These videos give an overview of the various Home and Community-Based Services (HCBS) available in Nevada for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the purpose of the service, provider requirements, licensing process, and how the program functions. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Nevada. Explore each section to find the service that best matches your goals or area of interest.
Respite Care
RESPITE CARE SERVICES PROVIDER IN NEVADA
SUPPORTING CAREGIVERS AND PROMOTING PARTICIPANT WELL-BEING THROUGH TEMPORARY RELIEF SERVICES
Respite Care Services in Nevada provide temporary relief for family caregivers of individuals with disabilities, chronic illnesses, or age-related conditions. These services ensure the participant’s safety and well-being while allowing primary caregivers to rest, attend to personal matters, or recover from caregiver fatigue. Respite Care Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Respite Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures service quality, participant protections, and respite service compliance under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Respite Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. RESPITE CARE SERVICES OVERVIEW
Respite Care Services offer planned or emergency relief for unpaid caregivers while ensuring participants receive appropriate supervision, personal care, and support services.
Approved providers may deliver:
In-Home Respite Services: Care provided in the participant’s residence.
Facility-Based Respite Care: Temporary care provided in licensed community settings.
Day Respite: Supervision and support during daytime hours.
Overnight or Weekend Respite: Extended care to accommodate caregiver breaks.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as bathing, grooming, feeding, mobility, and toileting.
Medication Reminders: Basic health monitoring and assistance (non-skilled tasks).
Recreational Activities: Engaging participants in social or therapeutic activities.
All respite care must align with the participant’s Individualized Service Plan (ISP) and reflect the participant’s health and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Respite Care provider through the Nevada Medicaid Provider Enrollment Portal.
Obtain facility licensure (if providing facility-based respite) from DHHS or ADSD as applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for participant intake, caregiver communication, incident reporting, participant health and safety, and emergency procedures.
Ensure all direct care staff meet background screening, health screenings, and training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Respite Care Services under appropriate HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, liability insurance certificates, staff credentialing documentation, and service policies.
Program Readiness Review:
DHHS and ADSD review provider readiness, including staff qualifications, care and supervision protocols, participant safety plans, and documentation systems.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for In-Home and/or Facility-Based Respite Services using assigned billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility License (for facility-based respite providers)
Proof of general and professional liability insurance
Respite Care Services Policy & Procedure Manual including:
Participant intake, care planning, and service scheduling procedures
Health and safety monitoring, medication reminders, and supervision protocols
Emergency preparedness, abuse prevention, and critical incident reporting policies
Participant rights, HIPAA confidentiality procedures, and grievance handling
Staff credentialing, background checks, first aid/CPR certification documentation
Medicaid billing, service tracking, and audit readiness procedures
6. STAFFING REQUIREMENTS
Role: Respite Services Program Director / Supervisor
Requirements: Bachelor’s degree in human services, healthcare, or related field preferred; background clearance; supervisory experience in direct care settings preferred.
Role: Respite Care Workers / Direct Support Professionals
Requirements: High school diploma or GED; CPR/First Aid certification; completion of respite-specific or direct care training; background screening and health clearance.
All staff must complete:
Participant safety and emergency preparedness training
HIPAA compliance and participant rights training
Abuse, neglect, and exploitation prevention training
Infection control and wellness monitoring training
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Respite Care Services are available under the following Nevada Medicaid Waivers:
Frail Elderly (FE) Waiver
Intellectual and Developmental Disabilities (IDD) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Home and Community-Based Services (HCBS) Waiver
Services may include:
Short-term in-home or facility-based supervision and care
Temporary support allowing unpaid caregivers to attend to personal needs
Assistance with basic ADLs and wellness monitoring during respite periods
Emergency or crisis respite services when caregiver availability is compromised
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Respite Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA RESPITE CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Respite Care Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and facility licensure support
Development of Respite Care Services Policy & Procedure Manual
Staff credentialing templates, participant intake forms, and emergency planning templates
Medicaid billing system setup and audit-ready claims management
Website, domain, and professional branding development
Caregiver training program templates and participant satisfaction surveys
Quality assurance systems for incident reporting, service tracking, and compliance monitoring

Residential Support
RESIDENTIAL SUPPORT SERVICES PROVIDER IN NEVADA
SUPPORTING INDEPENDENT LIVING AND COMMUNITY INTEGRATION THROUGH PERSONALIZED CARE
Residential Support Services in Nevada enable individuals with disabilities or chronic conditions to live independently within their communities. These services provide personalized assistance with daily living activities, skill development, and community engagement, fostering independence while ensuring health and safety. Residential Support Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Residential Support Services and oversees provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Residential Support Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Residential Support Services meet HCBS quality, person-centered planning, and participant protection standards.
2. RESIDENTIAL SUPPORT SERVICES OVERVIEW
Residential Support Services offer long-term, community-based living assistance for individuals with disabilities, helping them maintain independence while participating in community life.
Approved providers may deliver:
Personal Assistance: Support with Activities of Daily Living (ADLs) such as dressing, bathing, meal preparation, and medication management.
Community Integration: Facilitating social, recreational, and community engagement opportunities.
Skill Development: Training in self-care, communication, budgeting, and household management.
24/7 Supervision: On-site staff support in group homes or supervised apartments to ensure safety and well-being.
Healthcare Coordination: Assistance with medication reminders, routine health monitoring, and coordination with healthcare providers.
All services are delivered based on the Individualized Service Plan (ISP) to meet the specific needs and preferences of the participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Residential Support provider via the Nevada Medicaid Provider Enrollment Portal.
Secure appropriate facility licensure from DHHS if offering residential group living.
Maintain general liability and professional liability insurance.
Develop policies covering participant intake, care planning, emergency response, health and safety protocols, and documentation.
Ensure staff meet health screenings, background checks, and relevant training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Residential Support Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD review provider readiness, including staff credentials, care planning protocols, and documentation practices.
Approval & Medicaid Enrollment:
Upon successful review, providers receive authorization to bill Medicaid for Residential Support Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility License (if providing residential group home services)
Proof of general and professional liability insurance
Residential Support Services Policy & Procedure Manual including:
Participant intake and assessment procedures
Daily living support, medication management, and healthcare coordination protocols
Safety and emergency procedures
Staff credentialing, background checks, and ongoing training records
Medicaid billing and service documentation practices
HIPAA compliance, participant rights, and grievance handling
6. STAFFING REQUIREMENTS
Role: Residential Services Program Director / Supervisor
Requirements: Bachelor’s degree in social services, healthcare, or a related field; supervisory experience preferred; completion of specialized residential care training.
Role: Residential Support Workers / Direct Support Professionals
Requirements: High school diploma or GED; CPR/First Aid certification; training in residential care and community integration; background clearance.
All staff must complete:
Safety, infection control, and wellness training
HIPAA and participant rights education
Crisis intervention and behavioral support training
Annual competency evaluations and continuing education
7. MEDICAID WAIVER PROGRAMS
Residential Support Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Services for the Frail Elderly (FE) Waiver
Intellectual and Developmental Disabilities (IDD) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Home and Community-Based Waiver for Individuals with Intellectual and Developmental Disabilities (HCBS-IDD)
Services may include:
Community living assistance and independent living skills training
Support in group living or supervised apartment settings
Health and safety monitoring, medication assistance, and personal care support
Social and community engagement activities
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Residential Support Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA RESIDENTIAL SUPPORT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Residential Support Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and facility licensure assistance
Policy manual development tailored to residential care services
Staff credentialing, training program templates, and documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for safety monitoring and incident reporting
Community networking for collaboration and client referrals

Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN NEVADA
EMPOWERING INDEPENDENCE THROUGH JOB READINESS AND COMMUNITY INTEGRATION
Supported Employment Services in Nevada assist individuals with disabilities in preparing for, obtaining, and maintaining competitive employment. These services focus on job readiness, skill development, job coaching, and long-term support to foster independence and community integration. Supported Employment Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Supported Employment Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Supported Employment Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Supported Employment Services meet HCBS quality, person-centered planning, and participant protection standards.
2. SUPPORTED EMPLOYMENT SERVICES OVERVIEW
Supported Employment Services help individuals with disabilities gain and maintain employment through personalized assistance and ongoing support.
Approved providers may deliver:
Career Planning: Assessing skills, interests, and employment goals.
Job Development: Identifying job opportunities and matching individuals with suitable positions.
Job Coaching: On-the-job training, mentoring, and skill reinforcement.
Workplace Accommodations: Assisting with adaptive equipment or modifications.
Social Skills Training: Building effective communication and workplace behavior skills.
Job Retention Support: Monitoring progress and providing ongoing coaching as needed.
Employer Engagement: Facilitating partnerships with local businesses for inclusive hiring.
Career Advancement: Helping employees develop skills for long-term career growth.
All services are provided according to the Individualized Service Plan (ISP) to support long-term employment success.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Supported Employment provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure for employment support services if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for job coaching, client safety, and vocational planning.
Ensure staff meet background checks, health screenings, and vocational support training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Supported Employment Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including vocational support protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Supported Employment Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Supported Employment Services Policy & Procedure Manual including:
Vocational assessment, job matching, and career planning procedures
Job coaching, workplace support, and ongoing monitoring protocols
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Documentation standards for progress tracking and Medicaid billing
Safety protocols, crisis intervention, and workplace accommodation guidelines
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Supported Employment Program Director
Requirements: Bachelor’s degree in vocational rehabilitation, social work, or a related field; experience managing employment support programs; supervisory experience preferred.
Role: Job Coaches / Employment Specialists
Requirements: High school diploma or GED; training in job readiness, coaching, and vocational support; background clearance.
Role: Vocational Rehabilitation Counselors
Requirements: Certification in rehabilitation counseling; experience in career planning and job placement; background clearance.
All staff must complete:
Training in job coaching, career planning, and adaptive workplace support
HIPAA compliance and participant rights education
Ongoing professional development and continuing education
Annual competency evaluations and skills assessments
Safety and workplace accommodation training
7. MEDICAID WAIVER PROGRAMS
Supported Employment Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Job readiness training and career planning
On-the-job coaching and workplace support
Skill development for communication and job retention
Employer engagement and partnership development
Long-term career advancement support
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Supported Employment Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA SUPPORTED EMPLOYMENT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Supported Employment Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for vocational planning and job support
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for job coaching and employment retention
Collaboration with local businesses for inclusive hiring practices

Personal Care
PERSONAL CARE SERVICES PROVIDER IN NEVADA
SUPPORTING DAILY LIVING AND PROMOTING INDEPENDENCE THROUGH COMPASSIONATE CARE
Personal Care Services in Nevada provide essential assistance with daily living activities for individuals with disabilities, chronic illnesses, or age-related conditions. These services help maintain independence and enhance quality of life by offering support tailored to each individual’s needs. Personal Care Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Personal Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Personal Care Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Personal Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. PERSONAL CARE SERVICES OVERVIEW
Personal Care Services assist individuals with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) to maintain independence and well-being.
Approved providers may deliver:
Personal Hygiene Assistance: Bathing, grooming, oral care, and dressing.
Mobility Support: Transfers, ambulation, and positioning assistance.
Toileting and Incontinence Care: Support with bathroom use and hygiene maintenance.
Meal Preparation and Feeding: Preparing balanced meals, feeding assistance, and hydration support.
Housekeeping and Laundry: Light cleaning, bed making, and laundry tasks.
Medication Reminders: Non-skilled support with medication schedules.
Companionship and Social Engagement: Providing social interaction and emotional support.
Safety Monitoring: Ensuring a safe environment and preventing accidents.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific care and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Personal Care provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure as a Personal Care Agency from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for personal care planning, safety protocols, and staff training.
Ensure staff meet background checks, health screenings, and training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Personal Care Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including staff training, care protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for Personal Care Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Personal Care Agency License (if applicable)
Proof of general and professional liability insurance
Personal Care Services Policy & Procedure Manual including:
Participant intake, assessment, and individualized care planning procedures
Personal care assistance, hygiene, and mobility support guidelines
Staff credentialing, background checks, and training requirements
Documentation standards for care tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Personal Care Program Director
Requirements: Bachelor’s degree in healthcare, social services, or a related field; supervisory experience preferred.
Role: Personal Care Aides (PCAs)
Requirements: High school diploma or GED; CPR/First Aid certification; training in personal care and ADL support; background clearance.
Role: Direct Support Professionals (DSPs)
Requirements: Experience in personal care and hygiene assistance; basic healthcare training; background clearance.
All staff must complete:
Personal care skills training, including ADLs and IADLs
Safety and infection control training
HIPAA compliance and participant rights education
Annual competency evaluations and professional development
Ongoing training in client safety and wellness monitoring
7. MEDICAID WAIVER PROGRAMS
Personal Care Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Personal hygiene and grooming assistance
Mobility support and safety monitoring
Meal preparation and feeding assistance
Companionship and social support
Light housekeeping and personal environment maintenance
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Personal Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA PERSONAL CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Personal Care Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for personal care planning and safety management
Staff credentialing, training program templates, and care documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for personal care safety and compliance
Collaboration with healthcare providers and community organizations

Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN NEVADA
ENHANCING MOBILITY AND INDEPENDENCE THROUGH CUSTOMIZED EQUIPMENT SOLUTIONS
Adaptive Equipment Services in Nevada provide essential devices and equipment that assist individuals with disabilities or mobility challenges in performing daily activities independently. These services focus on selecting, installing, and maintaining adaptive devices to enhance safety and accessibility. Adaptive Equipment Services are authorized under the Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Adaptive Equipment Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Adaptive Equipment Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Adaptive Equipment Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ADAPTIVE EQUIPMENT SERVICES OVERVIEW
Adaptive Equipment Services provide devices and tools designed to support individuals with physical or cognitive disabilities, enhancing their independence and quality of life.
Approved providers may deliver:
Needs Assessment: Evaluating the individual’s functional needs to recommend suitable equipment.
Equipment Selection: Identifying adaptive devices such as walkers, wheelchairs, lifts, and communication aids.
Installation and Setup: Ensuring proper placement and safety compliance of installed equipment.
User Training: Educating individuals and caregivers on the correct use and maintenance of devices.
Maintenance and Repair: Providing ongoing technical support and equipment maintenance.
Home Modifications for Accessibility: Installing supportive devices like grab bars and ramps.
Adaptive Communication Aids: Devices to support speech, hearing, or vision impairments.
All services are delivered in accordance with the Individualized Service Plan (ISP) to meet the participant’s specific needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Adaptive Equipment provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain any required certification for adaptive equipment installation and maintenance.
Maintain general liability and professional liability insurance.
Develop policies for equipment assessment, installation, safety, and maintenance.
Ensure staff meet background checks, health screenings, and technical training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Adaptive Equipment Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, professional certifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including safety protocols, installation procedures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Adaptive Equipment Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional certifications (if applicable)
Proof of general and professional liability insurance
Adaptive Equipment Services Policy & Procedure Manual including:
Needs assessment, equipment selection, and installation protocols
Maintenance, repair, and troubleshooting procedures
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, client rights, and grievance handling
Documentation standards for equipment tracking and Medicaid billing
Safety protocols, emergency response, and maintenance schedules
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Program Director
Requirements: Bachelor’s degree in rehabilitation technology, healthcare administration, or related field; experience managing adaptive equipment services preferred.
Role: Adaptive Equipment Specialists
Requirements: Certification or training in adaptive equipment installation and maintenance; experience with mobility aids and assistive devices; background clearance.
Role: Support Technicians
Requirements: Technical training in device setup and repair; experience in customer support and maintenance services.
All staff must complete:
Training in adaptive equipment installation and client safety
HIPAA compliance and client rights education
Ongoing professional development and technical certification updates
Annual competency evaluations and safety protocol refreshers
7. MEDICAID WAIVER PROGRAMS
Adaptive Equipment Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Installation of mobility aids (e.g., wheelchairs, walkers, transfer devices)
Adaptive communication devices for speech, hearing, or vision impairments
Safety and accessibility modifications (e.g., grab bars, ramps)
Equipment maintenance and repair services
User training and caregiver education on device use
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adaptive Equipment Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA ADAPTIVE EQUIPMENT SERVICES PROVIDER
WCG supports healthcare agencies and adaptive technology providers in launching Medicaid-compliant Adaptive Equipment Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for adaptive equipment planning and safety management
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for device safety, maintenance, and compliance
Collaboration with healthcare providers and community organizations for referrals

Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN NEVADA
DELIVERING MEDICAL CARE AND MONITORING IN THE COMFORT OF HOME
Skilled Nursing Services in Nevada provide essential medical care, health monitoring, and rehabilitative support to individuals with chronic illnesses, disabilities, or recovery needs. These services are delivered by licensed nurses in the individual’s home or community setting to maintain health, manage medical conditions, and promote recovery. Skilled Nursing Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Skilled Nursing Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Skilled Nursing Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Skilled Nursing Services meet HCBS quality, person-centered planning, and participant protection standards.
2. SKILLED NURSING SERVICES OVERVIEW
Skilled Nursing Services involve medical care provided by licensed nurses to manage health conditions, support recovery, and maintain wellness.
Approved providers may deliver:
Health Monitoring: Regular checks of vital signs, blood glucose, and other health indicators.
Medication Administration: Administering prescribed medications, injections, or IV therapies.
Wound Care: Cleaning, dressing, and monitoring of wounds or surgical sites.
Chronic Disease Management: Monitoring conditions like diabetes, COPD, and heart disease.
Post-Surgical Care: Managing recovery after surgery, including pain management and mobility support.
Rehabilitative Support: Assisting with exercises and therapeutic interventions.
Care Coordination: Communicating with physicians, specialists, and other care providers.
Patient Education: Teaching self-care techniques and medication management to patients and families.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s medical and personal care needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Skilled Nursing provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure as a Skilled Nursing Agency from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for patient care, medication administration, and safety management.
Ensure licensed nurses meet background checks, health screenings, and ongoing training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Skilled Nursing Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, nursing licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including nursing protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Skilled Nursing Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Skilled Nursing Agency License (if applicable)
Proof of general and professional liability insurance
Skilled Nursing Services Policy & Procedure Manual including:
Patient assessment, care planning, and medical documentation protocols
Medication administration and chronic disease management guidelines
Staff credentialing, background checks, and training documentation
HIPAA compliance, patient rights, and grievance handling
Documentation standards for care tracking and Medicaid billing
Infection control, safety protocols, and emergency preparedness
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Skilled Nursing Program Director
Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in home healthcare management.
Role: Registered Nurses (RNs)
Requirements: Active RN license in Nevada; experience in skilled nursing care; background clearance.
Role: Licensed Practical Nurses (LPNs)
Requirements: Active LPN license in Nevada; supervised by an RN; experience in patient care and medication management.
Role: Certified Nursing Assistants (CNAs)
Requirements: State certification, experience in personal care, and assisting with ADLs; supervised by an RN.
All staff must complete:
Advanced training in skilled nursing practices and safety protocols
HIPAA compliance and patient rights education
Crisis management and infection control training
Annual competency evaluations and professional development
Continuing education for nursing licensure maintenance
7. MEDICAID WAIVER PROGRAMS
Skilled Nursing Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Health monitoring and vital sign checks
Medication administration and management
Wound care and post-surgical monitoring
Chronic disease management and rehabilitation
Patient education and family support
Collaboration with healthcare providers for coordinated care
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Skilled Nursing Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA SKILLED NURSING SERVICES PROVIDER
WCG supports healthcare agencies in launching Medicaid-compliant Skilled Nursing Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for skilled nursing care and patient safety
Staff credentialing, training program templates, and care documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for clinical safety and compliance
Collaboration with healthcare providers for integrated care planning

Day Habilitation
DAY HABILITATION SERVICES PROVIDER IN NEVADA
SUPPORTING SKILL DEVELOPMENT AND COMMUNITY ENGAGEMENT THROUGH STRUCTURED DAY PROGRAMS
Day Habilitation Services in Nevada help individuals with intellectual or developmental disabilities develop and maintain daily living and social skills. These services promote independence, social interaction, and community integration in a supportive, structured environment. Day Habilitation Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Day Habilitation Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Day Habilitation Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Day Habilitation Services meet HCBS quality, person-centered planning, and participant protection standards.
2. DAY HABILITATION SERVICES OVERVIEW
Day Habilitation Services offer structured activities that support the development of independent living skills, social engagement, and personal growth.
Approved providers may deliver:
Skill Development: Training in personal hygiene, self-care, cooking, cleaning, and budgeting.
Socialization and Community Access: Facilitating community outings, social events, and recreational activities.
Vocational Readiness: Pre-employment training, volunteering, and basic job skills development.
Communication Skills: Enhancing verbal and non-verbal communication through group interactions.
Personal Safety Training: Teaching safety awareness, emergency preparedness, and self-advocacy.
Therapeutic Activities: Including art, music, and physical exercise to promote well-being.
Daily Living Support: Assisting with routine tasks during the day program.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s unique needs and goals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Day Habilitation provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure for day habilitation services through DHHS or ADSD if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for program planning, safety management, and community integration.
Ensure staff meet background checks, health screenings, and relevant training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Day Habilitation Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and program policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including staff qualifications, activity planning, safety measures, and client engagement protocols.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Day Habilitation Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Day Habilitation License (if applicable)
Proof of general and professional liability insurance
Day Habilitation Services Policy & Procedure Manual including:
Program planning, activity scheduling, and skill-building guidelines
Personal care support, supervision, and safety management
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Billing, documentation, and audit readiness procedures
Crisis intervention and emergency response policies
Quality assurance and outcome measurement
6. STAFFING REQUIREMENTS
Role: Day Habilitation Program Director
Requirements: Bachelor’s degree in human services, special education, or a related field; supervisory experience in habilitation or community-based programs preferred.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; training in personal care, habilitation techniques, and community integration; CPR/First Aid certification; background clearance.
Role: Activity Coordinators
Requirements: Experience in planning and facilitating group activities; training in habilitation and social skills development.
All staff must complete:
Training in person-centered planning and habilitation techniques
HIPAA compliance and client rights education
Safety, wellness, and emergency response training
Annual competency evaluations and ongoing professional development
7. MEDICAID WAIVER PROGRAMS
Day Habilitation Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Traumatic Brain Injury (TBI) Waiver
Physical Disabilities Waiver
Aged and Disabled (AD) Waiver
Services may include:
Social skills training and community involvement
Vocational readiness and pre-employment activities
Therapeutic and recreational group activities
Personal safety education and self-advocacy training
Life skills training, including meal preparation and budgeting
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Day Habilitation Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA DAY HABILITATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Day Habilitation Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for day habilitation, activity planning, and community engagement
Staff credentialing, training program templates, and client safety protocols
Medicaid billing setup and audit-prepared financial management
Branding, outreach, and community networking strategies
Quality assurance systems for program evaluation and client satisfaction
Collaboration with local agencies for community integration opportunities

Adult Day Care
ADULT DAY CARE SERVICES PROVIDER IN NEVADA
SUPPORTING COMMUNITY ENGAGEMENT AND PERSONAL WELL-BEING THROUGH DAYTIME CARE
Adult Day Care Services in Nevada provide structured, supervised daytime care for adults with disabilities, chronic conditions, or age-related challenges. These services promote social interaction, health monitoring, and caregiver respite, enhancing quality of life while fostering independence. Adult Day Care Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Adult Day Care Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Adult Day Care Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Adult Day Care Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ADULT DAY CARE SERVICES OVERVIEW
Adult Day Care Services offer daytime support, supervision, and activities to adults who need assistance while their primary caregivers are at work or taking a break.
Approved providers may deliver:
Social and Recreational Activities: Group exercises, games, crafts, and community outings.
Health Monitoring: Vital sign checks, medication reminders, and wellness assessments.
Personal Care Assistance: Help with Activities of Daily Living (ADLs) such as grooming, toileting, and mobility.
Nutritional Support: Meals and snacks tailored to dietary needs.
Therapeutic Activities: Physical, occupational, and cognitive therapy as needed.
Social Interaction: Facilitated group discussions and peer engagement.
Caregiver Respite: Allowing primary caregivers a break while participants receive supervised care.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s unique needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Adult Day Care provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain an Adult Day Care Facility License from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for day care planning, safety, health monitoring, and staff training.
Ensure staff meet background checks, health screenings, and relevant training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Adult Day Care Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including staff training, care protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for Adult Day Care Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Adult Day Care Facility License (if applicable)
Proof of general and professional liability insurance
Adult Day Care Services Policy & Procedure Manual including:
Participant intake, assessment, and care planning procedures
Activity planning, social interaction, and health monitoring protocols
Staff credentialing, background checks, and ongoing training records
Documentation standards for attendance tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Adult Day Care Program Director
Requirements: Bachelor’s degree in social work, healthcare administration, or related field; experience managing adult day programs preferred.
Role: Direct Care Workers
Requirements: High school diploma or GED; CPR/First Aid certification; experience in personal care and group supervision; background clearance.
Role: Activity Coordinators
Requirements: Experience in organizing group activities, recreational therapy, or social engagement programs.
Role: Healthcare Staff (if applicable)
Requirements: Licensed nurse or therapist for health monitoring and therapy sessions.
All staff must complete:
Training in person-centered care and activity facilitation
HIPAA compliance and client rights education
Safety, wellness, and infection control training
Annual competency evaluations and ongoing professional development
7. MEDICAID WAIVER PROGRAMS
Adult Day Care Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Social and recreational activities for engagement
Health monitoring and wellness support
Personal care assistance and supervised activities
Group meals and dietary support
Therapeutic and rehabilitative exercises
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Adult Day Care Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA ADULT DAY CARE SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Adult Day Care Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for day care planning, health monitoring, and social engagement
Staff credentialing, training program templates, and safety protocol guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for program evaluation and client satisfaction
Collaboration with local healthcare providers for comprehensive support

Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN NEVADA
ENHANCING INDEPENDENCE AND ACCESSIBILITY THROUGH INNOVATIVE TECHNOLOGY SOLUTIONS
Assistive Technology Services in Nevada provides adaptive tools and technologies to help individuals with disabilities or mobility challenges live independently. These services support daily living, communication, mobility, and personal safety by incorporating modern technological solutions. Assistive Technology Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Assistive Technology Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Assistive Technology Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Assistive Technology Services meet HCBS quality, person-centered planning, and participant protection standards.
2. ASSISTIVE TECHNOLOGY SERVICES OVERVIEW
Assistive Technology Services provide devices and adaptive equipment that enhance functional abilities and promote independent living.
Approved providers may deliver:
Needs Assessment: Evaluating the individual’s needs to identify suitable assistive devices.
Device Selection: Recommending adaptive tools and equipment tailored to the person’s abilities.
Device Installation: Setting up mobility aids, communication devices, and safety tools.
User Training: Educating individuals and caregivers on how to use assistive technology effectively.
Maintenance and Repair: Providing ongoing support and troubleshooting for equipment.
Home Automation Integration: Implementing smart home devices to support safety and accessibility.
Adaptive Communication Devices: Tools to aid speech, hearing, or vision impairments.
All services are delivered in accordance with the Individualized Service Plan (ISP) to meet the participant’s specific needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Assistive Technology provider via the Nevada Medicaid Provider Enrollment Portal.
Maintain general liability and professional liability insurance.
Obtain certification or licensure for technology assessment and installation if applicable.
Develop policies for device management, client safety, and training.
Ensure staff meet background checks, health screenings, and relevant technical training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Assistive Technology Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, professional certifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including device protocols, training plans, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Assistive Technology Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional certifications (e.g., Assistive Technology Professional (ATP))
Proof of general and professional liability insurance
Assistive Technology Services Policy & Procedure Manual including:
Needs assessment, device selection, and installation protocols
Maintenance, troubleshooting, and user training procedures
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, client rights, and grievance handling
Documentation standards for device usage tracking and Medicaid billing
Safety protocols, emergency response, and maintenance schedules
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Assistive Technology Program Director
Requirements: Bachelor’s degree in rehabilitation technology, engineering, or a related field; certification as an Assistive Technology Professional (ATP) preferred.
Role: Assistive Technology Specialists
Requirements: Certification in assistive technology assessment and device implementation; experience in adaptive device installation; background clearance.
Role: Support Technicians
Requirements: Technical training in device maintenance and repair; experience in client support and equipment troubleshooting.
All staff must complete:
Training in device installation and user safety
HIPAA compliance and client rights education
Ongoing professional development and certification maintenance
Annual competency evaluations and safety protocol updates
7. MEDICAID WAIVER PROGRAMS
Assistive Technology Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Installation of mobility aids (e.g., lifts, ramps, transfer devices)
Adaptive communication devices for speech or hearing impairments
Smart home adaptations for safety and accessibility
Technology training for individuals and caregivers
Equipment maintenance and repair services
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Assistive Technology Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA ASSISTIVE TECHNOLOGY SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Assistive Technology Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for device installation, training, and maintenance
Staff credentialing, training program templates, and technical guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for device safety, user satisfaction, and compliance
Collaboration with healthcare providers and community organizations for referrals

Behavioral Support
BEHAVIORAL SUPPORT SERVICES PROVIDER IN NEVADA
PROMOTING POSITIVE BEHAVIORS AND COMMUNITY INTEGRATION THROUGH PERSONALIZED SUPPORT
Behavioral Support Services in Nevada offer therapeutic interventions and structured support for individuals with disabilities or behavioral health challenges. These services help individuals manage behaviors, develop coping strategies, and improve social interactions, promoting community inclusion and independence. Behavioral Support Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Behavioral Support Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Behavioral Support Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Behavioral Support Services meet HCBS quality, person-centered planning, and participant protection standards.
2. BEHAVIORAL SUPPORT SERVICES OVERVIEW
Behavioral Support Services aim to address challenging behaviors, develop coping mechanisms, and support emotional well-being through structured interventions.
Approved providers may deliver:
Behavioral Assessment: Comprehensive evaluation of behaviors, triggers, and environmental factors.
Behavioral Intervention Planning: Developing tailored strategies to manage challenging behaviors.
Positive Behavior Support (PBS): Teaching alternative, positive behaviors through reinforcement.
Therapeutic Counseling: Individual or group therapy focusing on behavioral health and emotional regulation.
Crisis Intervention: Immediate support during behavioral emergencies to ensure safety.
Skill Development: Enhancing communication, social interaction, and problem-solving abilities.
Family and Caregiver Training: Educating families on behavioral management and support techniques.
All services are delivered according to the Individualized Service Plan (ISP) and tailored to the participant’s behavioral needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Behavioral Support provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain necessary professional licenses (e.g., Board Certified Behavior Analyst (BCBA), Licensed Mental Health Practitioner (LMHP)).
Maintain general liability and professional liability insurance.
Develop policies for behavioral assessment, intervention planning, crisis management, and safety protocols.
Ensure staff meet background checks, health screenings, and relevant behavioral health training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Behavioral Support Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including behavioral protocols, staff qualifications, and safety procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Behavioral Support Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., BCBA, LMHP)
Proof of general and professional liability insurance
Behavioral Support Services Policy & Procedure Manual including:
Behavioral assessment, intervention planning, and crisis response protocols
Positive Behavior Support (PBS) and therapeutic intervention guidelines
Staff credentialing, background checks, and training requirements
Documentation standards for progress tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Crisis management and safety planning protocols
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Behavioral Support Program Director
Requirements: Master’s degree in psychology, social work, or behavioral sciences; BCBA or LMHP certification; experience in behavioral program supervision.
Role: Behavioral Therapists / BCBA / LMHP
Requirements: State licensure or certification; experience with behavioral assessment and intervention; background clearance.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; training in behavioral support techniques; CPR/First Aid certification; background screening.
All staff must complete:
Behavioral intervention and crisis management training
HIPAA compliance and client rights education
De-escalation and positive behavior support training
Annual competency evaluations and professional development
7. MEDICAID WAIVER PROGRAMS
Behavioral Support Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Behavioral assessment and individualized intervention planning
Crisis intervention and emergency behavioral support
Positive behavior support training and skill development
Family education and caregiver support
Ongoing behavioral monitoring and adjustment
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Behavioral Support Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA BEHAVIORAL SUPPORT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Behavioral Support Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for behavioral assessment and intervention
Staff credentialing, training program templates, and crisis management guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for behavioral safety and compliance
Collaboration with behavioral health professionals and community agencies

Home Modification
HOME MODIFICATION SERVICES PROVIDER IN NEVADA
ENHANCING ACCESSIBILITY AND SAFETY THROUGH CUSTOMIZED HOME MODIFICATIONS
Home Modification Services in Nevada help individuals with disabilities, chronic conditions, or age-related mobility challenges maintain independence by creating accessible and safe living environments. These services include structural changes and adaptive equipment installations to meet the unique needs of each participant. Home Modifications are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Home Modification Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Home Modification Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Home Modification Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOME MODIFICATION SERVICES OVERVIEW
Home Modification Services are designed to improve the safety and accessibility of the living environment for individuals with disabilities or mobility challenges.
Approved providers may deliver:
Accessibility Improvements: Installation of ramps, widened doorways, and handrails.
Bathroom Modifications: Roll-in showers, grab bars, accessible sinks, and raised toilet seats.
Kitchen Adjustments: Lowered countertops, accessible cabinets, and modified appliances.
Safety Enhancements: Installation of safety alarms, improved lighting, and slip-resistant flooring.
Mobility Aids: Stairlifts, vertical platform lifts, and handrails.
Environmental Controls: Smart home systems for lighting, temperature, and security management.
Structural Modifications: Doorframe adjustments, hallway widening, and accessible entryways.
All modifications must be in accordance with the Individualized Service Plan (ISP) and based on a professional assessment of the participant’s needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Home Modification provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain any required contractor licenses through the Nevada State Contractors Board.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for safety, project planning, and quality assurance.
Ensure contractors and subcontractors meet background checks and licensing requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Home Modification Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, contractor licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS evaluates provider readiness, including safety procedures, modification protocols, and contractor qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Home Modification Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Contractor Licenses (if applicable)
Proof of general and professional liability insurance
Home Modification Services Policy & Procedure Manual including:
Safety and risk assessment protocols
Home modification planning and approval procedures
Contractor vetting, background checks, and credential verification
Compliance with building codes, ADA standards, and safety regulations
Medicaid billing, project tracking, and audit readiness procedures
Documentation standards for project completion and client satisfaction
Emergency preparedness and risk management protocols
6. STAFFING REQUIREMENTS
Role: Home Modification Program Director
Requirements: Bachelor’s degree in construction management, healthcare administration, or related field; experience in home accessibility projects preferred.
Role: Licensed Contractors
Requirements: State contractor license; experience in home modifications for accessibility; background clearance.
Role: Accessibility Specialists
Requirements: Certification in home accessibility modifications (e.g., CAPS - Certified Aging-in-Place Specialist); background clearance.
All staff must complete:
Safety training and risk management education
HIPAA compliance and participant rights training
Ongoing professional development and continuing education
Annual competency evaluations and safety protocol updates
7. MEDICAID WAIVER PROGRAMS
Home Modification Services are available under the following Nevada Medicaid Waivers:
Aged and Disabled (AD) Waiver
Traumatic Brain Injury (TBI) Waiver
Intellectual and Developmental Disabilities (IDD) Waiver
Physical Disabilities Waiver
Home and Community-Based Services (HCBS) Waiver
Services may include:
Installation of wheelchair ramps and accessible doorways
Bathroom accessibility improvements (e.g., roll-in showers, grab bars)
Kitchen modifications to accommodate mobility aids
Safety enhancements and adaptive equipment installations
Smart home integration for individuals with mobility impairments
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Home Modification Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Nevada State Contractors Board
Website: https://www.nscb.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA HOME MODIFICATION SERVICES PROVIDER
WCG supports agencies and contractors in launching Medicaid-compliant Home Modification Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and contractor licensing assistance
Policy manual development for home accessibility planning and safety compliance
Contractor credentialing, training program templates, and documentation guidance
Medicaid billing setup and project management support
Branding, website development, and client engagement strategies
Quality assurance systems for safety monitoring and compliance
Networking with healthcare providers and community organizations for referrals

Therapy Services
THERAPY SERVICES PROVIDER IN NEVADA
ENHANCING WELL-BEING THROUGH INDIVIDUALIZED THERAPEUTIC INTERVENTIONS
Therapy Services in Nevada provide professional support to individuals with disabilities, chronic conditions, or recovery needs. These services are aimed at improving physical, cognitive, and emotional well-being through specialized therapeutic techniques. Therapy Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Therapy Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Therapy Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Therapy Services meet HCBS quality, person-centered planning, and participant protection standards.
2. THERAPY SERVICES OVERVIEW
Therapy Services offer individualized interventions to help individuals develop skills, manage symptoms, and improve their overall functioning.
Approved providers may deliver:
Physical Therapy (PT): Enhancing mobility, strength, and coordination through exercises and manual therapy.
Occupational Therapy (OT): Supporting daily living skills, fine motor coordination, and adaptive techniques.
Speech-Language Therapy (SLP): Improving communication, swallowing, and language processing.
Behavioral Therapy: Addressing maladaptive behaviors and promoting positive coping mechanisms.
Recreational Therapy: Engaging in structured activities to enhance social and physical well-being.
Music and Art Therapy: Utilizing creative methods to improve emotional health and cognitive function.
Aquatic Therapy: Water-based exercises to promote mobility and reduce pain.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s therapeutic goals.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Therapy provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure for therapy services from DHHS if applicable (e.g., PT, OT, SLP licenses).
Maintain general liability and professional liability insurance.
Develop policies for therapeutic interventions, safety, and care planning.
Ensure licensed therapists meet background checks, health screenings, and continuing education requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Therapy Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, professional licenses, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including therapy protocols, safety measures, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for Therapy Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Professional licenses (e.g., PT, OT, SLP)
Proof of general and professional liability insurance
Therapy Services Policy & Procedure Manual including:
Assessment, therapy planning, and treatment protocols
Documentation standards for therapy progress and Medicaid billing
Staff credentialing, background checks, and continuing education records
HIPAA compliance, participant rights, and grievance handling
Safety protocols for therapeutic settings and patient interactions
Emergency preparedness and infection control guidelines
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Therapy Program Director
Requirements: Master’s degree in a therapy-related field (e.g., physical therapy, occupational therapy, speech-language pathology); state licensure; supervisory experience preferred.
Role: Licensed Therapists (PT, OT, SLP)
Requirements: Active state licensure; professional certifications in the respective therapy area; experience in home and community-based care.
Role: Therapy Assistants/Aides
Requirements: Certification as a PTA, OTA, or SLPA; supervised by a licensed therapist; and background clearance.
All staff must complete:
Training in therapeutic intervention and client safety
HIPAA compliance and participant rights education
Annual competency evaluations and continuing education
Ongoing training in best practices for therapeutic support and patient interaction
7. MEDICAID WAIVER PROGRAMS
Therapy Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Physical therapy to improve mobility and reduce pain
Occupational therapy to enhance daily living skills
Speech and language therapy to address communication issues
Behavioral therapy to support mental health and emotional regulation
Recreational therapy to build social skills and enhance well-being
Aquatic therapy to support physical rehabilitation
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Therapy Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA THERAPY SERVICES PROVIDER
WCG supports healthcare agencies in launching Medicaid-compliant Therapy Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for therapy planning and client care
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for therapy compliance and client safety
Collaboration with healthcare professionals and community organizations

Supported Living
SUPPORTED LIVING SERVICES PROVIDER IN NEVADA
EMPOWERING INDEPENDENT LIVING THROUGH PERSONALIZED SUPPORT AND COMMUNITY ENGAGEMENT
Supported Living Services in Nevada help individuals with disabilities or chronic conditions maintain independence while living in their own homes or community settings. These services focus on providing assistance with daily living tasks, personal care, and community integration to enhance quality of life. Supported Living Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Supported Living Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Supported Living Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Supported Living Services meet HCBS quality, person-centered planning, and participant protection standards.
2. SUPPORTED LIVING SERVICES OVERVIEW
Supported Living Services enable individuals to live independently by offering personalized assistance and community-based support.
Approved providers may deliver:
Personal Assistance: Help with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, and personal hygiene.
Household Support: Meal preparation, light housekeeping, and laundry assistance.
Health Monitoring: Medication reminders, basic health checks, and coordination with healthcare providers.
Skill Development: Training in budgeting, self-care, and community navigation.
Community Integration: Supporting participation in social, recreational, and vocational activities.
Safety Monitoring: Supervision to ensure health and safety within the living environment.
All services are tailored to the Individualized Service Plan (ISP) to meet the unique needs and preferences of each participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Supported Living provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain a Residential Support Service License through DHHS if providing group living settings.
Maintain general liability and professional liability insurance.
Develop policies covering participant safety, health monitoring, and community integration.
Ensure staff meet background checks, health screenings, and relevant training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Supported Living Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including staff training, care protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for Supported Living Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Residential Support Service License (if applicable)
Proof of general and professional liability insurance
Supported Living Services Policy & Procedure Manual including:
Participant intake, assessment, and care planning procedures
Personal care assistance and daily living support protocols
Community integration and skills development guidelines
Safety monitoring, medication management, and health coordination
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Medicaid billing, documentation, and audit readiness procedures
6. STAFFING REQUIREMENTS
Role: Supported Living Program Director
Requirements: Bachelor’s degree in social services, healthcare, or a related field; supervisory experience preferred; training in community-based living support.
Role: Direct Support Professionals (DSPs)
Requirements: High school diploma or GED; CPR/First Aid certification; training in supported living and personal care; background clearance.
Role: Community Integration Specialists
Requirements: Experience in vocational support and community engagement; training in person-centered care.
All staff must complete:
Training in safety protocols and emergency response
HIPAA and participant rights education
Annual competency evaluations and continuing education
Ongoing training in independent living skills and community integration
7. MEDICAID WAIVER PROGRAMS
Supported Living Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Personal care assistance and daily living support
Social and community engagement programs
Health and medication monitoring
Independent living skills training
Safety monitoring and supportive supervision
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Supported Living Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA SUPPORTED LIVING SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Supported Living Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development tailored to supported living and community integration
Staff credentialing, training program templates, and care coordination guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for safety monitoring and service compliance
Networking with community organizations for referrals and collaborative support

Homemaker
HOMEMAKER SERVICES PROVIDER IN NEVADA
SUPPORTING INDEPENDENT LIVING THROUGH ASSISTANCE WITH DAILY HOUSEHOLD TASKS
Homemaker Services in Nevada support individuals with disabilities, chronic illnesses, or age-related conditions by assisting with essential household tasks. These services help maintain a safe, clean, and comfortable living environment while promoting independence and reducing caregiver burden. Homemaker Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Homemaker Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Homemaker Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Homemaker Services meet HCBS quality, person-centered planning, and participant protection standards.
2. HOMEMAKER SERVICES OVERVIEW
Homemaker Services provide non-medical support to individuals, helping maintain their living environment and promoting independent living.
Approved providers may deliver:
Housekeeping: Light cleaning, vacuuming, dusting, and trash removal.
Meal Preparation: Cooking, meal planning, and grocery shopping assistance.
Laundry and Linens: Washing, drying, folding, and changing bed linens.
Home Safety Checks: Identifying and addressing potential hazards.
Organization Assistance: Tidying up personal spaces, organizing belongings, and maintaining a clutter-free environment.
Errands and Shopping: Running essential errands such as grocery shopping or picking up prescriptions.
Companionship: Providing social interaction and light emotional support during homemaker tasks.
All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific household and safety needs.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Homemaker provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain a Homemaker Agency License from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for household management, client safety, and staff training.
Ensure staff meet background checks, health screenings, and relevant training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Homemaker Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including safety protocols, staff qualifications, and homemaker procedures.
Approval & Medicaid Enrollment:
Upon approval, providers receive authorization to bill Medicaid for Homemaker Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Homemaker Agency License (if applicable)
Proof of general and professional liability insurance
Homemaker Services Policy & Procedure Manual, including:
Participant intake, assessment, and service planning procedures
Housekeeping, meal preparation, and personal environment maintenance protocols
Staff credentialing, background checks, and ongoing training records
Documentation standards for service tracking and Medicaid billing
HIPAA compliance, participant rights, and grievance handling
Safety protocols, emergency response, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Homemaker Program Director
Requirements: Bachelor’s degree in human services, social work, or healthcare; experience managing home support services preferred.
Role: Homemakers/Direct Support Workers
Requirements: High school diploma or GED; training in housekeeping, meal preparation, and personal safety; background clearance.
Role: Personal Care Aides (if applicable)
Requirements: CPR/First Aid certification; experience in light personal care assistance; background clearance.
All staff must complete:
Homemaking and light caregiving training
Safety and infection control education
HIPAA compliance and client rights training
Annual competency evaluations and continuing education
Ongoing training in household safety and wellness monitoring
7. MEDICAID WAIVER PROGRAMS
Homemaker Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Light housekeeping and meal preparation
Laundry, linen changes, and household organization
Grocery shopping and essential errands
Safety checks and environmental maintenance
Social interaction and companionship
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Homemaker Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA HOMEMAKER SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Homemaker Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for homemaker support and household safety
Staff credentialing, training program templates, and service documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for household safety and compliance monitoring
Collaboration with social services and community-based support networks

Case Management
CASE MANAGEMENT SERVICES PROVIDER IN NEVADA
COORDINATING CARE AND SUPPORT THROUGH PERSON-CENTERED CASE MANAGEMENT
Case Management Services in Nevada support individuals with disabilities, chronic conditions, or other long-term care needs by coordinating services, managing care plans, and facilitating access to community resources. These services ensure that individuals receive comprehensive, person-centered care. Case Management Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Case Management Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Case Management Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Case Management Services meet HCBS quality, person-centered planning, and participant protection standards.
2. CASE MANAGEMENT SERVICES OVERVIEW
Case Management Services involve coordinating and managing care to enhance an individual’s ability to live independently and safely within the community.
Approved providers may deliver:
Needs Assessment: Identifying the individual's care requirements through comprehensive evaluation.
Service Planning: Developing an Individualized Service Plan (ISP) based on assessed needs.
Care Coordination: Arranging medical, social, and community services.
Monitoring and Follow-Up: Regularly reviewing progress and updating care plans as needed.
Crisis Intervention: Managing emergencies and coordinating responses.
Resource Navigation: Assisting with accessing community support, financial aid, and housing.
Advocacy: Ensuring that individuals receive appropriate services and support.
All services are delivered according to the ISP to meet the specific needs and preferences of the participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Case Management provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain any necessary licensure for case management services from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop policies for care coordination, emergency response, and documentation.
Ensure staff meet background checks, health screenings, and case management training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Case Management Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, insurance certificates, staff qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including staff qualifications, service planning protocols, and safety measures.
Approval & Medicaid Enrollment:
Upon successful review, providers receive authorization to bill Medicaid for Case Management Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Proof of general and professional liability insurance
Case Management Services Policy & Procedure Manual, including:
Participant intake, needs assessment, and care planning procedures
Coordination of healthcare, social, and community-based services
Crisis intervention and emergency response protocols
Staff credentialing, background checks, and ongoing training records
HIPAA compliance, participant rights, and grievance handling
Documentation standards for service coordination and Medicaid billing
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Case Management Program Director
Requirements: Bachelor’s or Master’s degree in social work, human services, or healthcare; certification in case management preferred; supervisory experience.
Role: Case Managers
Requirements: Bachelor’s degree in social work, healthcare, or a related field; experience in care coordination and service planning; background clearance.
Role: Case Management Assistants
Requirements: High school diploma or GED; experience in administrative support and data entry; background clearance.
All staff must complete:
Training in person-centered planning and case management practices
HIPAA compliance and participant rights education
Crisis management and de-escalation techniques
Annual competency evaluations and continuing education
Ongoing training in service coordination and resource management
7. MEDICAID WAIVER PROGRAMS
Case Management Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Coordinating healthcare and supportive services
Developing and monitoring Individualized Service Plans (ISPs)
Assisting with accessing community resources and financial aid
Crisis intervention and emergency coordination
Providing advocacy and support for participant needs
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Case Management Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Aging and Disability Services Division (ADSD)
Website: https://adsd.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA CASE MANAGEMENT SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Case Management Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing support
Policy manual development for care coordination and crisis management
Staff credentialing, training program templates, and documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for service coordination and compliance
Collaboration with healthcare and community organizations for resource sharing

Transportation
Transportation Services in Nevada provide non-emergency medical and community access transportation for individuals with disabilities, chronic conditions, or mobility challenges. These services facilitate access to medical appointments, community programs, work, and social activities, promoting independence and integration. Transportation Services are authorized under the Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Transportation Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Transportation Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Transportation Services meet HCBS quality, person-centered planning, and participant protection standards.
2. TRANSPORTATION SERVICES OVERVIEW
Transportation Services ensure that individuals with disabilities can travel safely to medical appointments, social events, community programs, and work.
Approved providers may deliver:
Non-Emergency Medical Transportation (NEMT): Rides to medical appointments, therapies, and healthcare services.
Community Access Transportation: Travel to community centers, support groups, and social events.
Employment Transportation: Rides to and from work or vocational training.
Social and Recreational Transportation: Enabling participation in social activities and community engagement.
Specialized Transport: Vehicles equipped for wheelchairs, mobility aids, and accessible seating.
Door-to-Door Assistance: Helping passengers from their residence to the vehicle and destination.
Companion or Escort Services: Accompanying individuals who require personal support during travel.
All services are provided according to the Individualized Service Plan (ISP) to meet the specific transportation needs of the participant.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Transportation provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain necessary permits and licenses from the Nevada Transportation Authority (NTA).
Maintain general liability, professional liability, and vehicle insurance.
Develop policies for passenger safety, vehicle maintenance, and driver training.
Ensure drivers meet background checks, health screenings, and defensive driving training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Transportation Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, vehicle insurance certificates, driver qualifications, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including safety protocols, driver training, and vehicle maintenance procedures.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Transportation Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Nevada Transportation Authority (NTA) permit (if applicable)
Proof of vehicle and general liability insurance
Transportation Services Policy & Procedure Manual including:
Trip scheduling, passenger assistance, and route planning procedures
Driver credentialing, background checks, and training records
Safety protocols for transporting individuals with mobility aids
Vehicle maintenance, inspection, and cleanliness standards
HIPAA compliance, passenger rights, and grievance handling
Documentation standards for trip logs, billing, and compliance tracking
Emergency preparedness, accident reporting, and incident management
6. STAFFING REQUIREMENTS
Role: Transportation Program Director
Requirements: Bachelor’s degree in business administration, transportation management, or related field; supervisory experience preferred.
Role: Drivers/Transportation Aides
Requirements: Valid Nevada driver’s license with a clean driving record; defensive driving and passenger assistance training; CPR/First Aid certification; background clearance.
Role: Dispatch Coordinators
Requirements: Experience in logistics, scheduling, and customer support; background clearance.
All staff must complete:
Training in safe driving practices and passenger assistance
HIPAA compliance and client rights education
Ongoing professional development and defensive driving courses
Annual vehicle safety inspections and maintenance training
Customer service and accessibility training
7. MEDICAID WAIVER PROGRAMS
Transportation Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Non-emergency medical transportation to healthcare facilities
Community access rides to social and recreational programs
Vocational transportation to work or training sites
Door-to-door assistance for individuals requiring mobility support
Specialized transport for individuals using wheelchairs or mobility aids
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Transportation Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Nevada Transportation Authority (NTA)
Website: https://nta.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA TRANSPORTATION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Transportation Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for safe transportation and client support
Staff credentialing, training program templates, and compliance documentation
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community engagement strategies
Quality assurance systems for transportation safety and driver training
Collaboration with healthcare providers for coordinated travel support

Meal & Nutrition
MEAL AND NUTRITION SERVICES PROVIDER IN NEVADA
PROMOTING HEALTH AND WELL-BEING THROUGH NUTRITIONAL SUPPORT
Meal and Nutrition Services in Nevada provide essential dietary support for individuals with disabilities, chronic conditions, or age-related challenges. These services focus on delivering healthy, balanced meals, meal planning, and nutritional education to enhance well-being and support independent living. Meal and Nutrition Services are authorized under Nevada Medicaid Home and Community-Based Services (HCBS) Waiver programs.
1. GOVERNING AGENCIES
Agency: Nevada Department of Health and Human Services (DHHS)
Role: Administers Medicaid waiver funding for Meal and Nutrition Services and manages provider enrollment, service authorization, and reimbursement.
Agency: Aging and Disability Services Division (ADSD)
Role: Ensures quality standards, service delivery, and compliance for Meal and Nutrition Services under HCBS waiver programs.
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight ensuring Medicaid-funded Meal and Nutrition Services meet HCBS quality, person-centered planning, and participant protection standards.
2. MEAL AND NUTRITION SERVICES OVERVIEW
Meal and Nutrition Services support individuals by providing prepared meals, dietary planning, and guidance on maintaining a healthy diet.
Approved providers may deliver:
Meal Preparation: Cooking and delivering meals tailored to dietary needs (e.g., diabetic, low-sodium, pureed).
Nutritional Planning: Creating meal plans that meet health and dietary requirements.
Grocery Assistance: Purchasing ingredients and delivering food supplies.
Meal Delivery: Regularly delivering prepared meals to participants’ homes.
Dietary Education: Educating individuals and caregivers on meal preparation and balanced nutrition.
Special Diet Accommodation: Adapting meals for allergies, intolerances, or medical conditions.
Cultural and Personal Preferences: Offering meal options that respect cultural practices and personal tastes.
All services are provided according to the Individualized Service Plan (ISP) to meet the participant’s nutritional needs and preferences.
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register the business entity with the Nevada Secretary of State.
Obtain EIN from the IRS and NPI (Type 2).
Enroll as a Medicaid Waiver Meal and Nutrition provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain any necessary food handling permits from the Nevada Department of Health.
Maintain general liability and professional liability insurance.
Develop policies for meal preparation, dietary compliance, and safety.
Ensure staff meet background checks, health screenings, and food safety training requirements.
4. NEVADA PROVIDER ENROLLMENT PROCESS
Initial Interest and Application:
Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Meal and Nutrition Services under HCBS waivers.
Application and Documentation Submission:
Submit Articles of Incorporation, proof of EIN/NPI, food handling permits, insurance certificates, and policy manuals.
Program Readiness Review:
DHHS and ADSD evaluate provider readiness, including food safety protocols, dietary compliance, and staff qualifications.
Approval & Medicaid Enrollment:
Upon approval, providers are authorized to bill Medicaid for Meal and Nutrition Services using designated billing codes.
5. REQUIRED DOCUMENTATION
Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Food Handling Permits (if applicable)
Proof of general and professional liability insurance
Meal and Nutrition Services Policy & Procedure Manual including:
Meal planning, preparation, and delivery protocols
Dietary compliance and special diet accommodation procedures
Staff credentialing, background checks, and food safety training documentation
HIPAA compliance, client rights, and grievance handling
Documentation standards for meal tracking and Medicaid billing
Food safety, hygiene, and infection control measures
Quality assurance and compliance monitoring
6. STAFFING REQUIREMENTS
Role: Meal and Nutrition Program Director
Requirements: Bachelor’s degree in nutrition, dietetics, or food service management; experience in dietary planning and food safety management.
Role: Dietitians/Nutritionists
Requirements: State licensure as a Registered Dietitian (RD) or Certified Nutritionist; experience in meal planning and dietary counseling.
Role: Food Service Workers/Cooks
Requirements: Food handler certification; experience in meal preparation and dietary accommodation; background clearance.
Role: Delivery Drivers
Requirements: Valid driver’s license, food handling certification, and background clearance.
All staff must complete:
Food safety training and dietary compliance education
HIPAA compliance and client rights training
Annual competency evaluations and continuing education
Ongoing training in safe meal preparation and dietary planning
7. MEDICAID WAIVER PROGRAMS
Meal and Nutrition Services are available under the following Nevada Medicaid Waivers:
Home and Community-Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS-IDD)
Frail Elderly (FE) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Aged and Disabled (AD) Waiver
Services may include:
Home-delivered meals for nutritional support
Meal planning and dietary education
Grocery assistance and food delivery
Culturally appropriate and medically tailored meal options
Nutritional monitoring and education for chronic conditions
8. TIMELINE TO LAUNCH
Phase: Business Formation and Compliance Preparation
Timeline: 1–2 months
Phase: Staff Hiring, Credentialing, and Program Development
Timeline: 2–3 months
Phase: Nevada Medicaid Provider Enrollment and Readiness Review
Timeline: 60–90 days
Phase: Medicaid Billing Setup and Meal and Nutrition Service Launch
Timeline: 30–45 days
9. CONTACT INFORMATION
Nevada Department of Health and Human Services (DHHS)
Website: https://dhhs.nv.gov/
Nevada Medicaid Provider Enrollment Portal
Website: https://www.medicaid.nv.gov/
Centers for Medicare & Medicaid Services (CMS)
Website: https://www.cms.gov/
WAIVER CONSULTING GROUP’S START-UP ASSISTANCE SERVICE — NEVADA MEAL AND NUTRITION SERVICES PROVIDER
WCG supports agencies in launching Medicaid-compliant Meal and Nutrition Services in Nevada, offering:
Scope of Work:
Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for meal planning, preparation, and dietary compliance
Staff credentialing, training program templates, and food safety management
Medicaid billing setup and audit-prepared financial management
Branding, website development, and community outreach strategies
Quality assurance systems for food safety and nutritional compliance
Collaboration with dietitians and healthcare providers for dietary planning

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