HOMEMAKER SERVICES PROVIDER IN NEVADA

SUPPORTING INDEPENDENT LIVING THROUGH ASSISTANCE WITH DAILY HOUSEHOLD TASKS

Homemaker Services in Nevada support individuals with disabilities, chronic illnesses, or age-related conditions by assisting with essential household tasks. These services help maintain a safe, clean, and comfortable living environment while promoting independence and reducing caregiver burden. Homemaker 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 Homemaker 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 Homemaker Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

Role: Provides federal oversight ensuring Medicaid-funded Homemaker Services meet HCBS quality, person-centered planning, and participant protection standards.

2. HOMEMAKER SERVICES OVERVIEW

Homemaker Services provide non-medical support to individuals, helping maintain their living environment and promoting independent living.

Approved providers may deliver:

• Housekeeping: Light cleaning, vacuuming, dusting, and trash removal.

• Meal Preparation: Cooking, meal planning, and grocery shopping assistance.

• Laundry and Linens: Washing, drying, folding, and changing bed linens.

• Home Safety Checks: Identifying and addressing potential hazards.

• Organization Assistance: Tidying up personal spaces, organizing belongings, and maintaining a clutter-free environment.

• Errands and Shopping: Running essential errands such as grocery shopping or picking up prescriptions.

• Companionship: Providing social interaction and light emotional support during homemaker tasks.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s specific household and safety 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 Homemaker provider via the Nevada Medicaid Provider Enrollment Portal.

• Obtain a Homemaker Agency License from DHHS if applicable.

• Maintain general liability and professional liability insurance.

• Develop policies for household management, client safety, 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 Homemaker 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 safety protocols, staff qualifications, and homemaker procedures.

Approval & Medicaid Enrollment:

• Upon approval, providers receive authorization to bill Medicaid for Homemaker Services using designated billing codes.

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or Business License (Nevada Secretary of State)

• IRS EIN confirmation

• NPI confirmation

• Homemaker Agency License (if applicable)

• Proof of general and professional liability insurance

• Homemaker Services Policy & Procedure Manual including:

  • Participant intake, assessment, and service planning procedures

  • Housekeeping, meal preparation, and personal environment maintenance protocols

  • Staff credentialing, background checks, and ongoing training records

  • Documentation standards for service 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: Homemaker Program Director

Requirements: Bachelor’s degree in human services, social work, or healthcare; experience managing home support services preferred.

Role: Homemakers/Direct Support Workers

Requirements: High school diploma or GED; training in housekeeping, meal preparation, and personal safety; background clearance.

Role: Personal Care Aides (if applicable)

Requirements: CPR/First Aid certification; experience in light personal care assistance; background clearance.

All staff must complete:

• Homemaking and light caregiving training

• Safety and infection control education

• HIPAA compliance and client rights training

• Annual competency evaluations and continuing education

• Ongoing training in household safety and wellness monitoring

7. MEDICAID WAIVER PROGRAMS

Homemaker 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:

• Light housekeeping and meal preparation

• Laundry, linen changes, and household organization

• Grocery shopping and essential errands

• Safety checks and environmental maintenance

• Social interaction and companionship

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 Homemaker 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 HOMEMAKER SERVICES PROVIDER

WCG supports agencies in launching Medicaid-compliant Homemaker Services in Nevada, offering:

Scope of Work:

• Business registration, Medicaid enrollment, and licensing assistance

• Policy manual development for homemaker support and household safety

• Staff credentialing, training program templates, and service documentation guidance

• Medicaid billing setup and audit-prepared financial management

• Branding, website development, and community outreach strategies

• Quality assurance systems for household safety and compliance monitoring

• Collaboration with social services and community-based support networks

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.