See What’s Draining Your Agency →

States · Nevada

Nevada EVV and Medicaid home care, in plain words.

Nevada uses Sandata for EVV, and agencies that already have an EVV system can keep it. Since April 2026, Nevada Medicaid checks claims against EVV visits. After a rough start, the state made several match errors warnings instead of denials.

See What’s Draining Your Agency →View the demo

We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

Nevada at a glance

EVV, Medicaid and billing in Nevada.

Medicaid agencyNevada Division of Health Care Financing and Policy (DHCFP), which runs Nevada Medicaid. The Aging and Disability Services Division (ADSD) operates the Frail Elderly and Physical Disabilities waivers.
EVV model"Open Choice" (a hybrid model): the state contracts an EVV vendor, and agencies with existing EVV systems can keep using them.
State EVV systemSandata Technologies (contracted by DHCFP).
Your own EVV vendor allowed?Yes. Agencies with an existing EVV system may keep using it under Open Choice.
Services that need EVVPersonal Care Services (provider types 30 and 83), Home Health (29), and PCS-like waiver services for the Frail Elderly (48) and Persons with Physical Disabilities (58): attendant care, homemaker, chore, respite, companion.
Where you billNevada Medicaid MMIS provider web portal (medicaid.nv.gov).

Dates that matter: EVV claim edits were applied to claims from 1 Apr 2026. Nevada then changed five match errors (3802, 3807-3810) to informational, not denials, and reprocessed claims denied 1-10 Apr 2026 (Web Announcements 3891 and 3913; results on the 15 May 2026 remittance).

Licensing: Personal care agencies need a state license as an "agency to provide personal care services in the home" from the Division of Public and Behavioral Health (NRS 449).

Managed care: Mixed. Nevada Medicaid managed care plans cover many members; the state aligned EVV visit checks with them in 2026. Waiver services are paid fee-for-service; confirm whether PCS is carved out.

Programs that pay for care at home

Nevada EVV, from the state

Same rules, same tangle

In Nevada, the visit still gets typed four more times.

The caregiver taps in. The visit goes to Sandata Technologies. Then someone in your office carries it by hand into payroll, into billing, into the chart, and to the family on the phone. Every carry is a chance for the numbers to drift. When they do, Nevada denies the claim, and you find out weeks later. That is Tangleware™: good tools, and an owner in the middle.

How one tap at the door runs the whole agencyThe mechanism, the nine agents, and Cary®

CareBravo® in Nevada

Running an agency in Nevada? Tell us.

CareBravo works with the EVV systems states use, including Sandata, HHAeXchange and Netsmart. Each state approves its own connection, and each program has its own rules, so we confirm what is in place for Nevada and your programs before you switch anything. If we are not running in Nevada yet, we will make you an offer to start now while we build it.

Run the Calculator, or ask for the demo and tell us your state.

See What’s Draining Your Agency →View the demo

Five promises, written like promises.

  1. Nothing stops. Your current system keeps running while CareBravo runs beside it for two weeks on your real data. The Parallel Promise™
  2. 99%, in writing. On Managed Billing, at least 99% of your claims go out without a mistake we caused. If we make one, we fix it free. We cannot promise what a payer decides. Read the guarantee
  3. The floor, stated up front: $250 a month, no seats, no per-user fees, no implementation fee — and corrections never billed twice.
  4. Thirty days’ notice, either way.
  5. Nobody calls unless you ask.

What Nevada owners ask.

Can I keep the EVV system I already use?

Yes. Nevada calls its approach Open Choice. The state contracts with Sandata, and agencies with an existing EVV system can keep using it. Make sure your system sends visits to the state so claims can be matched.

Were my April 2026 EVV denials fixed?

Some were. Nevada automatically reprocessed claims denied April 1 to 10, 2026 for five EVV match errors (codes 3802 and 3807 to 3810). Those errors are now informational. Results showed on the May 15, 2026 remittance. Claims denied for other reasons were not included, and you can still appeal.

Which services need EVV in Nevada?

Personal care services, home health, and similar in-home services in the waivers for the Frail Elderly and for Persons with Physical Disabilities. That includes attendant care, homemaker, chore, respite and companion services. If you bill any of these, every visit needs an EVV record.

What license do I need to start a personal care agency?

Nevada requires a license as an ’agency to provide personal care services in the home’ from the Division of Public and Behavioral Health. Then you enroll with Nevada Medicaid. Waiver services also need approval through the Aging and Disability Services Division.

Sources for this guide

Checked 28 Oct 2026. State rules change. Confirm with the Nevada Division of Health Care Financing and Policy (DHCFP), which runs Nevada Medicaid. The Aging and Disability Services Division (ADSD) operates the Frail Elderly and Physical Disabilities waivers. before you act.

You take the bravo. We take the work.

Find out what the tangle costs your agency.

Four minutes. Works for any Nevada agency today.

See What’s Draining Your Agency →View the demo

We email you the highlights the moment you ask. No call. Nobody calls unless you ask.

See What’s Draining Your Agency →View the demo