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Nevada State Medicaid Waiver Program Application Guide

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  • Nevada State Medicaid Waiver Program Application Guide





    Waiver #1: Home and Community Based Waiver for Persons with Intellectual and Developmental Disabilities (HCBS)

    Who Can Apply?

    Circumstances/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism) The state requires that individuals need an intermediate care facility level of care to qualify. There is a technical definition for this, but it really just means that the individual is unable to get through their day without a lot of supervision. Just note that there are currently 809 persons on the waiting list.

    Income: Income is not based on child income and a parent fee may apply. Contact your local regional center for more specific restrictions and to find out if your family qualifies

    What do I get?

    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. More Information is present on this application (pg. 46)

    How do I apply?

    Contact your local regional center

    View the application

    Waiver #2: Nevada TEFRA Program

    Who Can Apply?

    Circumstances/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism) The state allows individuals to need an intermediate, nursing home, or hospital level of care to qualify.

    Income: Income eligibility is only based on the child’s income and not the parents' income. This means that your child is financially eligible for the waiver if they don’t have an income.

    What do I get?

    TEFRA waivers essentially extend Medicaid coverage to the home so no real additional services are provided. Applicants are provided services and coverage that they would be given at an institution.

    How do I apply?

    Contact your local DHCFP (Division of Health Care Financing and Policy) and ask about the TEFRA waiver)

    What does the Goally Team Think?

    Nevada is good as they have a general Medicaid TEFRA waiver and additionally a more target waiver for individuals with intellectual and developmental disabilities. The more specific waiver has a waitlist, however. It’s only a 900 person waitlist but still. Additionally, the requirements for the waiver are difficult to find online and the website isn’t the most helpful resource.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 2/5

    Access and requirements of qualification: 3/5

    Healthcare coverage: 3/5

    Other online resources for Nevada:

    Family Ties of Nevada - Non-profit helping individuals with disabilities

    Nevada Disability Advocacy & Law Center - An organization that advocates for human, legal, and service rights for individuals with disabilities

    Telephone Resources:

    Division of Health Care Financing and Policy (main office number) - (775) 684-3676
    Last edited by Nate; 07-08-2020, 11:35 PM.
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