Nevada home care license requirements
Bottom line: Yes — License to operate an agency to provide personal care services in the home (NRS 449B).
WATCH Watch item: Proposed fee regulation R071-26 (Apr 20, 2026) would set $1,374 initial / $687 renewal; adoption not confirmed.
- License required?
- Yes
- License / pathway
- License to operate an agency to provide personal care services in the home (NRS 449B)
- Fees (initial / renewal)
- Current Not confirmed in official sources — check with the state agency; proposed $1,374 / $687
From the 50-state summary. Fees shown as stated in the state entry; see each entry for conditions, conflicts, and sources.
Nevada requirements, item by item
Bracketed numbers link to the official sources at the bottom of this page.
Not confirmed in official sources — check with the state agency We could not confirm this item on an official state source during our review, so we did not estimate it.
| Item | What the guide found |
|---|---|
| License required? | Yes. A license is required before operating an agency providing personal care services in the home, subject to statutory exceptions, including certain independent contractors and other specified entities. [1][2] |
| License type / name | License to operate an agency to provide personal care services in the home. Separately, Nevada Medicaid enrollment checklists identify provider-type pathways; some require the agency license and, for certain services, an Intermediary Service Organization (ISO) endorsement. [1][3][4] |
| Licensing agency | The current NRS text identifies the licensing Division as the Health Care Purchasing and Compliance Division of the Nevada Health Authority. Medicaid enrollment checklists name DPBH as the agency issuing the personal care attendant agency license; earlier sources also identify DPBH/HCQC. [1][3][5] |
| Agency website | www.health.nv.gov (listed as the Division website in the supplied agency handout; currentness is not established by that source). [6] |
| Initial application / license fee | Not confirmed in official sources — check with the state agency — Current adopted amount not confirmed. Proposed regulation R071-26 (LCB draft dated Apr 20, 2026) lists $1,374 for an initial license for an agency to provide personal care services in the home; adoption not confirmed. [7] |
| Renewal fee | Not confirmed in official sources — check with the state agency — Current adopted amount not confirmed. Proposed R071-26 (Apr 20, 2026) lists $687 for renewal; adoption not confirmed. [7] |
| Renewal cycle | Annual. The license expires on December 31 following issuance and is renewable for one year. [1] |
| Typical approval timeline | No general license-processing timeline is stated in the sources reviewed. For a criminal-history eligibility petition, the Division must inform the petitioner of its determination within 90 days after submission. [1] |
| Administrator qualifications | The application must identify the person in charge and provide evidence that the applicant is of reputable and responsible character and able to comply with applicable law and regulations. The December 2024 workbook lists administrator qualifications including age 18 or older, a high school diploma or equivalent, responsibility and maturity, understanding applicable requirements, and English-language ability. A 2025 proposed amendment describes an educational requirement met by a long-term-care administrator license or a high school diploma or equivalent; its effective status is not established here. [2][8][9] |
| Caregiver background checks | Applicants submit fingerprints for an FBI report. Agencies must obtain criminal-history information for covered employees, temporary employees, and independent contractors; checks are generally due within 10 days after hiring or contracting and investigations are repeated at least every five years. Medicaid enrollment checklists separately require fingerprint-based checks for specified direct-service personnel. [1][2][3] |
| Caregiver training hours | The December 2024 workbook requires attendants to complete training before independently providing services and receive at least 8 hours of client-related training annually. The supplied 2025 Medicaid Provider Type 95 checklist separately requires the Provider Agency to submit a certificate for at least 12 training hours before initial enrollment and revalidation. The statute requires Board-prescribed training for specified unlicensed caregivers but gives no number of hours. [8][4][2] |
| Registry checks | The law requires screening covered personnel using the specified Internet website if that website has been established under NRS 439.942. The December 2024 workbook’s personnel-file checklist also lists an NABS clearance letter. The sources reviewed do not establish a separate abuse-registry check. [1][10] |
| General liability insurance | For state agency licensure, the agency must retain proof of adequate liability coverage; the supplied state materials give no coverage amount. Medicaid enrollment checklists require commercial general liability of at least $2 million aggregate and $1 million each occurrence, with DHCFP named as an additional insured. [8][3] |
| Workers' compensation | Proof of workers’ compensation insurance is required by the supplied Medicaid enrollment checklists. The sources reviewed do not establish a workers’ compensation requirement specific to state personal-care agency licensure. [3][4] |
| Bonding (surety / dishonesty) | State agency licensure requires a surety bond at application and renewal: $5,000 for fewer than 7 employees, $25,000 for 7–25 employees, and $50,000 for more than 25 employees; a qualifying deposit may substitute. Separately, Medicaid checklists require commercial crime insurance for employee dishonesty, with a minimum of $25,000 per loss. [1][2][3] |
| Rule changes 2025–2026 | May 30, 2025: AB 519 was approved; its digest describes a new NRS chapter for these entities, with licensing and regulation substantially identical to prior law, and changes to Medicaid caregiver training. October 2, 2025: a proposed amendment statement describes changes including administrator education and expanded attendant services; December 5, 2025: a public-hearing document records testimony about proposed 16-hour training. April 20, 2026: proposed regulation R071-26P lists personal-care-agency fees of $1,374 initial and $687 renewal, plus a 6% fee; the sources reviewed do not state that proposal’s effective date. [2][9][11][7] |
Source notes and conflicts
The current NRS source names the Health Care Purchasing and Compliance Division of the Nevada Health Authority, while older sources and Medicaid enrollment checklists name DPBH/HCQC; the sources reviewed do not explain the agency-name transition. Fee sources also differ by status and date: older regulations list $1,374 initial and $687 renewal, current statute leaves amounts to regulation, and the April 20, 2026 proposal lists those amounts plus a 6% fee without an effective date. The 2024 workbook’s administrator qualifications predate the 2025 proposed amendment; the sources reviewed do not establish the amendment’s effective status.
Sources
- NRS: CHAPTER 449B - AGENCIES TO PROVIDE PERSONAL CARE ...
https://www.leg.state.nv.us/NRS/NRS-449B.html - 2025 Statutes of Nevada, Pages 915-1074 - Nevada Legislature
https://www.leg.state.nv.us/division/legal/lawlibrary/Statutes/83rd2025/Stats202508.html - NV_EnrollmentChecklist_PT58_Spec189
https://medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT58-189.pdf - [PDF] Respite - Nevada Medicaid
https://www.medicaid.nv.gov/Downloads/provider/NV_EnrollmentChecklist_PT95_Spec191.pdf - [PDF] Personal Care Agency Training
https://www.leg.state.nv.us/App/InterimCommittee/REL/Document/12151 - [PDF] The Division of Public and Behavioral Health is reaching out to the ...
https://www.dpbh.nv.gov/siteassets/regulatory/hcqc/healthfacilities/advisory-councils/pca/agendas/xdelete-2014/Media_Handout.pdf - Nevada LCB Draft Proposed Regulation R071-26 (Apr 20, 2026)
https://www.leg.state.nv.us/Register/2026Register/R071-26P.pdf - [PDF] agencies to provide personal care services in the home workbook ...
https://www.dpbh.nv.gov/siteassets/regulatory/hcqc/healthfacilities/hf---non-medical/PCS_-__20Workbook_12.2024.pdf
Same document as source 10. - [PDF] Small Business Impact Statement Proposed amendments to Nevada ...
https://www.leg.state.nv.us/Register/RegsReviewed/$R089-24B.PDF - [PDF] PCS - Workbook 12.2024 - DPBH (nv.gov)
https://www.dpbh.nv.gov/siteassets/regulatory/hcqc/healthfacilities/hf---non-medical/PCS_-__20Workbook_12.2024.pdf - HEALTH CARE PURCHASING AND COMPLIANCE DIVISION
https://www.leg.state.nv.us/Register/RegsReviewed/$R089-24S.PDF
Limits: fees and forms change often. Agencies sometimes post conflicting figures (a statute vs. an older form); those conflicts are shown, not resolved by guessing. Confirm the current fee with the agency before filing. This guide is a research reference, not legal advice.
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