RESIDENTIAL SUPPORT SERVICES PROVIDER IN NEVADA

Fatumata Kaba
Sep 4, 2025
4 min read

SUPPORTING INDEPENDENT LIVING AND COMMUNITY INTEGRATION THROUGH PERSONALIZED CARE

Residential Support Services in Nevada enable individuals with disabilities or chronic conditions to live independently within their communities. These services provide personalized assistance with daily living activities, skill development, and community engagement, fostering independence while ensuring health and safety. Residential Support 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 Residential Support Services and oversees provider enrollment, service authorization, and reimbursement.

Agency: Aging and Disability Services Division (ADSD)

Role: Ensures quality standards, service delivery, and compliance for Residential Support Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

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

2. RESIDENTIAL SUPPORT SERVICES OVERVIEW

Residential Support Services offer long-term, community-based living assistance for individuals with disabilities, helping them maintain independence while participating in community life.

Approved providers may deliver:

Personal Assistance: Support with Activities of Daily Living (ADLs) such as dressing, bathing, meal preparation, and medication management.
Community Integration: Facilitating social, recreational, and community engagement opportunities.
Skill Development: Training in self-care, communication, budgeting, and household management.
24/7 Supervision: On-site staff support in group homes or supervised apartments to ensure safety and well-being.
Healthcare Coordination: Assistance with medication reminders, routine health monitoring, and coordination with healthcare providers.

All services are delivered based on the Individualized Service Plan (ISP) to meet the specific needs and preferences of the participant.

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 Residential Support provider via the Nevada Medicaid Provider Enrollment Portal.
Secure appropriate facility licensure from DHHS if offering residential group living.
Maintain general liability and professional liability insurance.
Develop policies covering participant intake, care planning, emergency response, health and safety protocols, and documentation.
Ensure staff meet health screenings, background checks, 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 Residential Support 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 review provider readiness, including staff credentials, care planning protocols, and documentation practices.

Approval & Medicaid Enrollment:

Upon successful review, providers receive authorization to bill Medicaid for Residential Support Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Facility License (if providing residential group home services)
Proof of general and professional liability insurance
Residential Support Services Policy & Procedure Manual including:
- Participant intake and assessment procedures
- Daily living support, medication management, and healthcare coordination protocols
- Safety and emergency procedures
- Staff credentialing, background checks, and ongoing training records
- Medicaid billing and service documentation practices
- HIPAA compliance, participant rights, and grievance handling

6. STAFFING REQUIREMENTS

Role: Residential Services Program Director / Supervisor

Requirements: Bachelor’s degree in social services, healthcare, or a related field; supervisory experience preferred; completion of specialized residential care training.

Role: Residential Support Workers / Direct Support Professionals

Requirements: High school diploma or GED; CPR/First Aid certification; training in residential care and community integration; background clearance.

All staff must complete:

Safety, infection control, and wellness training
HIPAA and participant rights education
Crisis intervention and behavioral support training
Annual competency evaluations and continuing education

7. MEDICAID WAIVER PROGRAMS

Residential Support Services are available under the following Nevada Medicaid Waivers:

Home and Community-Based Services for the Frail Elderly (FE) Waiver
Intellectual and Developmental Disabilities (IDD) Waiver
Physical Disabilities Waiver
Traumatic Brain Injury (TBI) Waiver
Home and Community-Based Waiver for Individuals with Intellectual and Developmental Disabilities (HCBS-IDD)

Services may include: