,715
Number of eligible ticket to work beneficiaries. 61,150
Total number of ID closures using supported employment services with or without Title VI-B funds expended (VI-C prior to 2002). N/A
Total number of ID competitive labor market closures. N/A

 

IDD OUTCOMES

2014
Dollars spent on day/employment services for integrated employment funding. $1,134,000
Dollars spent on day/employment services for facility-based work funding. $34,020,000
Dollars spent on day/employment services for facility-based non-work funding. $113,941,000
Dollars spent on day/employment services for community based non-work funding. $84,723,000
Percentage of people served in integrated employment. 4.00%
Number of people served in community based non-work. 2,546
Number of people served in facility based work. 2,011
Number of people served in facility based non-work. 1,551
Number supported in integrated employment per 100,000 individuals in the general state population. 8.90

 

EDUCATION OUTCOMES

2014
Percent of children with IEPs aged 6 through 21 served inside the regular class 80% or more of the day (Indicator 5a). 76.07%
Percent of children with IEPs aged 6 through 21 served inside the regular class less than 40% of the day (Indicator 5b). 6.36%
Percent of children with IEPs aged 6 through 21 served in separate schools, residential facilities, or homebound/hospital placements (Indicator 5c). 2.22%
Percent of youth with IEPs aged 16 and above with an IEP that includes appropriate measurable postsecondary goals (Indicator 13). 92.25%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education within one year of leaving high school (Indicator 14a). 37.05%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or competitively employed within one year of leaving high school (Indicator 14b). 66.79%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were enrolled in higher education or in some other postsecondary education or training program; or competitively employed or in some other employment within one year of leaving high school (Indicator 14c). 85.01%
Percentage of youth who are no longer in secondary school, had IEPs in effect at the time they left school, and were competitively employed within one year of leaving high school (Subset of Indicator 14). 29.74%

 

ABILITYONE/JWOD PROGRAM

2014
Number of overall agency blind and SD hours. 165,689
Number of overall total blind and SD workers. 251
Number of AbilityOne blind and SD hours (products). 73,915
Number of AbilityOne blind and SD hours (services). 88,454
Number of AbilityOne blind and SD hours (combined). 162,369
Number of AbilityOne blind and SD workers (products). 82
Number of AbilityOne blind and SD workers (services). 167
Number of AbilityOne blind and SD workers (combined). 249
AbilityOne wages (products). $791,551
AbilityOne wages (services). $849,657

 

WAGE AND HOUR DIVISION: 14(c) CERTIFICATE-HOLDING ENTITIES OUTCOMES

2016
Number of 14(c) certificate-holding private businesses. 4
Number of 14(c) certificate-holding school work experience programs (SWEPs). 0
Number of 14(c) certificate-holding community rehabilitation programs (CRPs). 24
Number of 14(c) certificate holding patient workers. 3
Total Number of 14(c) certificate holding entities. 31
Reported number of people with disabilities working under 14(c) certificate holding private businesses. 12
Reported number of people with disabilities working under 14 (c) certificate holding school work experience programs (SWEPs). 0
Reported number of people with disabilities working under 14(c) certificate holding community rehabilitation programs (CRPs). 1,884
Reported number of people with disabilities working under 14(c) certificate holding patient workers. 138
Total reported number of people with disabilities working under 14(c) certificate holding entities. 2,034

 

Legislation


Nebraska ABLE Legislation (LB 591) - 05/27/2015

A BILL FOR AN ACT relating to revenue and taxation; to amend sections 72-1239.01, 77-3504, and 84-618, Reissue Revised Statutes of Nebraska, and sections 68-1201, 77-2715.07, and 77-2716, Revised Statutes Cumulative Supplement, 2014; to define terms; to create the achieving a better life experience program; to provide powers and duties; to change provisions relating to federal tax credits; to provide for adjustments to taxable income; to redefine household income for purposes of the homestead exemption; to provide startup funding; to harmonize provisions; to provide operative dates; to repeal the original sections; and to declare an emergency. Be it enacted by the people of the State of Nebraska.  
Systems
  • Other
Topics
  • Asset Development / Financial Capability
Citations

Executive Orders

No Executive Orders have been entered for this state.

Policy


Nebraska Developmental Disabilities Provider Handbook - 01/01/2017

“DDD provides funding and oversight of community-based providers. DD services can be provided by either an independent or agency provider. Developmental Disability (DD) Services focus on helping participants live the most independent lives possible. Goals are identified and habilitation programs (training) may be developed to teach skills. Goals focus on employment, independent living, and community access. DD Service Coordination provides oversight”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Home and Community Based Services (HCBS)

NE State Plan - State Vocational Rehabilitation Services Program (FY 2015) - 09/30/2014

4.9 Methods of administration. (Section 101(a)(6) of the Rehabilitation Act; 34 CFR 361.12, .19 and .51(a) and (b))   (b) Employment of individuals with disabilities. The designated state agency and entities carrying out community rehabilitation programs in the state, who are in receipt of assistance under Part B, of Title I of the Rehabilitation Act and this State Plan, take affirmative action to employ and advance in employment qualified individuals with disabilities covered under and on the same terms and conditions as set forth in Section 503 of the Rehabilitation Act.  
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

"The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time."

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Title 404 - Community Supports Program (CSP) - 07/16/2011

Section 9-003.02D The Community Living and Day Supports service includes the following components:    • Supports to enable the individual to maintain or obtain employment. This may include someone hired to accompany and support the individual in an integrated work setting. Integrated settings are those considered as available to all members of the community. Payment for the work performed by the individual is the responsibility of the employer. Covered services do not include those provided in specialized developmental disability provider settings, workstations, or supported employment services.     • Supports to enable the individual to access services and opportunities available in community settings. This may include accessing general community activities, performing community volunteer work, and accessing services provided in community settings such as senior centers and adult day centers. Supports provided under CLDS must be those that are above and beyond the usual services provided in such a setting and not duplicate services expected to be the responsibility of the center.   
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Segregated Day & Employment Services

Nebraska Community Supports Program (CSP) - 07/16/2011

 “The Department offers a system of supports and services intended to allow individuals with developmental disabilities to maximize their independence as they live, work, recreate, and participate in their communities.”

 

“The Community Supports Program (CSP) is designed to offer alternatives to the traditional model of services available through the Department. The traditional model provides for services consisting of day and residential habilitation and respite care, provided only by agencies certified as specialized providers of developmental disabilities services. The CSP allows for a broader array of services to be provided by developmental disability service providers and/or other community (individual or agency) providers. This is intended to give the individual more control over the type of services received and providers of those services, as well as allowing individuals to purchase services other than habilitative training. The underlying philosophy of the Community Supports Program is to build upon the individual and family strengths and to strengthen and support informal and formal services already in place.”  

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

Nebraska Alliance for Full Participation - 01/12/2011

 

“The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • Customized Employment
  • Self-Employment
  • School-to-Work Transition
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Nebraska Planning Council on Developmental Disabilities State Plan 2017-2021

Goal 3: Employment

 Influence systems change to provide increased opportunities for more individuals with intellectual and other developmental disabilities (I/DD) of diverse identities to pursue an employment path of their choice.

· Provide support to address barriers, advocate for, and expand opportunities for an increased number of individuals to participate in community integrated employment or entrepreneurship.

 · Increase opportunities for self-advocates to share employment experiences and promote community integrated employment and entrepreneurship with peers and stakeholders.

· Provide access to benefits planning services for an increased number of service providers, individuals with intellectual and other developmental disabilities and their families to support the person’s employment choices.

 

 

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Self-Employment
  • Asset Development / Financial Capability

NE State Plan for Developmental Disabilities (2012 - 2016)

Goal #2:  Employment 

  To increase the employment of individuals with developmental disabilities working in integrated settings and earning at least minimum wage in projects funded by the Council.     • Improve two policies that impact transition services from school to work resulting in jobs after graduation.     • Increase training and education on employment directed at service providers, individuals, families, employers, service coordinators, and community members.  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Department of Education
  • Other
Topics
  • 14(c)/Income Security

Nebraska Alliance for Full Participation

 “The Alliance for Full Participation (AFP) is a formal partnership of leading developmental disabilities organizations with a common vision—to create a better and more fulfilling quality of life for people with developmental disabilities. AFP supports a network of state teams, dedicated to promoting full participation for people with developmental disabilities.   Nebraska Alliance for Full Participation Guiding Principles: (developed May, 2010)  - We believe all people have value. - We believe all people with developmental disabilities are capable of working with the appropriate level of support. - We believe that true person-centered career planning should drive all decisions, supports and services. - We believe all people have a right to work. - We believe all people have a right to make informed choice. - We believe in the dignity of taking calculated risk.”  
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Cross-Agency Collaboration / Partnerships

Partnerships


Alliance for Full Participation - 01/12/2011

The Nebraska Division of Developmental Disabilities was invited to participate in the Nebraska State Team of the Alliance for Full Participation (AFP). “AFT is a national, formal partnership of leading organizations serving the developmental disabilities field that share a common vision – to help create a better and more fulfilling quality of life for people with developmental disabilities. The group put out a call to all states to help it achieve the national goal of doubling the employment rate of people with developmental disabilities in the next five years.”

Systems
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE Project SEARCH - 10/21/2010

 

“Project SEARCH helps students with disabilities learn vocational and competitive skills to help them enter the workplace and to become more independent in the work environment. Nebraska VR will expand Project SEARCH and its services for students with disabilities next year from seven locations statewide to ten. In each of these communities, Project SEARCH has grown through a partnership with Nebraska VR, local community businesses, local schools, the Nebraska Commission for the Blind and Visually Impaired, Assistive Technology Partnership and the Division of Developmental Disabilities (DD Services).”

 
Systems
  • Department of Rehabilitation Services
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Self Employment Services - 07/01/2006

"The Abilities Fund has a number of programs and services available to entrepreneurs, many that are open to any individual in the US with a disability. Other programs and services are available based upon your location, gender, or other factors established by our funders. Please check each program for specific eligibility guidelines. Nebraska Self Employment Services is available to residents who are active clients of Nebraska Vocational Rehabilitation Services."

 
Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Nebraska Easter Seals Benefit Analysis - 05/01/2002

In May 2002 Vocational Rehabilitation entered into a partnership with Easter Seals Nebraska to provide Benefit Analysis to individuals served by VR who receive Social Security benefits. Easter Seals Nebraska has benefit planners with extensive training regarding work incentives designed to assist Social Security beneficiaries in maximizing their work potential. The Benefit Analysis provides the individual with:    1. Answers to any questions they have regarding their current benefits.    2. An outline of available work incentive options to assist them in transitioning back to work.    3. A projection of financial outcomes for each work incentive option.    4. An opportunity to make an informed decision about the work incentive strategies that will work best for them.  
Systems
  • Department of Rehabilitation Services
Topics
  • Cross-Agency Collaboration / Partnerships

NE Assistive Technology Partnership - 06/15/1989

 

“Vocational Rehabilitation (VR) and the Assistive Technology Partnership (ATP) have worked together since 1989 when VR wrote the grant to establish a technology-related assistance project (ATP) in Nebraska. ATP Technology Specialists conduct on-site assessments for consumers referred by VR. The assessments may be for students preparing to work and consumers who are ready to work or returning to work after an injury or illness.”

 
Systems
  • Department of Rehabilitation Services
Topics
  • Self-Employment
  • Asset Development / Financial Capability
  • Cross-Agency Collaboration / Partnerships

Acquired Brain Injury Supported Employment Partners

"Nebraska VR partners with Goodwill Industries of Greater Nebraska and Career Solutions, Inc. to provide supported employment services to individuals who have experienced an Acquired Brain Injury (ABI) and require specialized assistance to obtain and maintain competitive employment. Our VR liaison staff in Grand Island, Hastings, Kearney, and Omaha work jointly with employment specialists from these programs to assist individuals in overcoming employment barriers."

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Client Assistance Program Hotline

The Hotline provides information and referral to Nebraskans who have questions or concerns related to a disability. This includes information about rehabilitation services, transportation, special parking permits, legal rights, and any other questions related to a disability

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Asset Development / Financial Capability
  • Home and Community Based Services (HCBS)
  • Cross-Agency Collaboration / Partnerships

NE VR Public School Partnerships

 

“The purpose of VR’s Partnership with schools is to provide information to educators about Vocational Rehabilitation Programs and help educators and VR staff to better coordinate transition services on the behalf of students with disabilities. This partnership will facilitate a discussion between local educators and VR staff and serve as a catalyst to create a process to effectively help students’ transition from school to work.

This planning effort will help:

1.     Promote a coordinated effort between the school district, ESU and the local Vocational Rehabilitation Office;

2.     Implement strategies that will facilitate effective transition services and eliminate duplication of services, and;

3.     Ensure the development of an effective partnership on behalf of students with disabilities.”

   
Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska Aging and Disability Resource Center

Partnership between the Nebraska Department of Health and Human Services,  Nebraska Money Follows the Person Program, DHHS Division of Medicaid & Long-Term Care. A key goal in our ADRC five-year plan is to establish regional partnerships of aging and disability agencies which collaborate in providing ADRC services. We are now actively planning for a regional ADRC network, with Aging Partners Area Agency on Aging serving as a lead agency. An important role of the ADRC lead agency will be working with aging and disability service providers to plan and implement the regional ADRC. Next steps are convening the regional ADRC advisory group and writing the regional work plan.

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Mental Health Partnerships

“Nebraska Vocational Rehabilitation (VR) continues its long standing partnership with Nebraska Department of Health and Human Services - Behavioral Health Services (NE-DHHS) to make available employment services to Nebraskans with severe mental illness. VR and NE-DHHS fund six regional programs that provide Supported Employment services across the State.”

 
Systems
  • Department of Rehabilitation Services
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Youth Leadership Council

“The Nebraska Youth Leadership Council (NYLC) began in the spring of 2009. The offices of Special Education and Vocational Rehabilitation cosponsored this program initiative to provide opportunities for transition age youth with disabilities to develop leadership skills and to promote membership in other youth organizations where students with disabilities were not previously participating.  The NYLC is a youth-led, youth-driven program, and as such, members plan for and participate in giving presentations to students, educators and other professionals regarding transition and disability-related topics. Other activities include: providing input on the Vocational Rehabilitation Transition Planning booklet; writing, planning, and filming an Employment Retention video for youth; planning and participating in a Summer Youth Leadership Conference; and attending a National Youth Leadership Conference just to name a few.”

 

 

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Mental Health
  • Cross-Agency Collaboration / Partnerships

Nebraska Vocational Rehabilitation Workforce Development Partnerships

There are currently three local service delivery areas and 20 One-Stop Career Centers in Nebraska. Local Workforce Investment Boards oversee the Greater Lincoln, Greater Omaha and Greater Nebraska service delivery areas. In addition, there is a Nebraska Workforce Investment Board that is responsible for administering the statewide system. Collaboration between Nebraska VR and the other mandated partners is intended to provide:

1.     Easier access to services

2.     More comprehensive services

3.     Better labor market information

4.     A seamless system of service delivery

5.     Improved long-term employment outcomes for persons with disabilities

 
Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
Topics
  • Employer Engagement
  • Cross-Agency Collaboration / Partnerships

Systems-Change Funding


NE SAMHSA Employment Development Initiative (EDI) 2012

 

“In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).

This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.”

Systems
  • Department of Mental Health
Topics
  • Mental Health
  • Cross-Agency Collaboration / Partnerships
  • Resource Leveraging

NE Money Follows the Person

 

"Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community...Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services... [can] help people live successfully in community-based settings..."

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Opening Doors: A Transition Guide

“This protocol is the result of the dialogue and cooperation of the Nebraska

Transition Team members and other statewide representatives. Members met for three sessions with a facilitator for the purpose of better defining roles, responsibilities, tasks, principles, and relationships between entities working with blind, visually impaired, and deaf-blind children and youth…The result of this collaborative effort is intended to foster a more comprehensive seamless transition model for children and youth -birth through adulthood. By drawing on knowledge from a wide variety of resources we are able to better leverage learning, provide informed choice, and produce individual programs that are creative and responsive to needed and appropriate services”

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Nebraska SAMHSA Employment Development Initiative (EDI)

 In an effort to assist State Mental Health Authorities, in close collaboration with Single State Authorities, in planning and implementing activities to foster increased employment opportunities for people with mental health and/or substance use disorders, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its Center for Mental Health Services (CMHS) created the Employment Development Initiative (EDI).   This initiative provides, on a competitive basis, modest funding awards in the form of fixed-price subcontracts between the Contractor, the National Association of State Mental Health Program Directors (NASMHPD), and the States, Territories and District of Columbia. In addition, each awardee will receive two consultant technical assistance visits coordinated and paid through the Contractor's portion of the project.  
Systems
  • Department of Mental Health
Topics
  • Cross-Agency Collaboration / Partnerships

Nebraska Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  

 

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Training/Capacity Building


Transition Capacity Building Initiative for All Students - 02/16/2016

Effective and successful transition planning for All students requires school staff to be knowledgeable of a broad range of post school agencies and resources, which can be time intensive and frustrating. Well-functioning School-Community-Agency Partnerships coordinate time, effort, and resources. In an effort to build transition capacity and assist school districts and agencies in becoming more efficient and effective, the Nebraska Department of Education is offering assistance and support funded through the NDE Transition Grant in facilitating a School District- Agency-Community Partnership meeting at your school district.

Meeting Objectives:

• Increase efficiency in transition planning of services and activities (IEP requirements) Reduce duplications of: assessments, career exploration, transition experiences

• Expand job shadow, work-based learning, and supported work experiences

• Collaboration and Partnership building between school and agency staffs

• Increase knowledge of services and resources for districts and agencies

• Define roles and process for school/agency referral and involvement

Systems
  • Department of Rehabilitation Services
  • Department of Workforce Development
  • Department of Education
  • Other
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Annual Nebraska Youth Conference 2010 - 07/01/2010

Student Sessions     • Using Technology     • Getting a Job     • Being a Self-Advocate    Teacher Sessions     • Technology     • Ideas For The Classroom     • Agency Options  
Systems
  • Department of Rehabilitation Services
  • Department of Education
  • Other
Topics
  • School-to-Work Transition

Nebraska Department of Developmental Disabilities Training Resources

“The Division of Developmental Disabilities is committed to providing training that results in improved lives for our participants. Please feel free to use as many training resources as you see fit.”

Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

Supported Employment

This presentation provides an explanation of, and service descriptions and payment rates for, Supported Employment. It includes Customized Employment as a valid application as Supported Employment.

Systems
  • Department of Rehabilitation Services
Topics
  • Customized Employment
  • Employer Engagement
  • Provider Transformation

Nebraska DOE: Opening Doors

For close coordination and continuity of educational planning and services for blind, visually impaired, deaf-blind students, and their families in Nebraska

Systems
  • Department of Rehabilitation Services
  • Department of Education
Topics
  • School-to-Work Transition
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning for Nebraska Youth and Young Adults with Intellectual or Developmental Disabilities

 

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 
Systems
  • Other
Topics
  • School-to-Work Transition
  • Mental Health

NE Setting Employment as the 1st Priority

 

“Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization.”

 
Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Ready, Set, Go: Transition Planning Youth and Young Adults with Disabilities

Ready, Set, Go!  is a web-based series of materials and resources intended to assist in making decisions about supports for young adults with intellectual or developmental disabilities as they move from high school to adult life.

 

 
Systems
  • Department of Intellectual and Developmental Disabilities
Topics
  • School-to-Work Transition

Customized Self-Employment

This presentation by Griffin Hammis & Associates covers community-based, integrated employment opportunities for people with disabilities from the perspective of customized self-employment.

Systems
  • Department of Rehabilitation Services
  • Other
Topics
  • Customized Employment
  • Self-Employment
  • Provider Transformation

Nebraska Alliance for Full Participation Webinars - Employment First

Employment First has become a national movement among some state agencies, employment and self advocacy organizations, such as National APSE, AFP and SABE, and employment service providers. The common thread among these groups is that employment is expected to be the first priority when discussing and offering day services for youth and adults with disabilities. This session will focus on several ingredients that are important when considering setting employment as the 1st priority. Topics include career planning, how to create the expectation of work, setting employment outcomes for your agency, data collection (what’s important to track and why), and nationally recognized approaches to promote change within a service organization. 

 

Systems
  • Medicaid Agencies
Topics
  • Cross-Agency Collaboration / Partnerships

Enforcement


Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….”

 

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Medicaid & Employment


Nebraska HCBS Transition Plan - 03/01/2014

In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

Developmental Disabilities Home‐ and Community‐Based Services Rate Development - 10/04/2011

The Nebraska Department of Health and Human Services – Division of Developmental Disabilities (DHHS‐DDD) contracted with Navigant Consulting, Inc. to develop a new rate methodology that provides payments to providers for the delivery of developmental disabilities services through its home‐ and community‐based services (HCBS) waivers.  DHHS‐DDD renewed its HCBS adult waivers in 2010 and implemented interim rates for HCBS waiver services beginning January 1, 2011.  These interim rates will be replaced by the rate recommendations provided in this report.

Through the course of this analysis we completed a number of tasks to develop rates for the DHHS‐DDD HCBS waiver services.  We examined DHHS‐DDD’s historical payment methodology, met with providers and surveyed stakeholders to gather feedback about the current system, collected current cost and wage data from providers, researched rate methodologies used by other states and developed payment rates, as well as recommendations for DHHS‐DDD in transitioning to the new rates and for revising rates over time.

Systems
  • Department of Intellectual and Developmental Disabilities
  • Other
Topics
  • Home and Community Based Services (HCBS)

Nebraska Olmstead Settlement Agreement - 07/02/2008

U.S. v. Nebraska – 8:08CV271

…In accordance with Title II of the Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12132, and implementing regulation 28 C.F.R. § 35.130(d), the State shall ensure that each  BSDC resident is served in the most integrated setting appropriate to meet each person’s  individualized needs. To this end, the State shall actively pursue the appropriate discharge of BSDC residents from BSDC and provide them with adequate and appropriate protections, supports, and services, consistent with each person’s individualized needs, in the most integrated setting in which they can be reasonably accommodated, and where the individual does not object….

Systems
  • Other
Topics
  • Home and Community Based Services (HCBS)
  • Provider Transformation

Nebraska Medicaid State Plan

The State Plan is a public record and is a large, comprehensive statement describing the scope and nature of the Medical Assistance Program in Nebraska. The Plan outlines Medicaid (Title XIX) eligibility standards, policies, and reimbursement methodologies to ensure that the Program receives matching federal funds under Title XIX of the Social Security Act.

Systems
  • Medicaid Agencies

Money Follows the Person

Thousands of individuals across the country, through the efforts of Money Follows the Person and other programs, have successfully transitioned from an institutional setting to the community. Nebraska’s own transition stories are inspiring and motivating.    Depending upon your specific needs – whether you are aged, have a physical or developmental disability, or a traumatic brain injury – supportive services such as the following help people live successfully in community-based settings:    • Home Care/Chore Services     • Home-Delivered Meals     • Adult Day Health Care    • Assisted Living Service     • Nutrition Services Independence Skills Management     • Personal Emergency Response System     • Transportation     • Assistive Technology Supports and Home Modification     • Home Again Services    • Respite     • Home Health     • Habilitation Services     • Team Behavioral Consultation     • Child Care for Children with Disabilities  
Systems
  • Medicaid Agencies
  • Other
Topics
  • Home and Community Based Services (HCBS)

NE Comprehensive DD Waiver for Adults (0396.R02.00)

Provides group home residential hab, integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, companion home residential hab, extended family home residential hab, home mods, in-home residential hab, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Mental Health
  • Home and Community Based Services (HCBS)

NE Day Services Waiver for Adults w/DD (0394.R02.00)

Provides integrated community employment, prevocational workshop hab, respite, assistive technology and supports, behavioral risk services, community inclusion day hab, community living and day supports, home mods, medical risk services, PERS, retirement services, team behavioral consultation, vehicle mods, vocational planning hab, workstation hab for individuals w/autism, MR, DD ages 21 - no max age

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)

NE HCBS Waiver for Children w/DD and their Families (4154.R05.00)

Provides day hab, group home residential hab, homemaker, integrated community employment-individual employment support, prevocational hab, respite, behavioral risk service, community living and day supports, companion home residential hab, extended family home residential hab, habilitative child care, home mods, in-home residential hab, medical risk services, team behavioral consultation, vocational planning hab, workstation hab for individuals w/IID/DD ages 0 – 21

 
Systems
  • Medicaid Agencies
Topics
  • Home and Community Based Services (HCBS)