Starting a Nevada Home Health or Personal Care Agency?

Nevada separately licenses Home Health Agencies under NAC 449 and Agencies to Provide Personal Care Services in the Home under NRS 449B and implementing NAC 449 rules. HCQC reviews the application, ownership, administration, policies, personnel safeguards, and operating readiness. Medicare certification and Nevada Medicaid enrollment and EVV are separate.

Choose the type of Nevada agency you would like to start:

Nevada Medicare-Certified Home Health Agency

Provides skilled nursing and qualifying home health services in the patient's residence and completes CMS enrollment, survey, and certification steps to participate in Medicare.

Nevada Home Health Agency

A complete Nevada Home Health startup option covering HCQC licensure, CMS enrollment and certification, OASIS and survey preparation, documents, website, and marketing support.

Nevada Personal Care Agency

A complete licensed Nevada Personal Care Agency option covering HCQC application, administrator, insurance, surety bond, personnel, service-plan, supervision, and optional Medicaid and EVV preparation.

Nevada Agency Startup Assistance

We can assist with the following services depending on the type of Nevada agency you are starting:

  • Nevada-specific policy manuals, forms, and admission documents
  • Nevada HCQC licensure, CMS certification, OASIS, and survey preparation for Home Health Agencies
  • Nevada HCQC personal care agency licensure and optional Medicaid enrollment preparation
  • Accreditation application preparation, when applicable
  • Website creation and hosting
  • Domain name registration
  • Logo, brochures, and business cards
  • Business formation assistance, if needed
  • Ongoing guidance and feedback throughout the startup process
  • Member’s area access with future document updates and resources

Not every service applies to every agency type. The HHA and Personal Care Agency licenses are separate. Medicare certification, Nevada Medicaid enrollment, managed-care contracting, service authorization, EVV, and claims requirements are additional processes when applicable.

Questions?

Give us a call and let us know about your needs.

We have helped hundreds of agencies with their document needs from Nevada to Alaska and Coast to Coast. We offer the best prices in the industry with the fastest delivery.

Updates are Free!

We will customize the documents to your company at no additional charge!

You will have access to the member's area where you can interact with other members and download updates free of charge.

We look forward to being a part of your success!

Sincerely,

David Anderson
Home Health Forms Owner
Established 2007

Nevada Home Health & Personal Care FAQs

Answers to common questions about Nevada HCQC licensure, Home Health Agencies, Agencies to Provide Personal Care Services in the Home, Medicare certification, Medicaid enrollment, and EVV.

What Nevada agency types does this page cover?
  • Nevada Home Health Agency — obtains HCQC licensure under NAC 449 and may separately pursue Medicare certification and Medicaid enrollment.
  • Nevada Personal Care Agency — obtains an Agency to Provide Personal Care Services in the Home license under NRS 449B and implementing NAC 449 rules.
Does Nevada license Home Health Agencies?

Yes. NAC 449.752 prohibits establishing, conducting, or maintaining a Nevada HHA without first obtaining a state license.

Where must an HHA's home office be located?

NAC 449.768 requires the HHA applicant and licensee to maintain its home office in Nevada. Licenses are location-specific, identify the service area and responsible person, and are not transferable.

What does the HHA application review cover?

HCQC reviews the application, identity and ownership, premises, local approval, insurance, bond, administrator qualifications, financial and entity documents, background checks, policies, methods of operation, and survey readiness.

What happens when an HHA inspection finds deficiencies?

Nevada periodically inspects licensed HHAs. When deficiencies are reported, the administrator must submit a correction plan within 10 days after receiving the report.

Must a Nevada HHA follow federal standards?

Nevada broadly incorporates 42 CFR Part 484 and CMS Appendix B survey guidance, with specified exceptions for non-Medicare-certified HHAs.

How does an HHA pursue Medicare certification?

The licensed agency separately completes CMS enrollment, federal materials, OASIS readiness, the Conditions of Participation, and an initial certification survey through the state survey agency or a CMS-approved accrediting organization.

Does HHA licensure include Nevada Medicaid enrollment?

No. Nevada Medicaid Provider Type 29 enrollment, NPI, agreements, screening, revalidation, managed-care contracting, billing, and EVV are separate.

Does Nevada license Personal Care Agencies?

Yes. NRS 449B.100 requires a license to operate an Agency to Provide Personal Care Services in the Home unless a specific statutory exemption applies.

What services may a Personal Care Agency provide?

Authorized services include assistance with activities of daily living such as dressing, bathing, grooming, meals, laundry, shopping, cleaning, transportation, and minor personal-hygiene needs. Limited health-related tasks require compliance with the exact statutory and regulatory conditions.

What must a Personal Care Agency application address?

The application typically addresses ownership, local approval, insurance, surety bond, administrator qualifications, financial capacity, entity records, background checks, training, personnel systems, policies, client safeguards, service plans, and operational readiness.

Are surety bonds and insurance required?

Yes, subject to the applicable statutory terms and exceptions. NRS 449B uses employee-based surety-bond tiers, and the agency must retain required liability coverage.

Are background checks required?

Yes. Applicants submit fingerprints for state and federal review, and agencies must complete the required initial and periodic screening of covered employees, temporary staff, and independent contractors.

What must happen before personal care begins?

The administrator or designee must document the initial screening, develop or accept the service plan, verify the agency can meet the client's needs, review schedules and backup and complaint procedures, explain prohibited tasks, and coordinate other services.

Are supervisory contacts required?

Yes. Documented home visits or telephone calls must evaluate safety, service-plan compliance, whether the client's needs are met, attendant training, and necessary follow-up.

When does the Personal Care Agency license expire?

Under the current NRS 449B framework, the license expires December 31 following issuance and is renewable for one year upon reapplication, required statements, investigation, and payment of applicable fees.

Does personal care licensure include Medicaid enrollment?

No. Nevada Medicaid Provider Type 30 enrollment is separate and electronic. The provider must meet current licensure, ownership, NPI, insurance, screening, contract, revalidation, authorization, and billing requirements.

Is Electronic Visit Verification required?

Yes for Nevada Medicaid home health, personal care, and specified waiver services. Covered claims must flow through Nevada's EVV system even when the provider uses an approved alternate vendor.

Is EVV training required?

Yes. Nevada Medicaid requires training before a provider furnishes covered services, and applicable agency and attendant NPIs must be documented in the EVV system.

What does the Nevada Startup Package include?
  • Logo creation, customized WordPress website, one year of hosting, and domain registration.
  • 500 business cards and 500 tri-fold brochures.
  • Nevada-specific policies, human-resources documents, admission or client-service documents, and operational forms.
  • HCQC licensure and CMS preparation for the HHA package, or HCQC personal care agency licensing and optional Medicaid preparation for the Personal Care package.
  • Members' area access, customization, ongoing guidance, and applicable updates.
Are government and third-party fees included?

No. Licensing and government fees, accreditation, background checks, fingerprinting, surety bonds, insurance, zoning, office, personnel, EVV, survey expenses, software, mailing, and other third-party costs are separate unless expressly included in writing.

Do you guarantee licensure, certification, or payer approval?

Home Health Forms provides customized documents, guidance, and preparation assistance. HCQC, the Nevada Health Authority, CMS, Nevada Medicaid, managed-care organizations, survey organizations, accreditors, and other payers make their own decisions. Home Health Foms provides guidance and documents that meet regulatory requirements to ensure your success.

When are customized materials delivered?

Customized policy manuals, forms, and related digital documents are generally emailed within five business days after all customization information is received. Website, printing, shipping, and other components may have separate timelines.

What is the cancellation or refund policy?

Eligibility depends on work completed, customized materials produced, digital products delivered, third-party expenses paid, printing ordered, and other services already performed.

Important: Regulatory information is general and subject to change. Verify current requirements with HCQC, the Nevada Health Authority, CMS, Nevada Medicaid, local authorities, and other applicable agencies. Home Health Forms is a private consulting and document-preparation business and is not affiliated with the State of Nevada or any government agency.

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