Nebraska Services 101
Nebraska services through the Home and Community Based Supports (HCBS) waiver are typically split into three categories:
- Day/Vocational Services – these are limited to 35 hours of support per week by the waiver
- Residential Services
- Clinical or Ancillary Services
Day/Vocational services are usually work-related or day time activities that can or cannot have an employment focus or a focus on community involvement.
Residential services occur in an array of settings that focus on residential skill building and community involvement.
Clinical or Ancillary services are specialized services that meet very specific needs, ranging from clinical support for people in crisis to home modifications.
ILC is a provider of most waiver services. Below we will highlight the basics of the services we focus most heavily on. If you have any questions feel free to email a “Key Contact” from your desired area.
Habilitative Community Inclusion – A service that provides habilitative services to a person that is primarily focused on community involvement. The service must be provided at least 60% in the community, outside of a provider setting. Skill training can include self-help, socialization, and adaptive skills. Activities may not include paid work, but can include activities such as volunteering in the community.
Habilitative Workshop – This service is habilitative and focuses on building skills that will help the person in various settings, including in future employment opportunities. Activities may include paid work and most people supported using this service will be in sub-minimum wage work. While community involvement is a component of this service, it is not the main focus.
Prevocational Services – A person participating in prevocational services have a clear desire for future employment. The activities involved with prevocational services will be preparing the person being supported for the skills needed to find and maintain employment. These services are time limited to a year.
Supported Employment Services – Support through this service can happen in a variety of settings (enclave, individual, or group), but should always take place in a competitive employment environment in the community at or above minimum wage. People receiving these services will be working on maintaining and further building the skills that they utilize to maintain their employment in the community.
In-Home Residential Services – These services are provided in the home of the person being supported or the home of their family members with whom they are living (such as parents). The support is intermittent in nature, meaning the person either is independent enough to support themselves in their home or have natural supports from others. Support includes skill development and retention, ranging from personal care to protective oversight.
Residential Habilitation (Group Home and Extended Family Home) – Residential Habilitation is an around-the-clock service that can occur in two settings. A group home setting is provider controlled and operated where the person being supported is living in the community with roommates. Extended Family Homes are similar to adult foster care, where an Extended Family Home provider and a person being supported are matched and live together following a rigorous process of assessing fit and likely success.
Risk Services – For those who have experienced a history of high behavioral support needs, ILC offers community-based residential services. Risk services provide extra training and access to clinical staff, as well as clinical staff involvement in the team of the person being supported, to combine the resources necessary for someone with high behavioral needs to be supported in the community.
Clinical or Ancillary Services:
Consultative Assessment Services – ILC utilizes its clinical team of Licensed Independent Mental Health Practitioner to conduct risk assessments, including Functional Behavioral Assessments, to complete a plan to better support a person who may need additional supports not listed above. The clinicians will assemble a plan in addressing the current needs of the person being supported to produce intended outcomes.
Crisis Intervention Services – These services are for those that need immediate, intensive, habilitative supports to work through periods of crisis. This service must be provided under the supervision of a Licensed Independent Mental Health Practitioner. The supports in this service are typically short term.