Waiver services are provided to individuals with a physical
disability who, without waiver services, would require institutional care in a
nursing facility within thirty days. All services provided are based on need
and determined by an assessment. Our services are in addition to Medicaid
health care coverage.
Who is Eligible?
Nevada, age 18 or older, in need of supportive services to live independently,
which have been diagnosed with a physical disability that substantially limits
their ability to complete normal activities of daily living.
- Must be determined financially eligible for Home & Community
Based Waiver (HCBW) by the Department of Welfare and Supportive Services
- Recipient must have individual monthly income of less than
- Liquid assets of less than $2,000.00.
- Recipient does not need to be Medicaid
eligible at time of referral but does need to be eligible once a slot is
- Recipient must meet and maintain a level of care, showing that you
would be eligible for admission to a nursing facility. (LOC 3 score & at
least 1 ADL)
- Recipient must demonstrate a continued need for a HCBW service to
prevent placement in a nursing facility.
- Recipient must be certified as physically disabled by ADSD
disability determination team including certification by individual’s physician
that the disability is a permanent condition.
- Attendant Care Services – Assistance with personal care services
when Medicaid health care limits are exhausted.
- Homemaker Services – Help with general housekeeping tasks such as
laundry or shopping if you are unable to manage these activities.
- Chore Services – Services to maintain a clean, sanitary and safe
home environment, when neither you, nor anyone else in the household, is
- Respite Services – Short term care in the absence of, or need for,
relief of caregivers.
- Assisted Residential Care – Services to participants who reside in
a home-like non –institutional setting that provides 24 hours onsite response
to meet resident needs.
- Environmental Accessibility Adaptations – Modifications to your
private residence that are necessary for your health, welfare, and safety.
- Personal Emergency Response System (PERS) – Individual emergency
response system for those who live alone or are alone for extended periods of
- Home Delivered Meals – Provides meals to persons at risk to
institutional care because of inadequate nutrition.
- Specialized Medical Equipment and Supplies – Equipment and
supplies not available through Medicaid health care.
- Case Management as needed – Identifies resources and assists
recipients in locating and gaining access to waiver services, as well as needed
medical, social, educational and other services regardless of the funding
- PD waiver policies follow a course of procedures to ensure that
Nevada Revised Statutes (NRS) 427A.791 and regulations as contained
in Nevada Administrative Code (NAC) 427A.675-427A.770 are achieved.
For more information about this program, go to
the internet and type in adsd.nv.gov for complete information on
available programs and services.