Nevada · Checked October 22, 2026
Your license is the Agency to Provide Personal Care Services in the Home license (NRS 449.0021; recodified in NRS Chapter 449B by 2025 legislation, NRS 449B.100 license required), issued by Nevada Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance (HCQC).
| Item | Nevada |
|---|---|
| License / registration | Agency to Provide Personal Care Services in the Home license (NRS 449.0021; recodified in NRS Chapter 449B by 2025 legislation, NRS 449B.100 license required) |
| Issued by | Nevada Department of Health and Human Services, Division of Public and Behavioral Health, Bureau of Health Care Quality and Compliance (HCQC) — official page |
| Application / initial fee | $1,374 — Initial application fee for 'Agency to provide personal care services in the home' in the Division of Public and Behavioral Health Health Medical Facilities Fee Schedule under NAC 449.016. A 7% across-the-board NAC 449 fee increase was proposed in 2026 (R071-26, HCQC Small Business Impact Statement) — recheck the schedule at launch; the $1,374 figure is the last published schedule fee found. |
| Renewal | $687 |
| Surety bond | $5,000 — Tiered surety bond under NRS 449.065 (carried into NRS 449B for personal care agencies): $5,000 if fewer than 7 employees; $25,000 if 7-25 employees; $50,000 if more than 25 employees. $5,000 is the starting tier, not a flat amount. |
| Liability insurance | Agency must have evidence it is adequately covered against liabilities resulting from claims incurred in the course of operation and verify coverage on initial application and surveys (NAC 449 personal-care agency rules). No dollar minimum for personal care agencies was published in the rules reviewed; the $1M/$2M commercial general liability figures in Nevada rules apply to Intermediary Service Organizations, a different category. |
| Timeline | State does not publish a processing time for personal care agency licensure |
| Administrator | Administrator must be at least 18, hold a high school diploma or equivalent, be responsible and mature with personal qualities enabling understanding of elderly persons and persons with disabilities, understand NAC 449 / NRS 449, and demonstrate ability to read, write, speak and understand English (NAC 449.3973). A designee must be appointed to act in the administrator's absence. |
| State extras | Fingerprint/background-check fees for owners, administrators and attendants (Central Repository / FBI, NRS 449B fingerprint provisions); surety bond premium for the tiered bond; workers' compensation and liability insurance premiums; state business license and local licenses are separate from the HCQC fee. |
| Service | Under this license |
|---|---|
| Companionship & supervision | Covered |
| Homemaker help | Covered |
| Hands-on personal care | Covered |
| Live-in / 24-hour care | Covered |
| Transportation | Covered |
| Skilled nursing or therapy | Home health license required |
Nonmedical services only: elimination of wastes, dressing/undressing, bathing, grooming, meal preparation and eating, laundry, shopping, cleaning, transportation and other minor personal-hygiene needs (NRS 449B.050). Skilled nursing in the home requires the separate 'agency to provide nursing in the home' license. Services are provided 24/7 under the agency model, so live-in arrangements are not excluded by the definition, but no separate live-in category is published.
Skilled/nursing care is a different license category: 'Agency to provide nursing in the home — home office or subunit agency' (NRS 449.0015), fee schedule $5,168 initial / $2,584 renewal for a home office (branch $5,358 / $2,679) in the published NAC 449.016 schedule.
Enroll as a Nevada Medicaid Personal Care Services provider with the Division of Health Care Financing and Policy (DHCFP) in addition to holding the HCQC personal care agency license; Medicaid PCS is delivered under the Medicaid Services Manual Chapter 2600 (Personal Care Services).
EVV is required for Medicaid personal care services under the federal 21st Century Cures Act as implemented by Nevada Medicaid.
The state fee above is one line of the real total. Run the true-cost calculator with Nevada selected — it adds the bond premium, insurance class, screening and the payroll runway your first hires create.
This page is information, not legal advice. Confirm before you file: the agency — not this page — decides your application.
The free checkers give you the verdict and the number. The Kit gives you the working papers: your state's application packet walked through in filing order, the policies-and-procedures binder spec (what your binder must contain — never a boilerplate binder), the administrator self-audit, the insurance & bond spec sheet, the Medicaid gate map, the franchise-vs-independent 10-year worksheets, and the payroll-runway planner.
$49 one-time payment
Included in the $49 HomeCareLicenseCheck Kit
