Paid family caregiver information in Nevada

Which Nevada care program are you asking about?

Check the program name on your loved one's care approval notice. If you are unsure, ask their health plan or case manager. Each program has its own rules. Approval for one does not mean you qualify for another.

Crown Caregivers provides non-medical care and can discuss family-caregiver questions. Before applying, ask our team to confirm the specific program, provider model, and payer we can work with for your situation. A personal-care agency license is separate from Medicaid provider enrollment.

Can a spouse, parent, or other relative be paid?

Standard Nevada Medicaid PCS does not pay a person's spouse or legal guardian to provide care. It also does not pay the parent of a child under 18, including step, foster, and adoptive parents. The manual calls these people “legally responsible individuals.” These payment exclusions still apply if the person is unavailable or unable to provide care.

Other relatives or friends may qualify, but must meet the program's caregiver and hiring rules. Living together or already helping without pay does not automatically qualify you. Ask about your exact relationship and program.

A different waiver or service may have different rules. Confirm those rules with the program administrator and ask whether Crown participates before making care or employment plans.

Source: Nevada Medicaid Services Manual, Chapter 3500, sections 3503.1 and 3503.1C, current edition effective July 1, 2026.

What to do next, based on where you are now

1. 1. No coverage or unsure of the program?

   Ask Nevada Medicaid which care options may fit your loved one's needs. If they have a health plan or case manager, ask who arranges the care assessment and approves services. You can call Crown to discuss the help needed and prepare questions for the health plan.

2. 2. Covered, but not assessed for personal care?

   Nevada's PCS information lists (800) 525-2395, option 1 then option 4, for initial recipient requests. Ask about a PCS assessment. Relay callers can dial 711 and request that number. A physical or occupational therapist assesses functional needs; authorization must be in place for Medicaid-funded PCS. Confirm the current route with your payer.

3. 3. Already have an authorization?

   Have the program name, approved tasks, paid hours, and approval dates ready when you call. Ask Crown whether we can work with your coverage and whether the program allows your family relationship. Approval for your loved one's care does not mean you have been hired.

4. 4. Before starting paid work

   Ask your employer to confirm the checks, training, pay, and start date. Find out how to record each visit. PCS requires you to follow the approved care plan and use an approved Electronic Visit Verification (EVV) system to log care visits. Past unpaid care and all time spent together are not automatically paid.

Sources: Nevada PCS contacts and assessment information and Chapter 3500 authorization and service-documentation rules.

A checklist for your first call

You can ask questions before gathering every document. For a useful conversation, be ready to describe:

• The city where care is needed and the person's age group.
• Your relationship to the person, including any legal guardianship.
• Tasks they need help with, such as bathing, dressing, or meals.
• Whether coverage, an assessment, or care hours are already approved.
• The program or payer name and any case-manager contact you have.
• Your availability and the support already provided by others.

Keep insurance cards, authorization notices, and care-plan documents available for the appropriate intake process. Do not put Medicaid numbers, Social Security numbers, diagnoses, or medical records in the website contact form. Ask our team how to provide any needed records securely.