Services for HCBS Providers in Nebraska

Supporting Providers Who Support Our Communities

At Nahrain Ventures LLC, we specialize in guiding both Agency Providers and Independent Providers through the complexities of delivering Medicaid HCBS Waiver Services in Nebraska. Whether you're establishing a new agency or offering services independently, we're here to ensure your operations are compliant, efficient, and aligned with your mission.

For Agency Providers of Medicaid HCBS Waiver Services
Building Robust Agencies for Sustainable Care

As an agency provider, you're responsible for hiring, training, scheduling, oversight, and regulatory compliance. That’s a big job—and we’re here to support you every step of the way. Our consulting services are designed to bring structure, clarity, and sustainability to your operations so you can focus on delivering high-quality care.

At Nahrain Ventures LLC, we support you in building a strong, sustainable foundation for your services, while staying aligned with all Nebraska DHHS regulations.

We offer end-to-end support to help you launch, stabilize, and grow your agency operations. Our services include:

🔹 Program Writing & Safety Plans
Our most in-demand service for agency providers — we create programs and custom safety plans, the key sections of your Individual Support Plans (ISPs), that are person-centered, goal-oriented, and fully compliant with DHHS standards. We also offer staff coaching for safety plan implementation and crisis response. Whether you're supporting new clients or adjusting to updates in service delivery, we make sure your documentation is accurate, detailed, and ready for review.

🔹 Policies, Procedures & Protocols
We develop clear, customized policies, procedures, and protocols tailored to waiver expectations and DHHS requirements. Our professional documents support your day-to-day operations, helping you demonstrate compliance and operational readiness.

🔹 Enrollment & Compliance Support
We guide you through the DHHS enrollment process—from completing initial paperwork to compiling documentation and preparing staff for requirements like Mandt, CPR/First Aid, and Medication Aide training. We also create step-by-step templates and instructional guides for required processes.

🔹 Staffing & Scheduling Systems

Through our Employment Services, we help you build your team with care. We offer:

Tailored role descriptions and staffing plans
Access to a network of qualified professionals
Interview support and hiring consultation
Transition check-ins and progress reports after hiring
Calendars, scheduling systems, and staff coordination tools

🔹 Training & Onboarding Tools
We design custom onboarding manuals, training decks, and checklists to ensure your team is prepared and consistent in their care. We also provide ISP-related staff training workshops to help your staff fully understand program goals and requirements. Our materials are clear, accessible, and adaptable to your specific programs.

🔹 Program Design & Documentation
We help you develop essential documentation such as daily schedules, progress-note templates, and incident reports — all tailored to meet waiver expectations and support your program’s success.

🔹 Operational Infrastructure
From workflow design to digital file systems, we help you create a structure that’s scalable and stress-free. We organize the backend of your agency to support your services long-term.

🔹 Digital Systems & Branding Tools
We set up scheduling apps, communication tools, and project management platforms to help you manage your team efficiently. We also offer branding support — including custom templates, cover letters, and branded documentation — to present your agency with professionalism and clarity. For additional support with branding, digital systems, and strategy, visit our Digital Biz Depot.

🔹 Payment & Invoicing Systems
We help set up Medicaid-compliant payment processes, invoicing templates, and internal tracking systems that make billing smooth and accurate.

Documentation Audits & QA
We offer light internal reviews to help you prepare for monitoring or contract readiness, and develop templates to improve consistency across your documentation.

🏛️ DHHS Requirements for HCBS DD Agency Providers in Nebraska

To operate as a Developmental Disabilities (DD) Agency Provider under Nebraska's Medicaid Home and Community-Based Services (HCBS) Waiver, the Nebraska Department of Health and Human Services (DHHS) mandates several key requirements:

Staff Training
Agency staff must complete comprehensive training covering topics such as abuse and neglect prevention, CPR/First Aid certification, and medication administration.
Policies and Procedures
Agencies must develop and maintain detailed policies and procedures that align with DHHS standards and regulations.
Enrollment Process
Prospective providers must complete the DHHS enrollment process, which includes submitting necessary documentation and attending orientation sessions.

For a comprehensive overview of these requirements and to begin the enrollment process, visit the following DHHS resources:

Feeling overwhelmed? Don’t worry — we can help you get there. From documentation and training systems to onboarding support and compliance prep, we guide you through every step of becoming an approved provider.

Independent Providers

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Why Work With Us?

We understand the unique challenges independent providers face. Our approach is:

· Practical and real-world focused

· Respectful of your time and experience

· Grounded in up-to-date Nebraska DHHS guidelines

· Flexible—so you get exactly what you need, nothing you don’t

Let’s take the stress out of the setup, so you can focus on the care.

Support You Can Count On—From Start-Up to Day-to-Day

Becoming an independent provider under Nebraska’s HCBS Waiver program can feel overwhelming at first. The process may leave you feeling overwhelmed and disconnected from your true purpose—providing services.

But here’s the truth: it is achievable. And you don’t have to do it on your own.

At Nahrain Ventures, we’re well-versed in this process and ready to help you move from overwhelmed to up and running. Whether you’re applying for the first time or struggling to complete your documentation, we can guide you through every step, creating a system that works for and gets you to actually providing services—the part that matters most.

At Nahrain Ventures, we understand how overwhelming the process can feel. That’s why we’re here to guide you every step of the way—from tackling documentation to setting up efficient systems—so you can focus on what truly matters: providing exceptional services.

Who We Help

We work with independent providers who:

Are applying for HCBS Waiver approval for the first time
Need help writing required programs and safety plans
Want support staying in compliance with state requirements
Are navigating changes or updates to services

Our Services for Independent Providers

We offer consulting and support that includes:

· Program and Safety Plan Writing & Editing – We help you create, review, and finalize documents that meet DHHS requirements, so you don’t have to worry about rewriting and resubmitting multiple times.

· Policy & Procedure Support – Templates, reviews, and walkthroughs that save you time and reduce stress.

· Documentation and Communication Templates – Tools you can customize and reuse for forms, emails, and other paperwork required to provide services.

· Training – Complete all required trainings with us, without needing to be connected to an agency.

· Job Coaching & Ongoing Support – If you want more guidance or confidence, job coaching is available. See our Employment Services tab for details.

Note: We do not provide billing or payroll services at this point. Our focus is on documentation, systems, and compliance support.

Trainings & Certificates

The goal isn’t just to get a job—it’s to build a career that’s worth your time, effort, and growth. Many of the roles we connect people to require up-to-date certifications, and we’re here to make that process easier and more accessible.

We help you stay organized and on track by identifying the trainings you need, guiding you through enrollment and completion, and explaining how to maintain your certifications over time. We also help you track expiration dates and stay compliant, so nothing slips through the cracks.

If you're entering fields like healthcare or developmental disability (DD) services, we can support you in completing essential certifications such as CPR, First Aid, and Medication Aide—equipping you with the qualifications that help you step into your role with confidence.

Investing in your future starts here—and we’re with you every step of the way.

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Services for HCBS Providers in Nebraska

Supporting Providers Who Support Our Communities

🏛️ DHHS Requirements for HCBS DD Agency Providers in Nebraska

Why Work With Us?

Trainings & Certificates

Payments