A Nevada family member who lives with and cares for a parent, spouse or other relative with dementia can be the paid caregiver through a Medicaid program. Nevada's Structured Family Caregiving (SFCG) waiver pays one live-in primary caregiver a daily stipend, through an enrolled personal care or Intermediary Service Organization (ISO) agency, when the person has dementia or a related condition and needs nursing-facility-level care.

In This Guide

Who Can Be Paid Through the Nevada SFCG Waiver?

The Structured Family Caregiving (SFCG) waiver is a 1915(c) waiver run by Nevada Medicaid. Under Nevada's Medicaid Services Manual (MSM) Chapter 2400, effective June 1, 2025, the SFCG waiver pays one primary caregiver who lives in the same private residence as the person, and that caregiver may be a family member, a non-family member or a legally responsible individual (LRI).

LRIs are spouses, legal guardians and parents of minor recipients, and Chapter 2400 lets an LRI be paid through SFCG for activities that family caregivers would not ordinarily perform or are not responsible for performing. Nevada's August 2026 draft SFCG waiver amendment adds that an LRI caregiver must be the recipient's choice, and that relatives who are not legal guardians may be paid provided they live with the recipient or vice versa.

Your relationship Can you be paid?
Adult child or other relative who lives with them Yes, as a family member
Spouse or legal guardian Only if you live together, for care beyond ordinary family duties
Relative who lives elsewhere No, the caregiver must share the home (you can move in, or they can move in with you)
A second family member No, Nevada SFCG pays one caregiver a single daily stipend
Power of attorney Not stated in our sources; ask ADSD

If you don't live with the person, Nevada SFCG can't pay you; look instead at Nevada Medicaid Personal Care Services: under its self-directed option, trusted individuals the person chooses can be trained and paid, except legally responsible adults such as a spouse. For a spouse's other routes, including the VA, see getting paid to care for a spouse in Nevada.

Who Qualifies for the Nevada SFCG Waiver?

Under Nevada MSM Chapter 2400 and Nevada Medicaid's program page, the person receiving SFCG care must:

  • Have a diagnosis of dementia or a related condition, documented on an SFCG Dementia Verification Form signed by a medical source such as a licensed physician, an advanced practice registered nurse or a physician assistant.
  • Meet and keep a nursing facility level of care, and need imminent nursing home placement if home and community-based services or other supports aren't available.
  • Meet Medicaid's financial income criteria (see Nevada Medicaid income and asset limits).
  • Need at least one SFCG waiver service.

The dementia requirement turns families away: a parent who needs nursing-facility-level care but has no dementia or related-condition diagnosis does not meet the Nevada SFCG criteria, which is hard to hear after months of hands-on care. Check Personal Care Services next, and see getting paid as a family caregiver in Nevada.

The Nevada SFCG waiver also offers case management and respite. For other dementia help in the state, see dementia care in Nevada.

How Much Nevada Structured Family Caregiving Pays

Nevada MSM Chapter 2400 says the SFCG payment is a daily stipend of 65% of the Medicaid service rate. Nevada's August 2026 draft SFCG amendment words the stipend as at least 65% of the per diem rate paid to the ISO agency, under Assembly Bill 208. Neither gives a dollar figure, so ask each agency, in writing, what its daily SFCG stipend comes to before anyone gives notice. For comparison, the Bureau of Labor Statistics put Nevada's May 2025 median wage for home health and personal care aides at $16.19 an hour, an occupation estimate, not a rate any program pays a family caregiver.

How to Apply for Nevada Structured Family Caregiving

1
Step 1

Call your ADSD regional office

Nevada Medicaid tells families to contact the appropriate Aging and Disability Services Division office to request SFCG services; the numbers are in the summary box above.

2
Step 2

Ask the doctor for the SFCG Dementia Verification Form

A medical source must complete and sign it.

3
Step 3

Apply for Medicaid if the person isn't on it

The Nevada Division of Social Services determines Nevada Medicaid eligibility, including for the home and community-based waivers group. See applying for Nevada Medicaid.

4
Step 4

Enroll with an agency as the SFCG caregiver

Every Nevada SFCG caregiver must enroll with a personal care services (PCS) agency or an ISO agency, and that agency pays the daily stipend.

Is Nevada SFCG Pay Taxable?

Nevada SFCG pay may be free of federal income tax: under IRS Notice 2014-7, certain Medicaid 1915(c) waiver payments for care in the caregiver's own home, where the care recipient lives, may be excluded from federal gross income. Nevada has no state personal income tax on wages. FICA payroll tax and the separate-home exception are covered in whether Medicaid caregiver payments are taxable; ask a tax professional whether your stipend qualifies.

Frequently Asked Questions

Can someone younger than 65 with dementia get Nevada SFCG?

The Centers for Medicare & Medicaid Services (CMS) lists the Nevada SFCG waiver as serving people 65 or older and people with other disabilities ages 0 to 64 who meet a nursing facility level of care, and Nevada's August 2026 draft amendment limits SFCG to people age 21 and over. Ask ADSD how the dementia requirement applies to a younger adult.

Is Nevada's August 2026 SFCG waiver amendment final?

Not necessarily. Nevada Medicaid's posted SFCG waiver document is marked Waiver Draft NV.034.00.02, Aug 01, 2026, so confirm current caregiver rules and the stipend share with ADSD and your agency.

Learn More

Find personalized help with Nevada's Structured Family Caregiving waiver at brevy.com.


The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.