Skip to content

National question: Can a family caregiver get paid? Official programs decide eligibility.

Nevada Self-Directed Personal Assistance / Home and Community Based Waiver

Nevada's HCBS waivers provide self-directed personal care services for Medicaid-eligible individuals with functional limitations. Participants can hire and manage their own attendants, including family members and spouses, through the consumer-directed model. Nevada also offers Structured Family Caregiving as an additional option for live-in caregivers.

Nevada's HCBS waivers provide self-directed personal care services including help with activities of daily living, health maintenance tasks, and homemaker services. Participants hire and manage their own attendants. Family members, including spouses, can be hired as paid caregivers. Hourly pay rates range from $13-$16/hr. Waitlists exist for waiver services. Nevada also offers Structured Family Caregiving for live-in caregiver arrangements.

Some details for this program are still being verified. Check the official source for the most current information.

Eligibility

  • Care recipient must have a qualifying disability
  • Relationship: spouse, parent, child, sibling, grandparent, other relative, non relative

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in Nevada? — Residency is usually the first thing a program checks.
  • Does your relationship to the person — spouse, parent, child, sibling, grandparent, other relative, or non relative — count for this program?
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • exact income limits by household size
  • specific rate schedules
  • a direct application link

Services

Nevada's HCBS waivers provide self-directed personal care services including help with activities of daily living, health maintenance tasks, and homemaker services. Participants hire and manage their own attendants. Family members, including spouses, can be hired as paid caregivers. Hourly pay rates range from $13-$16/hr. Waitlists exist for waiver services. Nevada also offers Structured Family Caregiving for live-in caregiver arrangements.

How to apply

  • Applications can be submitted online through Access Nevada, or by telephone, mail, fax, or in person; the administering division (ADSD) also pre-screens applicants for a nursing-facility level of care.