Service Planning and Agreement Guide

Service Planning and Agreement Guide for Self-Directed Services

This Service Planning and Agreement Guide is a practical tool for individuals, families and independent providers beginning self-directed services. It offers a clear process for planning support, setting expectations and creating a shared understanding of what services will look like in daily practice. The guide is grounded in language that reflects DD services in Nebraska and aligns with DHHS-DD and CMS guidelines.

Each section leads the team through essential conversations. These include schedules, communication expectations, individual goals, strengths, safety considerations, habilitation planning, billing accuracy and activity costs. The guide also includes helpful information blocks that summarize key service definitions, rate considerations and transportation rules within self-directed DD services.

This resource supports strong partnerships during service start-up and gives individuals, guardians and providers a reliable reference throughout the year. It encourages thoughtful planning, steady communication and clarity on roles and responsibilities.

Use this guide during first meetings, during annual updates or anytime support teams want to reinforce alignment. It is written in accessible, values-based language that keeps the individual’s voice at the center of planning.

Ideal for:

• Self-directed service teams beginning new support arrangements

• Families and guardians navigating DD services in Nebraska

• Independent providers seeking a structured service planning tool

• Anyone who needs a clear, organized process for setting expectations and defining agreements

This guide strengthens the foundation of self-directed services and helps everyone move into the work with confidence, clarity and purpose.