Nevada Medicaid and PERS: How to Get Approved to Bill

In Nevada, personal emergency response systems are a covered Medicaid service - but only once you are enrolled to provide them.

For home and community-based providers, PERS can be a strong addition to your services. Here is how coverage actually works in Nevada, and what you need in place before you bill.

Enroll before you deliver

You must be an active Nevada Medicaid provider, enrolled through the Division of Health Care Financing and Policy, before you deliver a device you intend to bill. Enrollment is not retroactive. You can add PERS to an existing enrollment or set up a separate entity dedicated to it.

Bill the right codes, keep the right file

Installation is billed with S5160 and monthly monitoring with S5161. Keep documentation of medical necessity in every consumer's file, and confirm current authorization rules with Nevada Medicaid, since requirements change over time.

Key takeaway: Enroll with Nevada Medicaid first, bill S5160 to install and S5161 monthly, and keep medical necessity documented.

Start Any Program. In Any State.®

Ready to add PERS to your Nevada services? Book a video consultation at waivergroup.com/videoappointment, call 302.888.9172, or email inquiries@waivergroup.com.