How to Pay for Home Care in Nevada

SFCG Live-In Caregiver Stipend

Helps pay for: Pays a daily stipend through an enrolled agency or intermediary service organization to the participant-selected live-in caregiver.

Who qualifies: Caregiver and recipient must reside together full time; caregiver must be employed by an enrolled agency/ISO and complete required training. Nevada law allows the participant to choose a spouse or other legally responsible person.

How to start: Ask ADSD for SFCG assessment and select an enrolled SFCG provider.

Good to know: Family caregiver payment: Yes, including spouse/LRI

FE Homemaker

Helps pay for: Help with meal preparation, light housekeeping and laundry to support safe community living.

Who qualifies: FE eligibility and assessed need; service must be authorized.

How to start: Ask the FE case manager to assess homemaker needs.

Good to know: Family caregiver payment: No direct family stipend

FE Respite

Helps pay for: Short-term in-home respite when the primary caregiver needs relief or is absent.

Who qualifies: FE eligibility and respite authorization.

How to start: Request respite through the FE case manager.

Good to know: Family caregiver payment: No continuous caregiver wage

FE Augmented Personal Care

Helps pay for: Additional 24-hour supervision and ADL assistance above normal residential-facility requirements for eligible waiver recipients in licensed group/residential settings.

Who qualifies: FE eligibility plus residence in an eligible licensed setting and authorized need.

How to start: Discuss augmented personal care with the FE case manager before placement.

Good to know: Family caregiver payment: No direct family stipend

PD Attendant Services

Helps pay for: Hands-on or supervisory assistance with daily activities and community living under the PD waiver.

Who qualifies: PD waiver eligibility and authorization; worker must meet provider/waiver requirements.

How to start: Ask the PD case manager about attendant services.

Good to know: Family caregiver payment: Family relationship rules apply

PD Homemaker

Helps pay for: Help with essential household tasks such as meal preparation, laundry and light housekeeping.

Who qualifies: PD eligibility and assessed need.

How to start: Ask the case manager to include homemaker services if appropriate.

Good to know: Family caregiver payment: No direct stipend

PD Respite

Helps pay for: Short-term caregiver relief through approved respite services.

Who qualifies: PD eligibility and respite authorization.

How to start: Request respite through the PD case manager.

Good to know: Family caregiver payment: No continuous caregiver wage

PD Chore Services

Helps pay for: Intermittent heavy household or safety-related tasks that support community living.

Who qualifies: PD eligibility; task must be allowable and authorized.

How to start: Discuss home-safety/chore needs with the case manager.

Good to know: Family caregiver payment: No

PD Environmental Accessibility Adaptations

Helps pay for: Approved home modifications can improve accessibility and reduce the amount of hands-on assistance required.

Who qualifies: PD eligibility; adaptation must meet waiver requirements and be authorized before work starts.

How to start: Ask the case manager before contracting for modifications.

Good to know: Family caregiver payment: No

PD Personal Emergency Response System (PERS)

Helps pay for: Emergency response technology can support independent living and reduce paid supervision needs.

Who qualifies: PD eligibility and plan authorization.

How to start: Ask the PD case manager about PERS.

Good to know: Family caregiver payment: No

PD Home-Delivered Meals

Helps pay for: Authorized meals can reduce food spending and meal-preparation caregiver hours.

Who qualifies: PD eligibility and assessed need.

How to start: Ask the case manager whether meals are covered in the plan.

Good to know: Family caregiver payment: No

PD Specialized Medical Equipment & Supplies

Helps pay for: Approved equipment and supplies can support health, safety and independent living.

Who qualifies: PD eligibility and medical/functional necessity; authorization required.

How to start: Discuss equipment needs with the case manager/clinician.

Good to know: Family caregiver payment: No

Self-Directed PCS through an Intermediary Service Organization (ISO)

Helps pay for: Lets an eligible member self-direct personal care and select/manage the personal care assistant, with payroll/administrative support from an ISO.

Who qualifies: PCS assessment/prior authorization required. Nevada PCS policy does not reimburse a spouse, legal guardian or parent of a minor as the PCA.

How to start: Request self-directed PCS and ask for enrolled ISO options.

Good to know: Family caregiver payment: Yes for eligible relatives/friends; LRI excluded

Self-Directed Skilled Services

Helps pay for: Allows certain skilled medical, nursing or home-health tasks to be delegated/authorized to an unlicensed personal care assistant under Nevada law, with a doctor order and prior authorization.

Who qualifies: Doctor order, prior authorization and service-specific conditions apply; worker must meet program rules.

How to start: Use the FA-24C process through the care team/ISO.

Good to know: Family caregiver payment: Case-specific

Medicaid Hospice

Helps pay for: Hospice can cover interdisciplinary end-of-life care, symptom management, equipment and caregiver support for eligible members.

Who qualifies: Hospice eligibility/medical certification and Medicaid coverage requirements.

How to start: Ask the treating clinician or hospice provider for evaluation.

Good to know: Family caregiver payment: No direct caregiver wage

Supported Living Arrangement (SLA)

Helps pay for: Intermittent, 24-hour, host-home and other residential supports can help a person live in the least restrictive community setting.

Who qualifies: Open Developmental Services case, Medicaid eligibility, desire/ability to participate and ability to be safely supported in community.

How to start: Ask the Regional Center service coordinator about SLA.

Good to know: Family caregiver payment: Host/shared-living arrangements may involve people known to participant; verify rules

Self-Directed Family Support Services

Helps pay for: Provides a self-directed framework for eligible Developmental Services families to manage approved family-support resources and responsibilities.

Who qualifies: Developmental Services eligibility, approved family-support plan and program financial/administrative requirements.

How to start: Ask the Regional Center service coordinator about Self-Directed Family Support Services.

Good to know: Family caregiver payment: Potentially; verify paid-worker rules

Family Support Services

Helps pay for: State-funded financial assistance designed to help families care for a relative with a disability in the family home and avoid out-of-home placement.

Who qualifies: Individual/family generally must meet the program financial guideline (300% FPL) and live at home with family/primary caretaker; state funding availability applies.

How to start: Contact the appropriate Regional Center.

Good to know: Family caregiver payment: Indirect / family-controlled

Family Support Respite Voucher

Helps pay for: Quarterly respite vouchers can be used for ongoing or emergency respite care for eligible families.

Who qualifies: Family Support eligibility and funding availability; emergency respite has additional criteria.

How to start: Ask the Regional Center about respite vouchers.

Good to know: Family caregiver payment: Family selects respite arrangement subject to program rules

Family Support Purchase of Service Voucher

Helps pay for: Emergency purchase vouchers may help with excess costs such as uncovered medical/dental care, special diets, adaptive equipment or utilities after other resources are exhausted.

Who qualifies: Family Support financial criteria, emergency circumstance, use of other available resources first and state funding availability.

How to start: Request a Purchase of Service review through the Regional Center.

Good to know: Family caregiver payment: No direct caregiver wage

Adult Day Health Care State-Plan HCBS

Helps pay for: Medicaid 1915(i) adult day health services can provide structured daytime health and support services that reduce in-home caregiver hours.

Who qualifies: State-plan HCBS eligibility, functional criteria and service authorization.

How to start: Ask Medicaid/case manager whether 1915(i) adult day health applies.

Good to know: Family caregiver payment: No

Habilitation Services State-Plan HCBS

Helps pay for: Habilitation can support skill development, community participation and independence for eligible Medicaid members.

Who qualifies: 1915(i) eligibility and person-centered authorization requirements.

How to start: Ask Medicaid/Regional Center about habilitation eligibility.

Good to know: Family caregiver payment: No direct caregiver wage

COPE Personal Care Services

Helps pay for: Hands-on help with bathing, grooming, toileting, transfers/ambulation, dressing and eating.

Who qualifies: COPE eligibility and assessed need.

How to start: Ask the COPE case manager about personal care.

Good to know: Family caregiver payment: Generally no direct family stipend

COPE Homemaker

Helps pay for: Meal preparation, light housekeeping, laundry and shopping support.

Who qualifies: COPE eligibility and assessed need.

How to start: Ask the COPE case manager about homemaker services.

Good to know: Family caregiver payment: No

COPE Adult Day Care

Helps pay for: Regularly scheduled supervision and activities in an adult day setting can reduce in-home paid-care hours.

Who qualifies: COPE eligibility, assessed need and provider availability.

How to start: Ask the COPE case manager about adult day care.

Good to know: Family caregiver payment: No

COPE Adult Companion

Helps pay for: Non-medical care, supervision and socialization in the home, including temporary relief for a primary caregiver.

Who qualifies: COPE eligibility and assessed need.

How to start: Ask the case manager about companion services.

Good to know: Family caregiver payment: No continuous family wage

COPE Personal Emergency Response System (PERS)

Helps pay for: Emergency response device for qualifying recipients who spend significant time alone and would otherwise need extensive supervision.

Who qualifies: COPE eligibility and specific PERS risk/availability criteria.

How to start: Ask the COPE case manager about PERS.

Good to know: Family caregiver payment: No

COPE Chore Services

Helps pay for: Intermittent tasks to address home-safety problems that would otherwise go undone.

Who qualifies: COPE eligibility and case-manager authorization.

How to start: Discuss specific home-safety tasks with the case manager.

Good to know: Family caregiver payment: No

COPE Respite

Helps pay for: Short-term in-home relief for a primary caregiver.

Who qualifies: COPE eligibility and respite authorization.

How to start: Request respite through the COPE case manager.

Good to know: Family caregiver payment: No continuous caregiver wage

PAS Personal Assistance

Helps pay for: Assistance with personal-care and daily-living tasks for eligible adults with physical disabilities.

Who qualifies: PAS eligibility, medical diagnosis and assessed need.

How to start: Ask ADSD PAS intake about personal assistance.

Good to know: Family caregiver payment: Generally no direct family stipend

PAS Homemaker

Helps pay for: Meal preparation, light housekeeping, laundry and shopping support.

Who qualifies: PAS eligibility and assessed need.

How to start: Ask ADSD PAS intake about homemaker support.

Good to know: Family caregiver payment: No

PAS Respite

Helps pay for: Short-term in-home respite because of caregiver absence or need for relief.

Who qualifies: PAS eligibility and respite authorization.

How to start: Ask ADSD PAS intake about respite.

Good to know: Family caregiver payment: No continuous caregiver wage

Nevada Care Connection Resource Centers

Helps pay for: One-on-one resource navigation for older adults, people with disabilities, caregivers and veterans to identify home-care funding and services.

Who qualifies: Open to people seeking aging/disability/caregiver resource navigation; specific program eligibility varies.

How to start: Contact a Nevada Care Connection Resource Center.

Good to know: Family caregiver payment: No

Community Homemaker Program

Helps pay for: ADSD-funded community partners provide homemaker help in many counties, reducing the need for privately paid housekeeping/support hours.

Who qualifies: Local assessment, age/disability criteria and funding availability vary by provider/region.

How to start: Contact the homemaker provider serving the county.

Good to know: Family caregiver payment: No

Senior & Disability Transportation Services

Helps pay for: ADSD-funded transportation programs can reduce caregiver driving time and transportation spending.

Who qualifies: Local age/disability, trip-purpose, geography and funding rules vary.

How to start: Ask Nevada Care Connection about local transportation providers.

Good to know: Family caregiver payment: No

Taxi Assistance Program (TAP)

Helps pay for: Discounted taxi coupon program for qualifying adults 60+ and people with permanent disabilities in Clark County; Washoe has a separate senior ride program.

Who qualifies: Age/disability and program criteria apply. As of the current ADSD page, funding capacity is met for new applicants even though applications may still be processed.

How to start: Apply through ADSD TAP; verify current funding before relying on it.

Good to know: Family caregiver payment: No

Nevada Medicare Assistance Program (MAP / SHIP)

Helps pay for: Free, unbiased Medicare counseling can identify Medicare Savings Programs, Extra Help, plan benefits and other ways to preserve funds for home care.

Who qualifies: Medicare beneficiary, pre-enrollee, family member or caregiver seeking counseling.

How to start: Call Nevada MAP.

Good to know: Family caregiver payment: No

SNAP

Helps pay for: Monthly food benefits can reduce grocery spending and preserve income for paid care.

Who qualifies: Income and household rules apply; households with a member age 60+ or disabled use special SNAP eligibility rules/deductions.

How to start: Apply through Access Nevada/DSS.

Good to know: Family caregiver payment: No

Nevada Weatherization Assistance Program

Helps pay for: No-cost energy-efficiency and health/safety improvements for income-qualified households can reduce utility costs; measures may include air sealing, insulation and HVAC/appliance work.

Who qualifies: Generally household income at or below 200% FPL; homeowners/renters eligible subject to program rules.

How to start: Apply through the weatherization agency serving the county.

Good to know: Family caregiver payment: No

Medicare Savings Programs (QMB / SLMB / QI)

Helps pay for: Medicaid-administered programs can pay some or all Medicare premiums and, for QMB, certain cost sharing, preserving income for care.

Who qualifies: Income/resource and Medicare eligibility rules vary by program and year.

How to start: Apply through Nevada Medicaid/DSS and ask MAP for counseling.

Good to know: Family caregiver payment: No

Medicare Home Health

Helps pay for: Medicare can cover intermittent skilled nursing, therapy and home health aide services when home-health eligibility requirements are met.

Who qualifies: Must meet Medicare home-health requirements, including skilled need and other coverage criteria.

How to start: Ask the treating clinician for a Medicare-certified home-health referral.

Good to know: Family caregiver payment: No

Medicare Caregiver Training Services

Helps pay for: Medicare can cover certain caregiver training when needed for a patient’s treatment plan, helping an unpaid caregiver safely provide care.

Who qualifies: Medicare coverage criteria and clinician involvement apply.

How to start: Ask the clinician whether caregiver training is medically necessary and covered.

Good to know: Family caregiver payment: No wage

Veteran-Directed Care

Helps pay for: Provides an eligible Veteran a flexible self-directed budget for personal care and support; workers may include family or friends subject to local program rules.

Who qualifies: VA enrollment/community-care eligibility, clinical need and local VDC availability.

How to start: Ask VA social work specifically whether Veteran-Directed Care is available.

Good to know: Family caregiver payment: Yes

VA Aid & Attendance Pension Add-On

Helps pay for: Additional monthly pension amount for qualifying Veterans/survivors who need help with daily activities or meet other Aid & Attendance criteria; cash may be used toward home care.

Who qualifies: Must first qualify for VA Pension plus Aid & Attendance medical/functional criteria.

How to start: Apply through VA or an accredited Nevada VSO.

Good to know: Family caregiver payment: Yes, indirectly

VA Homemaker & Home Health Aide

Helps pay for: VA may pay an authorized community aide to help an eligible Veteran with ADLs and selected daily tasks.

Who qualifies: VA enrollment/community-care eligibility, clinical need and local availability; copay may apply. Ask VA primary care/social work for assessment and authorization.

How to start: Ask the VA social worker or care team about VA Homemaker & Home Health Aide.

Good to know: Family caregiver payment: No

Veteran-Directed Care (VDC)

Helps pay for: Flexible self-directed budget for eligible Veterans needing personal care; workers may include family or neighbors subject to local program rules.

Who qualifies: Enrolled Veteran; community-care eligibility; clinical need; VDC must be available locally. Ask the VA social worker specifically about Veteran-Directed Care.

How to start: Ask the VA social worker or care team about Veteran-Directed Care (VDC).

Good to know: Family caregiver payment: Yes

VA Skilled Home Health

Helps pay for: VA may purchase skilled nursing, therapy and related home-health services from authorized community providers.

Who qualifies: Clinical need, VA eligibility and authorization/local provider availability. Ask the VA care team for skilled home-health assessment/referral.

How to start: Ask the VA social worker or care team about VA Skilled Home Health.

Good to know: Family caregiver payment: No

VA Respite Care

Helps pay for: VA may arrange in-home, adult-day or nursing-home respite to give an eligible caregiver a break.

Who qualifies: Clinical need, VA enrollment and local availability; authorization may apply. Ask the caregiver support coordinator/social worker.

How to start: Ask the VA social worker or care team about VA Respite Care.

Good to know: Family caregiver payment: No

VA Aid & Attendance

Helps pay for: Additional pension amount for qualifying Veterans/survivors who need help with daily activities, are bedridden, have severe visual impairment or meet nursing-home criteria.

Who qualifies: Must be eligible for VA Pension and meet Aid & Attendance criteria. Apply through VA or an accredited representative/VSO.

How to start: Ask the VA social worker or care team about VA Aid & Attendance.

Good to know: Family caregiver payment: Yes, indirectly

Program of Comprehensive Assistance for Family Caregivers (PCAFC)

Helps pay for: May pay an approved primary family caregiver a monthly stipend and provide training, counseling, respite and other supports.

Who qualifies: Veteran and caregiver must meet PCAFC eligibility and complete VA assessment/enrollment. Apply jointly through VA Caregiver Support.

How to start: Ask the VA social worker or care team about Program of Comprehensive Assistance for Family Caregivers (PCAFC).

Good to know: Family caregiver payment: Yes

VA Community Care Network - Region 4

Helps pay for: VA-authorized community care can include home health and other approved services. Nevada is in CCN Region 4, administered by TriWest.

Who qualifies: VA referral/authorization and community-care eligibility generally apply. Obtain VA authorization before routine community care; do not assume reimbursement after private hire.

How to start: Ask the VA social worker or care team about VA Community Care Network - Region 4.

Good to know: Family caregiver payment: No

VA Pension

Helps pay for: Monthly needs-based pension for qualifying wartime Veterans with limited income/net worth; pension cash can help fund care.

Who qualifies: Wartime service, age/disability, discharge, income/net-worth and other VA pension rules apply. Apply through VA or an accredited VSO.

How to start: Ask the VA social worker or care team about VA Pension.

Good to know: Family caregiver payment: Yes, indirectly

Home Improvements and Structural Alterations (HISA)

Helps pay for: VA HISA grants may pay for medically necessary home changes that improve access to essential areas or permit treatment at home.

Who qualifies: Eligibility, medical justification, lifetime limit and project requirements apply. Ask VA prosthetics/primary care about HISA before construction.

How to start: Ask the VA social worker or care team about Home Improvements and Structural Alterations (HISA).

Good to know: Family caregiver payment: No

VA Adult Day Health Care

Helps pay for: VA may provide or purchase adult day health services, including supervision, activities and health-related care, reducing in-home caregiver hours.

Who qualifies: VA enrollment, clinical need and local availability/authorization. Ask the VA social worker or geriatric care team.

How to start: Ask the VA social worker or care team about VA Adult Day Health Care.

Good to know: Family caregiver payment: No

VA Hospice & Palliative Care

Helps pay for: VA can provide or purchase hospice/palliative services, including symptom management and caregiver support in the home or other settings.

Who qualifies: VA enrollment, clinical criteria and care-team authorization. Ask VA physician/social worker for palliative or hospice evaluation.

How to start: Ask the VA social worker or care team about VA Hospice & Palliative Care.

Good to know: Family caregiver payment: No

Program of General Caregiver Support Services (PGCSS)

Helps pay for: Provides education, coaching, peer support, respite/navigation and other support for family caregivers of enrolled Veterans without requiring PCAFC stipend eligibility.

Who qualifies: Caregiver supports an eligible Veteran enrolled in VA health care; specific services vary. Contact VA Caregiver Support.

How to start: Ask the VA social worker or care team about Program of General Caregiver Support Services (PGCSS).

Good to know: Family caregiver payment: No direct stipend