Nevada Code § 422.3963

Amendment of home and community-based services waiver to include certain services for and compensation of persons with intellectual or developmental disabilities
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1. The Authority shall apply to the
Secretary of Health and Human Services to amend its home and community-based
services waiver granted pursuant to 42 U.S.C. 1396n. The waiver must be
amended, in addition to providing coverage for any home and community-based
service which the waiver covers on January 1, 2025, to authorize:
(a) The Authority to include as medical
assistance under Medicaid the funding of habilitation services designed to
provide persons with intellectual disabilities or persons with developmental
disabilities assistance in pursuing competitive integrated employment, including,
without limitation:
(1) Benefit counseling to assist a person
with an intellectual disability or person with a developmental disability in
earning a higher income while retaining any benefits or services that the
person may be receiving.
(2) Job coaching and job development. To
the extent authorized by the Federal Government, the services described in this
subparagraph must not be subject to authorization limits.
(b) The compensation of a recipient of services
under the waiver described in subsection 1 who is receiving prevocational
services at a rate equal to or greater than the state minimum wage, including,
without limitation, by waiving the requirement prescribed by 42 C.F.R. 
440.180(c)(2)(i)(B) that a person receiving prevocational services be
compensated at less than 50 percent of the minimum wage.
2. The Authority shall:
(a) Cooperate with the Federal Government in
amending the waiver pursuant to this section;
(b) If the Federal Government approves the
amendments to the waiver, adopt regulations necessary to carry out the
provisions of this section, including, without limitation, the criteria to be
used in determining eligibility for the habilitation services designed to
provide assistance to persons pursuing competitive integrated employment
pursuant to subsection 1; and
(c) Implement the amendments to the waiver only
to the extent that the amendments are approved by the Federal Government.
3. As used in this section, competitive
integrated employment has the meaning ascribed to it in 29 U.S.C. 705(5).

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