Nevada Medicaid Waivers & Home and Community Based Programs Overview
- Waiver Policy Analyst
- Oct 20, 2024
- 2 min read
Nevada, known as The Silver State, has a well-structured Medicaid Waiver and Home and Community-Based Services (HCBS) system designed to provide long-term care alternatives for seniors, individuals with disabilities, and those with chronic health conditions.
Administered by the Nevada Department of Health and Human Services (DHHS), Division of Health Care Financing and Policy (DHCFP), and the Aging and Disability Services Division (ADSD), the state’s Medicaid waiver programs allow eligible individuals to receive services in their homes or community settings rather than institutional care.
Key waiver programs include the Frail Elderly (FE) Waiver, which provides personal care, case management, and home modifications for seniors, and the Intellectual and Developmental Disabilities (IDD) Waiver, which offers residential, employment, and behavioral health support for individuals with developmental disabilities. Additional programs include the Physical Disability (PD) Waiver, the Katie Beckett (TEFRA) Medicaid Option for Children with Disabilities, and the Traumatic Brain Injury (TBI) Waiver, all of which support individuals with specialized needs. Nevada also offers Self-Directed Services, giving participants greater flexibility in choosing and managing their caregivers.
Regulatory oversight in Nevada is managed through DHCFP and ADSD, with additional provider licensing and compliance enforcement by the Bureau of Health Care Quality and Compliance (HCQC). The state operates under both fee-for-service and managed care models, with HCBS services coordinated through Nevada Medicaid’s Managed Care Organizations (MCOs) to improve service delivery and cost-effectiveness.
Nevada has also implemented Electronic Visit Verification (EVV) for personal care services, ensuring greater accountability in home-based care programs. Providers must navigate Medicaid enrollment, prior authorization requirements, and rigorous regulatory compliance standards to participate successfully in the state’s HCBS system.
With a focus on community-based care, person-centered planning, and expanding access to services in both urban and rural areas, Nevada’s Medicaid waiver programs ensure that individuals receive high-quality, sustainable long-term care while promoting independence, dignity, and inclusion in their communities.
Explore Policy and Procedure manual for licensing and certification for your state Medicaid Waiver and HCBS programs here.
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