Frail Elderly Waiver: Nevada’s Medicaid Resource for Long-Term Services and Support To Promote Independent Living

Legacy Navigation is a team of Certified Medicaid Planners™ offering FE waiver application assistance for Nevada seniors. Specially trained in Medicaid programs, we can help you get qualified and apply for waivers — all at a fraction of the cost of an Elder Care Attorney.

Nevada’s Medicaid Frail Elderly Waiver: Program Overview

  • 1915(c) HCBS Medicaid Waiver
  • Statewide Medicaid program for Nevada seniors at risk of nursing home admission in the next 30 days.
  • Provides assistance with access to long-term services to enable the frail and elderly to remain in their home and avoid placement in a long-term care facility.
  • Seniors can live in their home, a loved one’s home, a group residential facility, or an assisted living residence.

 

Benefits of Nevada’s Frail Elderly Waiver

 

FE Waiver participants have access to many benefits, including:

  • Respite care
  • Adult daycare
  • Meal preparation
  • Laundry services
  • Home chore services
  • Light housekeeping
  • Companion services
  • Augmented personal carer
  • Personal shopping
  • Personal emergency response systems

*Not a complete list

Eligibility Requirements for the Nevada Frail Elderly Waiver

Nevada’s Frail Elderly waiver requires participants to meet certain financial requirements.

If your income or financial holdings exceed the limits outlined by Medicaid but you can’t afford the cost of care for yourself or a loved one, we can share some Medicaid planning strategies that may help.

2026 Income Limits

  • ISingle applicant: $2,982/mo
  • Married (both applying): $5,964/mo
  • Married (one spouse applying): $2,982/mo
  • A married applicant may be eligible to allocate a portion of their income to their non-applicant spouse as a Minimum Monthly Maintenance Needs Allowance.

2026 Asset Limits

  • Individual applicant: $2,000
  • Married spouses (both applying): $3,000
  • If only one spouse is applying, the assets of both spouses are limited because Medicaid considers assets to be jointly owned*
*For additional education on asset limits for Medicaid, please contact us to schedule a free consultation.

Functional Need Requirement

  • To qualify for a Frail Elderly Waiver in Nevada, seniors must require a Nursing Facility Level of Care (NFLOC).
  • An in-person or over-the-phone interview is required to establish functional need.
  • As a Clinical Care Team, Legacy Navigation can prepare you for what this assessment will look like and help you understand the types of questions you will be asked.

Additional Information About Nevada Medicaid Income Eligibility Guidelines

Countable Income

  • Employment wages
  • Alimony payments
  • Pension payments
  • Social Security Disability Income
  • Social Security Income
  • IRA withdrawals
  • Stock dividends

Non-Countable Income

  • VA Aid & Attendance and Housebound Pensions
  • Holocaust restitution payments

Additional Information About Nevada Medicaid Asset Eligibility Guidelines

Countable Assets

  • Cash
  • Cryptocurrency
  • Pension payments
  • Stocks
  • Bonds
  • Investments
  • Bank Accounts
  • Real estate (other than primary home)

Non-Countable Assets

  • Personal belongings
  • One automobile
  • Household furnishings
  • Primary home
  • Irrevocable burial trust

When You’re Over the Limits for the Frail Elderly Waiver: Nevada Eligibility Options

Qualified Income Trusts

Called Miller Trusts or Income Cap Trusts in Nevada.

  • Monthly income deposited into an irrevocable QIT no longer counts as income.
  • Trustee is named and funds can only be used for specific purposes, like Medicaid recipient’s Personal Needs Allowance, Spousal Needs Allowance, and long-term care services or medical expenses not covered by Medicaid.
  • Following the death of the Medicaid recipient, any remaining funds must be paid to the state of Nevada.

 

Asset Spend Down

Seniors who have countable assets over NV Medicaid’s asset limit can “spend down” excess assets on non-countable ones:

  • Safety and accessibility modifications to the home
  • Vehicle modifications
  • Prepaying funeral and burial expenses
  • Paying off any existing debt

 

Certified Medicaid Planning™ Services

Medicaid planning professionals can help you organize your finances and identify strategies to help you become Medicaid-eligible. 

At Legacy Navigation, we take a holistic approach to Medicaid planning and develop a customized plan that fits your unique situation.

How Seniors Can Apply for the Assisted Living Waiver in Nevada

Determine Eligibility

Seniors looking for Medicaid services to supplement the cost of their long-term care needs must meet specific Nevada Medicaid eligibility requirements, including:

  • Income limits
  • Asset limits
  • Functional need requirements

Gather All Supporting Documents

You will be asked to verify information about your household, including your income and assets. It’s important to have all of this documentation prepared before you apply to avoid any delays. It’s also important that all of your information and documentation is correct so your application won’t be denied based on a procedural error.

Apply

There are various ways seniors can complete the Medicaid application:

  • Online
  • Over the phone
  • In-person
  • Mail

Applying on Your Own

Applying With Help From Legacy Navigation

Nevada Frail Elderly Waiver Assistance: Client and Community Partner Testimonials

FAQs About Nevada’s Frail Elderly Waiver

In addition to the Frail Elderly waiver program, Nevada offers other HCBS waivers. A Certified Medicaid Planning™ team like Legacy Navigation can help you identify the waiver programs that are the best fit for your circumstances and complete the application on your behalf.

If your income or assets exceed the Medicaid financial limits, but your monthly care costs exceed your income, certain Medicaid planning strategies, such as a Miller Trust, can be used to qualify your income for Medicaid programs. Contact us for a free consultation.

In Nevada, the number of waivers is limited and there may be a waiting list for participation upon approval. Typically, access to benefits is based on the date of your application. However, since it can’t be determined where your application is on the waiting list, it can be beneficial to plan financially for long-term services and support.

Medicaid rules and regulations can be extremely complicated, and it’s not uncommon for applicants to be denied the first time they apply for Medicaid assistance. At Legacy Navigation, our Certified Medicaid Planning™ team has a thorough knowledge of the process and can complete the FE waiver application for you.

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We are an independent certified Medicaid planning agency and not connected with Medicaid. We specifically focus on the 65 and older and disabled populations, and related A&D Medicaid waivers. We are unable to answer questions outside of these programs. For questions regarding other Medicaid programs, SNAP, health plans, etc. please call your local state Medicaid agency.