SKILLED NURSING SERVICES PROVIDER IN NEVADA

Fatumata Kaba
Sep 4, 2025
4 min read

DELIVERING MEDICAL CARE AND MONITORING IN THE COMFORT OF HOME

Skilled Nursing Services in Nevada provide essential medical care, health monitoring, and rehabilitative support to individuals with chronic illnesses, disabilities, or recovery needs. These services are delivered by licensed nurses in the individual’s home or community setting to maintain health, manage medical conditions, and promote recovery. Skilled Nursing 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 Skilled Nursing 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 Skilled Nursing Services under HCBS waiver programs.

Agency: Centers for Medicare & Medicaid Services (CMS)

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

2. SKILLED NURSING SERVICES OVERVIEW

Skilled Nursing Services involve medical care provided by licensed nurses to manage health conditions, support recovery, and maintain wellness.

Approved providers may deliver:

Health Monitoring: Regular checks of vital signs, blood glucose, and other health indicators.
Medication Administration: Administering prescribed medications, injections, or IV therapies.
Wound Care: Cleaning, dressing, and monitoring of wounds or surgical sites.
Chronic Disease Management: Monitoring conditions like diabetes, COPD, and heart disease.
Post-Surgical Care: Managing recovery after surgery, including pain management and mobility support.
Rehabilitative Support: Assisting with exercises and therapeutic interventions.
Care Coordination: Communicating with physicians, specialists, and other care providers.
Patient Education: Teaching self-care techniques and medication management to patients and families.

All services are delivered according to the Individualized Service Plan (ISP) to meet the participant’s medical and personal care 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 Skilled Nursing provider via the Nevada Medicaid Provider Enrollment Portal.
Obtain licensure as a Skilled Nursing Agency from DHHS if applicable.
Maintain general liability and professional liability insurance.
Develop comprehensive policies for patient care, medication administration, and safety management.
Ensure licensed nurses meet background checks, health screenings, and ongoing training requirements.

4. NEVADA PROVIDER ENROLLMENT PROCESS

Initial Interest and Application:

Complete the Provider Enrollment Application through the Nevada Medicaid Provider Enrollment Portal for Skilled Nursing Services under HCBS waivers.

Application and Documentation Submission:

Submit Articles of Incorporation, proof of EIN/NPI, nursing licenses, insurance certificates, and policy manuals.

Program Readiness Review:

DHHS and ADSD evaluate provider readiness, including nursing protocols, safety measures, and staff qualifications.

Approval & Medicaid Enrollment:

Upon approval, providers are authorized to bill Medicaid for Skilled Nursing Services using designated billing codes.

5. REQUIRED DOCUMENTATION

Articles of Incorporation or Business License (Nevada Secretary of State)
IRS EIN confirmation
NPI confirmation
Skilled Nursing Agency License (if applicable)
Proof of general and professional liability insurance
Skilled Nursing Services Policy & Procedure Manual including:
- Patient assessment, care planning, and medical documentation protocols
- Medication administration and chronic disease management guidelines
- Staff credentialing, background checks, and training documentation
- HIPAA compliance, patient rights, and grievance handling
- Documentation standards for care tracking and Medicaid billing
- Infection control, safety protocols, and emergency preparedness
- Quality assurance and compliance monitoring

6. STAFFING REQUIREMENTS

Role: Skilled Nursing Program Director

Requirements: Bachelor’s or Master’s degree in nursing (BSN or MSN); licensed as a Registered Nurse (RN); experience in home healthcare management.

Role: Registered Nurses (RNs)

Requirements: Active RN license in Nevada; experience in skilled nursing care; background clearance.

Role: Licensed Practical Nurses (LPNs)

Requirements: Active LPN license in Nevada; supervised by an RN; experience in patient care and medication management.

Role: Certified Nursing Assistants (CNAs)

Requirements: State certification, experience in personal care, and assisting with ADLs; supervised by an RN.

All staff must complete:

Advanced training in skilled nursing practices and safety protocols
HIPAA compliance and patient rights education
Crisis management and infection control training
Annual competency evaluations and professional development
Continuing education for nursing licensure maintenance

7. MEDICAID WAIVER PROGRAMS

Skilled Nursing 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:

Health monitoring and vital sign checks
Medication administration and management
Wound care and post-surgical monitoring
Chronic disease management and rehabilitation
Patient education and family support
Collaboration with healthcare providers for coordinated care

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 Skilled Nursing 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 SKILLED NURSING SERVICES PROVIDER

WCG supports healthcare agencies in launching Medicaid-compliant Skilled Nursing Services in Nevada, offering:

Scope of Work:

Business registration, Medicaid enrollment, and licensing assistance
Policy manual development for skilled nursing care and patient safety
Staff credentialing, training program templates, and care documentation guidance
Medicaid billing setup and audit-prepared financial management
Branding, website development, and client engagement strategies
Quality assurance systems for clinical safety and compliance
Collaboration with healthcare providers for integrated care planning