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Family Caregiver Pay Map · Nevada · Verified October 19, 2026

Nevada: Who Can Be a Paid Family Caregiver Under Medicaid

Nevada's state-plan personal care services pay relatives and friends through a provider agency or the self-directed model but exclude the spouse and the parent of a minor; a spouse can be paid only as the live-in caregiver under the slot-limited Structured Family Caregiving waiver for dementia care.

Spouse
In defined cases
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
No

Who can be paid: Adult children, siblings, other relatives, friends and neighbors as personal care attendants; a spouse only as the live-in caregiver under the Structured Family Caregiving waiver.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

State plan Personal Care Services — provider agency model or self-directed model through an intermediary service organization

Administered by Nevada Division of Health Care Financing and Policy.

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • Legally responsible individuals (spouse, legal guardian, parent of a minor) cannot be reimbursed for personal care services

HCBS Waiver for the Frail Elderly

Administered by Nevada DHCFP (operated by Aging and Disability Services).

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: Waitlist
  • Relatives may be paid through a waiver provider agency; a spouse only for limited non-personal-care services

HCBS Waiver for Structured Family Caregiving

Administered by Nevada DHCFP (operated by Aging and Disability Services).

  • Who employs the caregiver: Agency employs the caregiver
  • Waitlist: Capped enrollment
  • Daily stipend to a live-in caregiver, including a spouse, enrolled through a personal care agency or intermediary service organization; dementia or related diagnosis; slot-limited with a wait list

How to apply in Nevada

We do not yet have partner agencies in Nevada. Start with the program's administering agency — Nevada Division of Health Care Financing and Policy — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Nevada

Can a spouse be paid to care for their husband or wife in Nevada?
In defined cases. Nevada allows a spouse to be the paid caregiver only under conditions written into its rules; see the summary and sources on this page.
Who can be the paid caregiver in Nevada?
Adult children, siblings, other relatives, friends and neighbors as personal care attendants; a spouse only as the live-in caregiver under the Structured Family Caregiving waiver.
Is there a waitlist for Medicaid home care in Nevada?
State plan Personal Care Services — provider agency model or self-directed model through an intermediary service organization: no waitlist (Legally responsible individuals (spouse, legal guardian, parent of a minor) cannot be reimbursed for personal care services). HCBS Waiver for the Frail Elderly: waitlist (Relatives may be paid through a waiver provider agency; a spouse only for limited non-personal-care services). HCBS Waiver for Structured Family Caregiving: capped enrollment (Daily stipend to a live-in caregiver, including a spouse, enrolled through a personal care agency or intermediary service organization; dementia or related diagnosis; slot-limited with a wait list).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.