Medicaid: Inclusion of coverage for certain medical respite care provided to persons experiencing homelessness; application for waiver or amendment; Division development of model for providing such care. [Effective July 1, 2027.]
Nev. Rev. Stat. § 422.272426
in effect1. To the extent that federal financial participation is available, the Director shall include under Medicaid coverage for medical respite care, for not more than 90 days during any 12-month period, provided by a facility that meets the requirements of subsection 2 to persons experiencing homelessness. Such medical respite care must include, without limitation:
(a) Case management, including, without limitation, development of case plans;
(b) Coordination of care;
(c) Behavioral health services and referrals for such services;
(d) Food and housing services and support;
(e) Storage and management of medications;
(f) Acute and post-acute medical care;
(g) Care before or after a medical procedure or operation, including, without limitation, wound care;
(h) Transportation to and from scheduled medical appointments;
(i) Evaluation, assessment and immediate interventions for medical, psychological, vocational, cultural, social or environmental factors; and
(j) Care for and education on substance use disorders.
2. A facility that wishes to receive reimbursement through Medicaid pursuant to subsection 1 for medical respite care must:
(a) Operate in accordance with the model developed pursuant to subsection 4.
(b) Be staffed 24 hours each day, 7 days each week by providers of health care who are qualified to provide medical respite care and have received training concerning:
(1) Trauma-informed care;
(2) De-escalation techniques; and
(3) Mental health first aid, including, without limitation:
(I) Recognizing the symptoms of a mental illness or substance use disorder;
(II) Providing initial assistance to persons experiencing a mental health or substance use crisis;
(III) Guiding persons requiring assistance with mental health issues, including, without limitation, persons experiencing a mental health or substance use crisis, to professionals qualified to provide such assistance;
(IV) Comforting a person experiencing a mental health or substance use crisis;
(V) Helping a person with a mental illness or substance use disorder avoid a mental health or substance use crisis; and
(VI) Promoting healing, recovery and good mental health.
3. The Authority shall apply to the Secretary of Health and Human Services for any waiver of federal law or apply for any amendment of the State Plan for Medicaid that is necessary for the Authority to receive federal funding to provide the coverage required by this section. The Authority shall fully cooperate in good faith with the Federal Government during the application process to satisfy the requirements of the Federal Government for obtaining a waiver or amendment pursuant to this section.
4. The Division shall coordinate with the Division of Public and Behavioral Health of the Department of Human Services to develop a model for providing medical respite care to persons experiencing homelessness. The model must accord with the standards prescribed by the National Institute for Medical Respite Care, or its successor organization, for programs providing medical respite care, to the extent that those standards do not conflict with federal or state law.
5. As used in this section:
(a) Medical respite care means acute and post-acute medical care and other support services to persons who are experiencing homelessness who:
(1) Are unable to completely recover from an illness, injury or disease; and
(2) Do not require care from a hospital or other inpatient medical facility.
(b) Person experiencing homelessness means a person who is transient, at imminent risk of homelessness or homeless.
Source: NV Statutes (Official Site)URL: https://www.leg.state.nv.us/nrs/NRS-422.htmlFetched: 10/4/2026