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The Nevada Home and Community Based Waiver (HCBW-PD) for Persons with Physical Disabilities, is often also referred to as the Physical Disability Waiver and formerly abbreviated as WIN. It is a program for low-income, physically disabled Nevada residents. This program allows individuals who require a nursing home level of care to remain living at home, in the home of a relative, or in an assisted living residence, by providing care and other supportive services, such as assistance with personal activities of daily living, housecleaning, errands, meal preparation and more.
Another program that may be of interest to a broader spectrum of older Nevada residents is the Frail Elderly Waiver. This provides services similar to the ones provided by the HCBW for Persons with Physical Disabilities. However, unlike the HCBW for Persons with Physical Disabilities, which has no age limitations, individuals must be 65 years of age or older to be eligible for the Frail Elderly Waiver. There is also no requirement of being physically disabled, only that an applicant requires a nursing home level of care. Make note, applicants are only able to receive services via one home and community based service waiver even if they are found to otherwise be eligible for both.
The HCBW for Persons with Physical Disabilities is operated by Nevada’s Department of Health and Human Services’ Division of Health Care Financing and Policy (DHCFP), while the Frail Elderly Waiver is administered by the Aging and Disability Services Division.
In order to be eligible for the HCBW for Persons with Physical Disabilities, there are both functional and financial requirements that Nevada residents must meet.
Applicants must be assessed and certified as disabled by a DHCFP physician. They must also require a nursing home level of care, and if not for the care provided by the waiver, be at risk of nursing home placement within 30 days.
Income - In 2018, a single applicant must not have monthly income in excess of $2,250. This amount is equivalent to 300% of the current Federal Benefit Rate. A married couple is permitted higher income, this is especially true if one spouse of the couple is not applying for Medicaid assistance. In this situation, the non-applicant is permitted a higher income as a living allowance up to $3,090 per month. Another approach available in Nevada to reduce one’s income to qualify for Medicaid is to use a Miller Trust. Learn more.
Assets / Countable Resources - Assets are limited to $2,000 for a single individual and $3,000 for a couple. However, certain assets are considered exempt, such as one’s home, provided the applicant lives in the home and the owners’ home equity is not valued over $572,000. A vehicle, household items, personal effects, and a burial policy up to $1,500 are also considered exempt items. Persons whose assets exceed these limits or married couples in which only one spouse requires care, should consider working with a Medicaid planning professional as certain assets of considerably higher value can be allocated to a non-applicant spouse.
Medicaid waivers are not entitlement programs. This means that applicants do not automatically receive services even if they are eligible, as there are a limited number of spots available and waiting lists may exist.
A variety of care and support services are available under the WIN / Physical Disabilities Waiver. These services must be approved in the beneficiary’s plan of care and can include the following:
Although a bit technical and difficult to comprehend, one can download a file here to learn more about the HCBW for Persons with Physical Disabilities.
One can also obtain information or apply for services by calling the Division of Health Care Financing and Policy. To see a list of DHCFP’s district offices and relevant contact information, click here.
Once accepted, program beneficiaries should expect annual reassessments of their functional ability and care requirements.