Get ready to apply
Nebraska Department of Health and Human Services
Disabled Children's Program
What you get
An assessed plan for respite, disability-related travel and lodging, and accessibility help. Open now.
- Who starts it
- You
- How it’s sent
- Email to DHHS.MHCP@nebraska.gov, or by post
- Your time
- About 15 minutes
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 15 or under.
- Cancer alone may not satisfy disability, SSI, Medicaid, developmental, caregiver, or level-of-care requirements; individual authorization and capacity rules apply.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open the application PDF ↗ Checked Aug 27, 2026Send it by email to DHHS.MHCP@nebraska.gov.
What the form asks for
CFS-52 published application questionsName of Applicant; Date of Birth; Gender; Parent/Guardian; address and contact detailsCurrent Pay SSIChild's disability related needsHave ready
- Completed and signed CFS-52 application.
After you send
Contact a regional MHCP/DCP office or email DHHS.MHCP@nebraska.gov with questions. If you have not heard back in two weeks, write and ask whether it arrived.