In order to apply for Medicaid PCS Personal Care Nevada, you must be eligible and enrolled in Nevada Medicaid or Nevada Checkup.
Nevada Medicaid Application
To learn how to apply for Medicaid in Nevada, visit the Division of Health Care Financing and Policy section of the Official Department of Health & Human Services website below:
accessnevada.dwss.nv.gov
Having Medicaid Does Not Mean You Enrolled For PCS Services
When you have applied for Nevada Medicaid, you will then need to request an evaluation for PCS Services. Nevada’s PCS Program is for NV state residents of any age with a chronic condition or disability; also for seniors receiving Medicaid. Before you request an evaluation for Medicaid PCS Services in Nevada, we will determine your eligibility during the enrollment process.
If already enrolled with Medicaid but not PCS Services :
1. Recipient (person receiving care) must call 1-800-525-2395 to “request an assessment for PCS services”. (Make sure to say the agency is Personal Care Nevada NPI# 1043939861)
2. Medicaid then has 21 business days to contact the recipient to conduct a telephone interview.
3. If accepted, then Medicaid will set up an appointment for their MD to do a simple home assessment to determine hours. (Home assessment consists of the MD going to the recipient’s home to ask basically the same questions as in the phone interview. MD will want to see the recipient’s room and medical devices
4. Once assessed, Medicaid will approve a certain number of hours for the recipient per week. (Please advise Personal Care Nevada agency once you have approval)
5. Once approved, Personal Care Services can provide services. The setup takes about a week.
Before You Apply
When the recipient/authorized individual calls the 1-800-525-2395 number they need to be prepared to answer questions about the client’s health-previous surgeries, hospitalizations, diagnosis, medications, medical devices (ie. walker, wheelchair, port-a-potty), and anything that might inhibit them from normal daily activities. They will also need to answer questions regarding how the client’s activities of daily living (ADLs) are affected by these health issues. For example, can the client walk unassisted? How far? Can the client sit, go from sitting to standing, use the restroom or shower, lift things, or get up from lying down without assistance?
Once they answer these questions, the operator will let them know if they qualify to move forward with the application and will assign a Medicaid caseworker for further evaluation. After accessing medical records, the Medicaid caseworker will assign a medical professional to visit the client’s home and basically repeat the same questions in person. It typically takes about three weeks for the medical professional to be assigned and to contact the client for the interview. The medical professional will decide the number of hours the client needs for care based on this interview. Once the in-person evaluation is complete, it typically takes another two weeks for Medicaid to inform the client of how many hours of care they have qualified for per week. At this point, the PCS company will be able to access the client’s information in the Medicaid system and begin providing services.
Can a Family Member Get Paid to Be a Caregiver in Nevada?
A family member (except for a spouse or legal representative) can be paid to be a caregiver in Nevada, but you must be qualified and trained by a licensed and insured PCA company in your area.
*Note: My company does not work with self-directed. it is not available in your area.
The recipient must be a Nevada resident and qualify for Medicaid
Medicaid is a federal program that provides health coverage to millions of Americans, including low-income adults, children, pregnant women, elderly adults, and people with disabilities. Medicaid provides several programs for each of these groups, depending on the state where they live.
The recipient must need assistance
The assistance must be significant, and the recipient must not be in the hospital, a nursing facility, an intermediate care facility, or a residential care facility. The idea and philosophy behind the PCS self-directed program are to prevent nursing home care, which is far more expensive and not what most people want. So the person applying for the PCS program will need to meet nursing home eligibility.
With the support and assistance of PCS, the recipient is expected to continue to live independently in their home with the support provided by a family caregiver. Here are some of the activities of daily living that a recipient may require:
– Basic Housecleaning
– Bathing
– Continence Care
– Dressing
– Eating
– Grooming
– Laundry
– Meal Preparation
– Mobility
– Shopping for Essentials
– Toileting
– Transferring (i.e., from a chair to a wheelchair)
Services not covered under PCS
It’s important to understand the services that are not covered under the self-directed PCS program. It might be necessary to augment care from other sources if these tasks are needed:
– Catheter care
– Wound care
– Injections including IVs
– Monitoring vital signs
– Specialized feeding
– Massage
– Range of motion
– Medical case management
– Toenail cutting
– Chore services and pet care
– Transportation
– Respite care
– Companion care
If the family member who is receiving compensation through the PCS program is licensed as a nurse or CNA, they may be able to perform some of the medical tasks listed.
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