How to apply for Nevada Medicaid home care waivers (Frail Elderly and Physical Disabilities waiver)

Who it's for

Nevada Medicaid's home and community-based waivers help people who need nursing-home-level care get that care at home or in assisted living instead. The Waiver for the Frail Elderly (FE) serves people 65 or older. The Waiver for Persons with Physical Disabilities (PD) serves people of all ages with a documented physical disability. Services can include case management, homemaker and chore services, respite for caregivers, a personal emergency response system (PERS), home-delivered meals, and assisted living or augmented personal care. Nevada also covers nursing facility residents with gross monthly income up to 300% of the SSI payment level. Savings and other countable resources must be $2,000 or less for one person or $3,000 for a couple. To request services, contact your regional ADSD office.

What you'll need

• Proof of income
• Proof of savings and other resources
• Information about your health and daily care needs

Where to apply

What to say when you call

"Hello, I'm calling to ask about Nevada Medicaid home care waivers (Frail Elderly and Physical Disabilities waiver). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need proof of income, proof of savings and other resources, information about your health and daily care needs — is anything else required? What is the best next step?"

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Step by step

1. Review the program basics. You must need the level of care given in a nursing home and be at risk of moving into one without these services. The Frail Elderly waiver is for people age 65 or older. The Physical Disabilities waiver is for people with a documented physical disability.
2. Gather your documents. Have proof of income, proof of savings and other resources, and information about your health and daily care needs ready.
3. Apply for services with Nevada. Apply online or call 1-775-687-4210 to request home and community-based waiver services.
4. Complete any eligibility review. Nevada Medicaid, the Aging and Disability Services Division, and the Division of Social Services review your medical and financial eligibility.
5. Ask questions about limits and wait times. Waiver slots can be limited, so there may be a wait. The income limit is tied to the SSI payment level and changes each January.

What to expect: After you apply, the state reviews your health needs and your financial information to decide if you qualify. Nevada Medicaid, ADSD, and DSS make the final decision. Processing times can vary, so ask for an estimate when you apply. If you are approved, expect to renew benefits each year.

Renewals

annual