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Nevada’s Personal Assistance Services (PAS) Program is designed to help severely disabled adults, regardless of age, by providing services to them in their homes with the larger goal of preventing unnecessary nursing home placements. Beneficiaries are provided with personal care, assistance with the activities of daily living and non-personal care or "homemaker" services in and around their homes, up to a weekly maximum of 35 hours.
The program is under the administration of the Nevada Aging and Disability Services Division (ADSD), which is part of the Department of Health and Human Services. Funding is dependent on availability and is contingent on the specific needs of each individual.
This program is designed for people who cannot find other sources of funding to assist them living independently. “Other sources of funding” is mostly referring to the state’s Medicaid program. However, Medicaid eligibility is not always clear or definitive. One’s eligibility for Medicaid (and therefore eligibility for this program) depends on the age, marital status, income and assets of the applicant. For 2017, a single, applicant aged 65+ will be eligible for Medicaid if their monthly income is less than $2,205 and their countable assets do not exceed $2,000 in value. Therefore, persons whose income or assets exceed those levels may be eligible for Personal Assistance Services.
Candidates must be Nevada residents and at least 18 years of age. They must have a diagnosed physical disability that requires them to receive care to continue living at home, due to limited ability to complete ADLs. Recipients must require less than 35 hours of care per week, and must be capable of supervising their caregiver.
The primary benefit of PAS is up to 35 hours / week of attendant care, also referred to as personal care or assistance with the Activities of Daily Living (ADL). ADLs include mobility, toiletry, eating, grooming, and dressing. Additionally, the program provides homemaker services, which includes activities such as meal preparation, laundry and housekeeping, and shopping for food and prescriptions. Finally, case management services are provided. These can best be described as help discovering and applying for other forms of assistance. Short-term respite is also available to give a family caregiver a break from caregiving duties.
Payment for attendant care is based on a sliding scale dependent on the applicant's income and need.
To begin the application process, Nevada residents should contact their regional Aging and Disability Services Division (ADSD) office. Applicants must be prepared to share financial information, including income, investments and asset levels during the application process. A social worker evaluates an applicant’s need and helps with the PAS application. In-home visits to assess needs typically happen within the month following a new request.
This program is not an entitlement. Services are based on the availability of funding.
Nevada’s Department of Health & Human Services, Aging and Disability Services Division website offer some limited information about this program.