Long Term Support Services - Home and Community Based Services

Waiver for the Frail Elderly (FE)

This waiver serves recipients age 65 or older who demonstrate a need of waiver services, as determined by the Division for Health Care Financing and Policy (DHCFP) and the Aging and Disability Services Division (ADSD), and who maintain the required Level of Care (LOC) (admission into a Nursing Facility within 30 days if waiver services or other supports were not available).  The following services are offered in this waiver:  

  • Case Management
  • Homemaker Services
  • Chore Services
  • Respite
  • Personal Emergency Response System (PERS)
  • Adult Day Care Services
  • Adult Companion Services
  • Adult Residential Care
  • Augmented Personal Care (provided in residential care settings)

Waiver for the Frail Elderly Medicaid Service Manual (MSM) and Waiver Information:
Refer to Regulatory and Links Section.

To request services:

  •  Contact the appropriate ADSD office:

To enroll as a Waiver for the Frail Elderly provider:


Nevada Medicaid has implemented an Electronic Visit Verification (EVV) system, AuthentiCare Nevada. The following PT48 services must be recorded in AuthentiCare Nevada in order for claims to be processed:

  • Companion Care
  • Homemaker Services
  • Chore Services
  • Respite

Find more information here.