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REV. DECEMBER 28, 2008 NEBRASKA DEPARTMENT OF CCS PROGRAM MANUAL LETTER # 97-2008 HEALTH AND HUMAN SERVICES 392 NAC 1-003 (2of2)

Special Needs: Requirement for extra care because of an acute or chronic physical or mental condition. Acute special needs include temporary conditions that require special medical attention and isolation from other children, e.g., recovery from surgery, etc. Chronic special needs include long-standing medical or behavioral problems that require medical, behavioral or other services at all times, e.g., medically fragile, attention deficit, etc. To be considered a child with a special need, the child must have one or more of the following conditions which are not related to chronological age:

1. Emotional impairment: including behavioral impairment, requiring special equipment or assistance; 2. Developmental age level lower than chronological age and requires assistance via special supervision; 3. Movement impairment: requires assistance or unable to move; 4. Sensory impairment: requires special environmental modifications or assistance; 5. Speech impairment: requires special equipment or assistance; 6. Hygiene: requires assistance or special equipment; 7. Feeding: requires special equipment or assistance; 8. Toileting: requires assistance or special equipment; 9. Medical conditions: requires respiratory aids or special procedures; 10. Therapy required: physical, occupational, speech, or respiratory; 11. Medications: requires assistance or special procedures. Childhood diseases such as measles, chicken pox, flu, etc., are not considered special needs.

Toddler: A child age 18 months to 3 years. 1-004 Client Rights: The client has the right to:

1. Apply. Anyone who wishes to request and/or apply for assistance must be given the opportunity to do so. No one may be denied the right to apply; 2. Reasonably prompt action on his/her application for assistance; 3. Notice of approval or denial of his/her application; 4. Appeal to the DHHS Director for a hearing on any action or inaction with regard to an application, the amount of the assistance, or failure to act with reasonable promptness. The appeal must be filed in writing within 90 days of the action or inaction; 5. Have his/her information treated confidentially. 6. Have his/her civil rights upheld. No person may be subjected to discrimination on the grounds of his/her race, color, national origin, sex, age, disability, religion, or political belief; 7. Have the program requirements, rights and responsibilities and benefits fully explained; 8. Be assisted in the application process by the person of his/her choice; and 9. Referral to other agencies.