Every answer was written and checked ahead of time, with the official document next to it. Nothing is made up on the spot.
Do I need a license to run a non-medical home care agency in Nevada?
Yes, in most cases.
An agency that provides personal care services in the home needs an HCQC license under NAC 449.3972 to 449.3982. An employment agency that contracts with elderly persons or persons with disabilities to provide nonmedical services related to personal care in the home also needs a license (SB 388 and rule R109-18). Medicaid personal care providers must hold the personal care agency license. The statute definitions (NRS 449.0021 and 449.01517) are not in the documents we hold, so check them if you offer only companion or homemaker services.
Written and checked September 23, 2026
What is the difference between a personal care agency and an employment agency license?
Two separate license types.
A personal care agency provides personal care services in the home and follows NAC 449.3972 to 449.3982; Medicaid personal care requires this license. An employment agency to provide nonmedical services contracts with elderly persons or persons with disabilities for nonmedical services related to personal care and follows R109-18. It may provide only nonmedical services, must tell clients it is not an agency to provide nursing in the home, and may not refer a worker without a background investigation. Fees: $1,374 versus $1,498 to apply.
Written and checked September 23, 2026
What training do personal care attendants need?
Pre-service training plus 8 hours a year.
Before working alone, attendants complete a training program with supervised on-the-job instruction and are checked as competent in the NAC 449.3977 topics. They need a first aid and CPR certificate within 6 months, with an in-person skills part. Elder abuse training is needed before client contact and every year, and an approved cultural competency course within 90 days of hire. After that, at least 8 hours of training every year.
Written and checked September 23, 2026
How do background checks work for home care workers?
Fingerprints within 10 days, then every 5 years.
Within 10 days of hiring, get a written statement about convictions and send fingerprints to the Central Repository for Nevada Records of Criminal History for an FBI check (NRS 449.123). Repeat at least every 5 years and keep the records for as long as the person works for you. Applications go through the NABS online system. You may recover no more than half the fee from the worker.
Written and checked September 23, 2026
Is there a minimum wage for Medicaid personal care workers?
Yes, $16 an hour.
Under SB 511 (2023), providers must pay direct care workers at least $16 an hour, beginning January 1, 2024, as a condition of the $25-an-hour rate. This covers provider types 30, 83, 48 and 58. Providers sign a notarized attestation, and Nevada Medicaid audits payroll and can recoup payments or end the contract.
Written and checked September 23, 2026
How do I get Medicaid personal care authorized?
FA-24 through the Provider Web Portal.
All personal care must be prior authorized by the QIO-like vendor after a therapist's in-home Functional Assessment Service Plan. Use form FA-24 dated 07/21/2026 in the Provider Web Portal; older versions are refused after September 21, 2026. Send annual reassessments 60 to 90 days before the authorization ends.
Written and checked September 23, 2026
Which EVV system do I have to use?
Sandata, or an alternate system.
Sandata is the state EVV system. You can use an alternate EVV system, but you must register with Sandata and use a third-party billing solution. Since April 1, 2026, EVV claims go directly to each payer with new payer IDs.
Written and checked September 23, 2026
Which Medicaid health plans pay for home care?
Five plans are named; not for waiver or MAABD members.
Managed care has been statewide since January 1, 2026. The EVV payer list names Anthem BCBS of Nevada, Health Plan Nevada UHC, Molina Health Plan Nevada and Silver Summit Healthplan, and CareSource was added in 2026. Waiver members and aged, blind and disabled (MAABD) members are excluded from managed care and stay with fee-for-service.
Written and checked September 23, 2026
Can family members be paid to give care?
Not for State Plan personal care.
Legally responsible individuals (spouses, legal guardians and parents of minors) may not be paid for State Plan personal care. In the Frail Elderly waiver, they may provide homemaker, respite, chore and adult companion services if the person chooses, as employees of a provider type 48 agency, using EVV.
Written and checked September 23, 2026
Can a new home health agency enroll in Nevada Medicaid now?
Not during the moratorium.
Since June 11, 2026, Nevada Medicaid denies new home health agency and hospice enrollment applications for six months. Revalidations, ownership changes and updates are not affected. You can ask for an exemption for areas with access-to-care concerns.
Written and checked September 23, 2026