1. Program Definition and Services

Supported Employment Services in Nevada provide specialized planning, job development, and training to help individuals with disabilities secure and maintain competitive integrated employment. Services include:

• Pre-Employment Support: One-on-one assistance focusing on community readiness (Career Planning, Vocational Discovery, Job Development, and Interview Prep)
• On-the-Job Support: Structured workplace oversight and stabilization (On-Site Job Coaching, Task Adaptation, Employer Engagement, and Long-Term Follow-Along monitoring)

5. Regulations

The primary regulations governing Supported Employment Services in Nevada are:

• Nevada Administrative Code (NAC), Chapter 435: Jobs and Day Training Services
• Nevada Medicaid Services Manual (MSM), Chapter 2100: Home and Community-Based Services Waiver
• Licensing or Certification
• Providers must be formally certified as a Jobs and Day Training (JDT) or Community Training Center provider by the state

6. Responsible State Agency

The Nevada Department of Health and Human Services (DHHS), via the Division of Health Care Financing and Policy (DHCFP) and the Aging and Disability Services Division (ADSD), is responsible for overseeing these services.

7. Application Process

The application process involves submitting a provider application to the targeted ADSD Regional Center to secure ADSD Provisional Certification, followed by formal Medicaid enrollment.

8. Required Documentation

Required documentation includes:

• Nevada State Business License (SilverFlume registration)
• Official ADSD JDT Certification Letter
• Supported Employment Policy & Procedure Manual
• Staff qualifications, training records, and fingerprint background clearances
• Proof of active commercial general and professional liability insurance

7. Timeline for Approval

The exact timeline for approval is not specified. However, providers should expect the entire process from regional center submission to active Medicaid billing to take 90 to 120 days, depending on documentation completeness.

8. Pre-Application Process

Prospective providers should establish their legal business entity, obtain an IRS EIN, secure a Type 2 NPI, and ensure their proposed program aligns with federal HCBS Settings Final Rule integration standards before applying.

9. Pre-Application Training

Administrators must complete foundational technical modules via the Nevada E-Learning System (NV ELearn), including training blocks covering ADSD Event Reporting, Cultural Competence, and Title II ADA Requirements.

10. Additional Notes

• All placements must result in competitive wages paid at or above the statutory Nevada minimum wage and comparable to co-workers without disabilities
• Staff must undergo mandatory Desert Environment Safety training (heat emergency and hydration management) for community travel
• Providers must track daily task logs against active Prior Authorizations for annual state Quality Assurance (QA) Reviews
• The program must focus entirely on helping the individual acquire and retain standard, competitive work in an integrated community setting

Why Choose Waiver Consulting Group? 

Starting or expanding your Medicaid waiver-funded agency can feel overwhelming, but it doesn't have to be. At Waiver Consulting Group, we simplify the process by guiding you through licensing, compliance, provider enrollment, policies & procedures, and regulatory approvals in any state.

With proven expertise, a structured process, and ongoing support, we take the guesswork out of launching your healthcare business. Whether you're a first-time entrepreneur or an established provider looking to expand, our team ensures you stay compliant, competitive, and fully operational.

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