Build your Nevada policy manual

Are you applying, or already licensed?

Already licensed? Policy 1.3 then ends with a checklist of what changed under R063-21, R004-24, AB 519 and R089-24, each item with the policy that now answers it.

What is your business?

An agency is any person other than a natural person that provides these services (NRS 449B.015(1)). HCQC's checklist asks for your LLC or corporate documents.

How many employees do you expect?

This sets the surety bond: $5,000 for fewer than 7 employees, $25,000 for 7 to 25 and $50,000 for more than 25, payable to the Aging and Disability Services Division (NRS 449B.185). HCQC's checklist words the middle tier as 7 to 24.

Will you have work stations (satellite offices)?

A work station only receives copies of records and is a base for attendants serving an area outside their usual area; the records stay at the licensed location (NAC 449.3968, 449.3972(1)).

Will you market the agency on a website?

Any website used to market the agency must prominently post the statutory non-discrimination statement (NRS 449B.260(2)(b)).

Who will you serve?

Serving children adds child abuse reporting and a written acknowledgement from each employee (NRS 432B.220, our reading), and no unsupervised contact with a child before background check results (NRS 449B.340(3)).

Will you bill Nevada Medicaid?

Medicaid personal care providers enroll as provider type 30 and add electronic visit verification, a phone line available 24 hours a day, backup caregivers and serious occurrence reports within 24 hours (Medicaid Services Manual chapter 3500).

Will attendants assist clients with medication?

Allowed since February 27, 2026 (R089-24): only after at least 16 hours from a Division-approved course and 8 hours a year after, with a written agreement where the law requires one, an agency training program and a medication record for each client. HCQC's workbook predates this change.

Will attendants take vital signs, run blood glucose tests, give insulin by auto-injector or weigh clients?

Allowed with the client's consent and task training before, yearly and on device change (NRS 449B.130; NAC 449.39775). Blood glucose tests need a CLIA waiver; insulin only by an approved auto-injector for a stable client on a maintenance dose.

Will attendants trim fingernails and toenails?

Allowed since R089-24, unless the client's provider says only a podiatrist or licensed nail technologist may; for a client with diabetes, the attendant consults the provider first (NAC 449.39775(6)(a)).

Will attendants help clients with exercises?

Strength, balance, flexibility, endurance and range of motion exercises are allowed since R089-24, except exercises the client's provider has said the client should not do (NAC 449.39775(6)(b)).

Will attendants help clients schedule and attend appointments?

Allowed since R089-24, including passing health information to and from providers within the privacy laws (NAC 449.39775(6)(c)-(d)). Before, the rule banned medical case management.

Will attendants drive clients?

Transportation is a nonmedical personal care service (NRS 449B.050). Attendants who drive clients need at least the state minimum auto liability insurance, with proof in the personnel file (NAC 449.3976(1)(h)).

Will all your attendants be your employees?

Attendants may be employees or contractors (NAC 449.3963). Contractors and temporary staffing workers need background checks within 10 days too, and your agreement with a staffing service must cover NRS 449B.320(2).

Who runs your attendants' initial training program?

The program includes on-the-job instruction supervised by the administrator or designee (NAC 449.3977(1)(b)). Cultural competency must be an approved course, and infection control training comes from a nationally recognized organization.

How will you keep client and personnel records?

Personnel files, including electronic files, are available to the Division on request (NAC 449.3976(4)).

Include recommended practices?

Some policies end with steps that go beyond Nevada's rules, such as an incident log alongside the grievance log and a yearly policy review. Once adopted they are your policies and HCQC can expect you to follow them, so leave them out if you won't.