Nevada currently has a TEFRA program and two HCBS 1915(c) waivers that serve children. Only the Katie Beckett TEFRA program waives parent income. For a list of Nevada’s methods of accessing Medicaid for people who are disabled, see this overview.

Nevada previously charged a family fee or “parental reimbursement” for families who earn more than 200% of the federal poverty level. See this Parental Reimbursement Questionnaire. As of 2019, there was a moratorium on collection of these fees, so fees are not currently being collected.

Nevada also has a state-based program through a 1915(i) authority to provide intensive in-home services for children with behavioral or developmental disabilities already in Medicaid.

Advocacy Organizations in Nevada:

Last updated 10/2/23

Programs in Nevada

  • Target Population: Children who would otherwise require care in an institution with any type of disability, including medical, developmental, intellectual, or psychiatric conditions.
  • Ages: 0-18
  • Levels of Care: Intermediate Care Facility, Nursing Facility, Hospital
  • Income Waiver: Yes, the program is based on the child’s income only. Parent income is not counted. However, a parent fee may apply, though fees are not currently being collected.
  • Waiver Type: TEFRA
  • Spots: unlimited
  • Expiration Date: NA
  • Description: Provides Medicaid coverage only.
  • Online State Information: Katie Beckett Program
  • How to Apply: Apply for Medicaid and mention you want to apply for Katie Beckett, or contact DHCFP Reno or Las Vegas offices.
  • Waiting List: none
  • Target Population: Children and adults with physical or other health disabilities.
  • Ages: all ages
  • Levels of Care: Nursing Facility
  • Income Waiver: No, and a parent fee may apply, though fees are not currently being collected.
  • Waiver Type: 1915(c)
  • Spots: 1773
  • Expiration Date: 12/31/2027
  • Description from medicaid.gov: Provides case management, homemaker, respite, attendant care, specialized medical equipment and supplies, assisted living, chore, environmental accessibility adaptations, home delivered meals, and personal emergency response system services to individuals ages 65 or older and individuals with physical disabilities ages 0-64 years who meet a nursing facility level of care.
  • Online State Information: Physical Disability information
  • Official Federal Information
  • How to Apply: Contact your local Aging and Disability regional office.
  • Waiting List: Nevada has 1642 persons with physical disabilities on their waiting list.
  • Target Population: Children and adults with intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: No, and a parent fee may apply, though fees are not currently being collected.
  • Waiver Type: 1915(c)
  • Spots: 3075
  • Expiration Date: 9/30/2023; renewal in progress
  • Description from medicaid.gov: Provides day hab, prevocational, residential support, supported employment, behavioral consultation-training and intervention, counseling, career planning, non-medical transportation, nursing, nutrition counseling, residential support management for individuals with ID, ages 0 – no max age.
  • Online State Information: Developmental Disability information
  • Official Federal Information
  • How to Apply: Contact your local regional center.
  • Waiting List: Nevada has 496 persons with intellectual disabilities on their waiting list.

Additional Information

  • In the Physical Disabilities Waiver, parents/guardians of minors may be paid for certain waiver tasks. “[Legally Responsible Individuals]  may provide the following waiver services: Attendant Care – bathing, dressing, grooming, toileting, skilled services; Homemaker – up to 2 hours/week if the LRI is a live-in caregiver and for LRI non-live-caregiver – will be based on the case manager’s assessment of the recipient’s living condition e.g., living alone and risk level; Respite; Chore – this will be based on case manager’s assessment and only if the primary caregiver (live-in) needs assistance and that the LRI is a non-live-in caregiver.”
  • The Developmental Disabilities Waiver is in the process of adding the ability for some parents/guardians of minors to be paid for some waiver services.
  • We have also received reports that Nevada will soon allow parents who are nurses to be paid for the care of minors.