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

Continue To Our Client Portal To Get Started

Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.