Nevada - Homemaker Service — Licensing, Medicaid Enrollment and Startup Requirements

Last reviewed: 2026-09-10

Nevada Medicaid reimburses Homemaker Services under Provider Type 39 and Provider Type 48 (Home and Community Based Waiver for the Frail Elderly) for agencies holding an active Personal Care Agency license from the Division of Public and Behavioral Health (DPBH) [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

Approval requires securing this DPBH license before submitting an enrollment packet to the Division of Health Care Financing and Policy (DHCFP). Applicants must also implement Electronic Visit Verification (EVV) and maintain specific commercial liability and crime insurance policies naming Nevada Medicaid as an additional insured [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

1. Service Definition and Scope

Homemaker Services in Nevada provide general household support for individuals unable to perform these tasks independently. Under the Frail Elderly waiver, this includes meal preparation, laundry, shopping, and light housekeeping [Provider Enrollment Checklist for Provider Type 48 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT48.pdf).

The service is heavily regulated to ensure recipient safety and requires electronic tracking of all in-home visits.

• Service Name: Homemaker Services (Specialty 039)
• Provider Types: PT 39 (Homemaker Services) and PT 48 (HCBW Frail Elderly)
• Covered Tasks: Meal preparation, laundry, shopping, and light housekeeping
• Delivery Requirement: Electronic Visit Verification (EVV) is required for all Homemaker Services claims

2. Regulatory and Oversight Agencies

Multiple state divisions under the Nevada Department of Health and Human Services (DHHS) govern this service. Licensing is handled by the health authority, while Medicaid enrollment and waiver operations are split between financing and aging divisions [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

• Licensing Authority: Division of Public and Behavioral Health (DPBH), Bureau of Health Care Quality and Compliance (HCQC) (https://dpbh.nv.gov)
• Medicaid Agency: Division of Health Care Financing and Policy (DHCFP) (https://dhcfp.nv.gov)
• Waiver Operator: Aging and Disability Services Division (ADSD) (https://adsd.nv.gov)
• Enrollment Portal: Nevada Medicaid Provider Web Portal (https://www.medicaid.nv.gov)

3. Gatekeeping Prerequisites: Who Can Even Apply

Nevada does not utilize a Certificate of Need (CON) or closed RFP procurement process for Homemaker Services. However, structural prerequisites exist regarding existing licensure and provider type enrollment [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

• Licensure Prerequisite: Applicants must already hold a Personal Care Attendant agency license from DPBH HCQC before Medicaid enrollment is accepted
• Alternative Enrollment Prerequisite: For PT 39, providers can alternatively demonstrate current active enrollment as a PT 30 (Personal Care Services - Provider Agency) or PT 83 (Intermediary Service Organization)
• Network Status: Open enrollment; there is no moratorium or closed network for this provider type
• Business Registration: Must hold an active business license from the Nevada Secretary of State

4. Licensure and Certification Requirements

Homemaker services are not licensed under a standalone homemaker category; they fall under the Personal Care Agency (PCA) license issued by DPBH [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

• License Type: Agency to provide Personal Care Services in the home
• Issuing Body: DPBH Bureau of Health Care Quality and Compliance (BHCQC)
• General Liability Insurance: Minimum $2 million general aggregate and $1 million each occurrence
• Crime Insurance: Commercial Crime Insurance for employee dishonesty with a minimum of $25,000 per loss
• Additional Insured: Policies must explicitly name Nevada Medicaid (4070 Silver Sage Dr, Carson City, NV 89701) as an additional insured

5. Medicaid Provider Enrollment

Enrollment is processed through the Nevada Medicaid Provider Web Portal. Providers must submit specific checklists and addendums based on their provider type [Provider Enrollment Checklist for Provider Type 30 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT30.pdf).

• Enrollment Portal: Nevada Medicaid Provider Web Portal (https://www.medicaid.nv.gov)
• Required Form 1: Provider Enrollment Checklist for Provider Type 48 or 39
• Required Form 2: Signed Business Associate Addendum (NMH-3820) for non-HIPAA covered entities
• Required Form 3: Advance Directives Compliance Self-Evaluation & Certification form (if enrolling via PT 30)
• Revalidation: Required every 5 years

6. Staffing, Training and Background Checks

Direct care staff providing homemaker services must meet baseline health and safety standards. Agencies are responsible for verifying these qualifications prior to client contact [Homemaker Services Nevada](https://help.waivergroup.com).

• Background Check: Verification of completion of Federal Bureau of Investigations (FBI) criminal background check
• Basic Certifications: CPR and First Aid certification required for all direct care staff
• Experience: Demonstrated experience in light personal care assistance or household management
• Worker's Compensation: Proof of Worker's Compensation Insurance must be maintained for all employees

7. Documentation, Policies and Records

Agencies must maintain comprehensive records of service delivery and administrative compliance. Nevada Medicaid requires strict adherence to the Medicaid Services Manual (MSM) [Provider Enrollment Checklist for Provider Type 38 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT38_Spec_211_n061215.pdf).

• Policy Acknowledgment: Attestation of reading and understanding Medicaid Services Manual (MSM) Chapters 100 and 2100
• Service Plans: Services furnished must be explicitly identified in the recipient's Individual Support Plan
• Fraud Reporting: Mandatory compliance with DHCFP fraud reporting requirements (MSM Chapter 3300, Section 3303.1B.1)
• HIPAA Compliance: Maintenance of the Business Associate Addendum (NMH-3820) outlining data protection protocols

8. Billing, Rates and Claims

Claims for Homemaker Services are submitted to DHCFP and must comply with Electronic Visit Verification (EVV) mandates [Nevada Medicaid Provider Enrollment - Information Booklet](https://www.medicaid.nv.gov/Downloads/provider/Provider_Enrollment_Information_Booklet.pdf).

• Billing System: Nevada Medicaid Provider Web Portal (https://www.medicaid.nv.gov)
• Mandatory Tracking: Electronic Visit Verification (EVV) is strictly required for PT 39 Homemaker Services
• Provider Type Codes: Billed under PT 39 or PT 48 (Specialty 039)
• Funding Source: Reimbursed through the Home and Community Based Waiver for the Frail Elderly or State Plan depending on exact enrollment

9. Approval Sequence and Timeline

The critical path to approval requires securing the state business license and DPBH health facility license before approaching Medicaid [Provider Enrollment Checklist for Provider Type 48 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT48.pdf).

• Step 1: Obtain Nevada Secretary of State business registration
• Step 2: Apply for and receive Personal Care Agency licensure from DPBH HCQC
• Step 3: Secure required commercial liability, crime, and worker's compensation insurance policies
• Step 4: Submit the Provider Enrollment Packet via the Nevada Medicaid portal

10. Common Denials and Survey Findings

Applications and surveys frequently fail due to missing insurance endorsements or lapsed background checks [Provider Enrollment Checklist for Provider Type 48 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT48.pdf).

• Insurance Endorsements: Failure to explicitly name Nevada Medicaid at the Carson City address as an additional insured on liability policies
• Missing Addendums: Omitting the Business Associate Addendum (NMH-3820) for entities not classified as HIPAA covered
• Background Clearances: Allowing staff to provide services before the FBI criminal background check is fully verified
• EVV Non-Compliance: Failure to properly capture and transmit EVV data for in-home homemaker visits

11. Key Contacts and Resources

Primary contacts for prospective homemaker agencies include the licensing bureau and the Medicaid enrollment unit [Provider Enrollment Checklist for Provider Type 48 - Nevada Medicaid](https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT48.pdf).

• Medicaid Provider Enrollment Unit: (877) 638-3472 (https://www.medicaid.nv.gov)
• DPBH Health Care Quality and Compliance (HCQC): Licensing authority (https://dpbh.nv.gov)
• Aging and Disability Services Division (ADSD): Waiver operations (https://adsd.nv.gov)
• Medicaid Services Manual (MSM): Policy reference (http://dhcfp.nv.gov)

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