Choosing delivery, providers, payment, or a start
Compare agency delivery and self-direction
Compare DD agency services with an independent provider and document each responsibility.
Official sources checked 2026-07-29
Start here
Compare Nebraska's three DD waivers and servicesBefore you start
- Waiver and authorized services, plan, desired control, schedule, agency or worker preferences, employer capacity, health and behavior needs, risks, transportation, safeguards, and backups.
Who to contact
Use the official HCBS Waiver Eligibility, Nebraska Medicaid, service coordinator, provider, grievance, hearing, crisis, or protective-report route that owns this step.
Step by step
- Confirm which planned services allow each provider type.
- Compare who recruits, hires, trains, schedules, supervises, handles administrative work, and provides backup.
- Document the choice and every remaining approval, enrollment, authorization, schedule, and start step.
Expected next
A documented model choice, agency referral, independent-provider approval step, or written constraint.
Save this proof
Comparison, choice, plan, authorization, referrals, responses, onboarding, and dates.
If this stalls or the answer is no
Ask the service coordinator for lawful alternatives tied to the waiver, plan, and authorized services.
Beyond Childhood planning aid
Compare agency delivery and self-direction checklist
A Beyond Childhood planning aid derived from the cited official sources.
- Owner and program
- Date started
- Documents supplied
- Written result or confirmation
- Current open dependency
- Next event and date
- Escalation contact
Derived from Compare Nebraska's three DD waivers and services, Plan Nebraska HCBS services, Find Nebraska DD agency and independent providers
Official resources
Limits
An agency is responsible for its employees and administration; with an independent provider, the participant employs and supervises the worker and the state approves the provider. Choice does not prove enrollment, authorization, readiness, backup, or start.
Beyond Childhood’s checklists and prompts are planning aids derived from official sources. They are not official forms, legal advice, eligibility decisions, or guarantees of funding, capacity, quality, or service.