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In-Home Care in Nevada

The 2010 Census found almost 394,500 Nevadans were in the 65 and over age group. Leap forward a decade and the 2020 Census reveals seniors comprise 16.1% of the population, an increase of over 105,300. The weather is a factor, as Nevada offers plenty of warmth without the same levels of heat found more often in neighboring Arizona. However, the most appealing aspect is the probable financial incentives for living in Nevada, which doesn’t tax its residents’ incomes. Nevada doesn’t collect taxes from estates, inheritances, withdrawals from retirement accounts, or public and private pensions.

Nevada has many in-home care agencies providing non-medical services for seniors needing help with everyday activities, such as getting dressed, bathing and housekeeping. There are also home health care agencies dispatching skilled nurses and therapists to homes across the state, delivering basic medical care, such as pain management and speech therapy. Despite the differences in the two home care services, the state’s average fee is the same for both, at $5,148 per month.

This guide discusses Nevada senior care costs in relation to neighboring states. It also describes how Medicaid and Medicare help pay for home care services. Finally, we list some useful senior-friendly resources.

The Cost of In-Home Care in Nevada

According to the 2021 Genworth Cost of Care Survey, the typical Nevadan pays another $191 per month for in-home care when compared to the average American, who pays $4,957. Despite this, the median fee in Nevada is more affordable than in all the states that share its borders. In Arizona, in-home care typically costs $5,339 per month, while in Idaho, $5,434 is the norm. Utah’s costs are higher still, at $5,625, although not as high as Oregon, where seniors can expect to pay around $6,006, which is still $95 per month below California’s average fees.



The United States












Nevada’s most affordable city for in-home care services is Las Vegas, which has a median fee of $4,767. In St. George, Utah, the average is $5,148, which roughly reflects the average cost difference between the two states. Nevada’s next most affordable city is Reno, where seniors typically pay $5,720, while in Carson City, they pay around $6,101.

Las Vegas


Carson City




St. George, UT


Although in-home care and home health care agencies specialize in different services, they share an average fee of $5,148. This isn’t as affordable as either assisted living ($3,750) or adult day health care ($1,788), but seniors receiving care at home can benefit from one-on-one support from caregivers they often come to know personally. Despite its high costs when compared to other senior care services, home care fees aren’t as expensive as those of nursing homes, where Nevada’s average fee for a semiprivate room is $9,216 per month.

In-Home Care


Home Health Care


Adult Day Health Care


Assisted Living Facility


Nursing Home Facility (semiprivate room)


Does Medicaid Cover Home Care in Nevada?

Medicaid doesn’t directly pay for home care in Nevada but the state’s Long Term Support Services and Home and Community Based Services divisions can help. The Waiver for the Frail Elderly can pay for medical and non-medical services, as can the Waiver for Persons with Physical Disabilities, while Personal Care Services concentrates solely on non-medical assistance and the Waiver for Persons with Physical Disabilities helps those most in need. Nevada’s waivers, unlike Medicaid, are not entitlement programs, so successful applicants may need to join a waiting list as spaces are limited.

Home Waiver Programs in Nevada

The following waivers are designed to help seniors with varying levels of need and different qualifying criteria get the assistance they require to continue living safely and comfortably at home.

Waiver for the Frail Elderly(775) 687-4210Seniors aged 65 and over with qualifying financial and functional needs work with case managers to ensure their services suit their requirements. These can include in-home care services, such as light housekeeping, meal preparation and shopping. There is also provision for adult day health care 4 times weekly, respite care when the caregiver is absent and a personal emergency response system for seniors living alone. To apply, seniors should complete an application form and mail it to their nearest Aging and Disability Services Division
Community Options Program for the Elderly(775) 687-4210The Community Options Program for the Elderly is similar to the Waiver for the Frail Elderly, with the exception being it focuses more on in-home services, such as assistance with bathing, dressing and toileting. However, it also provides for seniors best served by adult daycare, companionship support, and in-home services, such as light housekeeping and laundry. The program is open to adults aged 65 and over who are at risk of institutional care. They must also meet the financial and functional need criteria of who can be cared for at home. The application process is the same as that for the Waiver for the Frail and Elderly.
Waiver for Persons with Physical Disabilities(775) 687-4210The Waiver for Persons with Physical Disabilities is open to Nevadans of all ages. It helps residents with severe physical disabilities avoid institutional care facilities by providing their home care. Case managers arrange all services the successful applicant needs, which typically includes medical, non-medical, social and educational support. The program also pays for personal care services, such as bathing and dressing, and in-home assistance, including light housekeeping. The applicant must have a diagnosed disability and have income and assets within the program's limits to be eligible. Applicants should complete the application form and send it to their local Aging and Disability Services Division office.
Personal Care Services(800) 525-2395Personal Care Services is a non-medical program for seniors with mobility limitations. It's available to residents on low incomes assessed as in need by a physical or occupational therapist. Services typically include essential shopping, meal preparation and light housekeeping, in addition to assistance with daily tasks, such as bathing and toileting. Unlike other waivers, seniors can self-direct their care, which may allow authorized family members to be their paid caregivers. Applicants should call Nevada's Medicaid fiscal agent at (800) 525-2395 to start the application process.

How to Know If You’re Eligible for Medicaid in Nevada

Nevada’s Medicaid program has strict guidelines that prioritize the neediest. For a single person, annual income shouldn’t exceed $10,092, and assets, $2,000. If both spouses in a two-person household apply, the combined income limit is $15,132, and assets, $3,000. Supplemental Security Income recipients are already eligible for Medicaid in Nevada. You should know part of the review process will cover 5 years of your financial history to check if assets were knowingly gifted or undersold to prepare for a future Medicaid claim.

2022 Basic Medicaid Income Limits for Seniors in Nevada

Income limits*Asset limits
Single Person$10,092$2,000
Two-Person Household$15,132$3,000

*Per year

In addition to satisfying the income and asset limits, applicants must also be able to prove they fall within the program’s other guidelines. These include:


  • Being a U.S. citizen, or legal resident
  • Being a Nevada resident
  • Being at risk of entering an institutional care facility


How to Apply for Medicaid in Nevada

There are three ways to apply for Medicaid in Nevada. They are:


  • Online: The fastest method is to visit ACCESS Nevada, which has a pre-screening tool to accelerate the process
  • By phone: Call the Division of Welfare and Supportive Services at (800) 992-0900
  • In-Person: Make an appointment at the nearest northern or southern Division of Welfare and Supportive Services office 


What Information You Will Need


  • Proof of citizenship, such as a birth certificate or a permanent residency ID card
  • Social Security card
  • Policy number for all health insurance plans
  • Proof of income and assets, such as bank statements and documents relating to stocks, bonds, etc.

How to Get Help Applying for Medicaid

Several organizations can answer questions about Medicaid. In some cases, information can be accessed online, in others, such as when legal help is available, it’s face-to-face.

ProgramContactArea ServedServices provided
Division of Welfare and Supportive ServicesMultiple ContactsStatewideThe Division of Welfare and Supportive Services has offices located throughout Nevada. As each is set up to assist with Medicaid applications, potential applicants can make contact with a local advisor who can give them more information and assist with their application.
Southern Nevada Senior Law Program(702) 229-6596Southern NevadaThe Southern Nevada Senior Law Program is a nonprofit that provides free legal advice and representation for seniors in matters involving civil law. This includes supporting clients dealing with Medicaid and Medicare issues, such as denial of benefits.
American Council on AgingEmail OnlyStatewideIf you prefer to look online for content about Nevada's Medicaid, the American Council on Aging's website is a useful free resource. The information is current, specific to Nevada and written by experienced Medicaid planning and eligibility experts.

Does Medicare Cover In-Home Care in Nevada?

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.


  • Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
  • Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
  • Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
  • Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.


As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

Other Financial Assistance Options for In-Home Care in Nevada

While the above programs help many people finance in-home care, they will not cover all costs for everyone. There are other ways to pay for in-home care, including out-of-pocket arrangements with siblings, annuities, reverse mortgages, private insurance and more. Read’s Guide to In-Home Care Costs to learn more about these alternative payment options.

Free and Low-Cost Resources for Seniors in Nevada

Seniors living in Nevada can request free and low-cost assistance from a wide range of government agencies and nonprofit organizations. The resources listed here can help cover home repair costs, reduce energy bills, make filing taxes less stressful and support caregivers.

ResourceContactArea ServedService
Housing Repair Loans and Grants(775) 443-4751Rural Areas StatewideUSDA Rural Development finances a grant and loan program to help Nevadan homeowners in rural areas pay for necessary repairs, improvements and modernization costs to their homes. Loans of up to $40,000 on 20-year fixed interest rates of 1% are available. Grants of up to $10,000 are also available for residents aged 62 and over to only pay for health and safety improvements. They need only be repaid if the home is sold within 3 years of the grant's approval. Eligible applicants are homeowners on low incomes living in rural areas who are unable to get affordable credit from other sources.
Weatherization Assistance ProgramMultiple ContactsStatewideNevada's Weatherization Assistance Program can help seniors save money on their home-fuel costs by making them more energy-efficient. Depending on the energy audit results, work may include sealing air leakage points, insulating attics, walls and floors, and installing solar screens. The program is available to homeowners and renters with incomes at or below 150% of the federal poverty guidelines. All work is free, although applicants in rental properties may be asked to contribute half the cost of installations that add to the property's value.
AARP Foundation Tax-Aide Program(888) 687-2277StatewideThe AARP Foundation Tax-Aide Program helps seniors prepare and submit their taxes every year. Although open to all, it prioritizes those on low incomes. For much of the year, seniors can choose the online option, which includes free software and support. As tax day looms closer, the AARP can connect seniors with IRS-certified volunteers who can help by phone or face-to-face. In some centers, volunteers may be able to take on the bulk of the work, with the seniors only required at the finalization stage.
Energy Assistance ProgramApplication FormStatewideThe purpose of the Energy Assistance Program is to help Nevadans on low incomes meet the costs of cooling and heating their homes. To be eligible for assistance, the applicant must be applying for a home they reside in, have a monthly income no greater than 150% of the federal poverty guidelines and be responsible, at least in part, for paying their energy supplier. To apply, seniors should download the application form and return a completed copy by mail or fax to the contact details printed on the form.
Family Support Services(775) 687-4210StatewideFamily Support Services is a free program administered by the Aging and Disability Services Division to help families provide care to their loved ones and help them avoid institutional care. Applicants must reside with their elderly relatives, whose incomes cannot exceed 300% of the poverty guidelines. The program can cover costs for respite services, either within the senior's home or in a facility, to give the primary caregiver some relief from their duties. Vouchers are also available to reduce costs for a range of necessities, such as food, utilities, adaptive equipment and medical/dental services not already covered by insurance.

In-Home Care Laws and Regulations in Nevada

Agencies and individuals that provide in-home care services in Nevada are required to follow the rules and regulations outlined in the Nevada Administrative Code Ch. 449.749. These regulations are designed to protect seniors and vulnerable adults who require homemaker services.

Scope of CareHome care agencies may provide non-medical assistance with activities of daily living, including light housekeeping, grooming and supervision.
Care Plan RequirementsHome care clients and/or their legal representatives must be provided with a plan of care, including details regarding costs, prior to receiving service from a home care provider.
Medication Management RequirementsHome care providers are prohibited from administering prescription and non-prescription medications.
Staff Screening RequirementsAll direct care staff must complete a background check, including a criminal record check, prior to providing service to clients.
Staff Training RequirementsHome care agencies must provide adequate training for direct care staff in accordance with licensing requirements.
Medicaid CoverageHome care agencies are not required to accept Medicaid-funded clients.
Reporting AbuseConcerns about abuse should be reported to local law enforcement.

Frequently Asked Questions

How to Find an In-Home Care Provider in Nevada

Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. When you hire an in-home care aide you’re placing a lot of trust in the hands of the person by inviting them into your home, so you’ll want to be diligent in your search. At, we’re here to help – we’ve created a helpful checklist below that can help guide you through the process of both determining your needs and finding a home care agency that will provide the best care possible.

Finding a Home Care Provider Checklist
Finding a Home Care Provider Checklist

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