Program Description

The Nevada Home and Community Based Waiver for Persons with Physical Disabilities (HCBW-PD), 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.

Under this waiver, participant direction of benefits, such attendant care, homemaker and chore services, and respite care as is permitted. In lieu of program participants self-directing their own care, they may designate a personal care representative to do so in their place. Friends and family, with the exception of spouses and legal guardians, can be hired and paid to provide care.

Another program that may be of interest to a broader spectrum of older Nevada residents is the Frail Elderly Waiver. This program provides services similar to the ones provided by the HCBW for Persons with Physical Disabilities. However, unlike the HCBW-PD, 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 services 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.

SOURCE: https://www.payingforseniorcare.com/nevada/medicaid-waivers/hcbw-physical-diabilities