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STATE PROFILE • Last updated: April 23, 2026

Nevada Elder Care & Medicaid

Nevada's senior Medicaid programs offer crucial support for nursing home care and home-based services, requiring Miller Trusts for those exceeding strict income caps to access benefits.

leaderboard RANKED #24
GRADE C
FEATURED

Medicaid Coverage Guide for Nevada

Full breakdown of Home & Community Based Waiver for Frail Elderly for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.

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Program
Home & Community Based Waiver for Frail Elderly
Income cap
$2,982/mo
Medically-needy
No

Elder Care Index Report Card

5-pillar composite scoring vs other states

C Grade
AFFORDABILITY STRONG
QUALITY MODERATE
STAFFING CRITICAL
ACCESS CRITICAL
MEDICAID SUPPORT STRONG

Composite score: 50.2 / 100

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Nevada state capitol

Nevada At a Glance

Nursing Home Facilities
66
Senior Medicaid Waivers
3
National Rank
#24 / 51

Senior Care Costs in Nevada

holiday_village

Assisted Living

$3,750/mo
-18.3% vs national avg
local_hospital

Nursing Home

$11,545/mo
+4.6% vs national avg
  • 66 nursing homes · 7,235 beds
  • Avg CMS rating 3.12★ (16 rated 5★, 12 rated 1★)
  • 4.34 nurse hrs/resident/day (1.06 RN)
Source: CMS Nursing Home Compare
psychology

Memory Care

$4,688/mo
-18.3% vs national avg
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Home Health Aide

$27/hr
  • Median aide wage $14.15/hr
  • ~16,210 aides employed statewide
Source: BLS OEWS

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TOPICAL GUIDES — HOW MEDICAID WORKS

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