COPE — the Community Options Program for the Elderly — is the state-funded program for Nevadans 65+ who meet nursing-home level of care but are not Medicaid eligible. The ADSD Homemaker program is delivered regionally through community partners rather than by the state directly.
Nevada funds a small amount of in-home support outside Medicaid. Worth knowing about, worth applying for, and worth being realistic about — the caseloads are genuinely small.
COPE — Community Options Program for the Elderly
State-funded, for Nevadans 65 and older who are at risk of nursing home placement — meeting the level of care for it — and who are financially eligible but not Medicaid eligible. Covers case management, personal care services, homemaker services, adult day care, adult companion services, a personal emergency response system, chore service and respite.
| Measure | Figure | What it covers | Source |
|---|---|---|---|
| COPE active caseload | 41 people | Nevada statewide | Nevada ADSD, Commission on Aging materials, 2025 |
Forty-one people statewide. We would rather tell you that than let you build a plan around it.
The ADSD Homemaker Program
Nevada no longer takes Homemaker applications directly — the program is delivered through regional community partners. In Clark County the subrecipient is Jewish Family Services Agency, (702) 732-0304. It funds meal preparation, light housekeeping, laundry and shopping.
Personal Assistance Services (PAS)
For adults 18 and older with a physical disability that substantially limits activities of daily living, who are financially eligible. Covers case management, personal care services and respite. The application needs the Office of Community Living program application and the CBC-423 Physician's Diagnosis Form — without the CBC-423 the referral is incomplete, which is the most common reason these stall.
Assistive Technology for Independent Living
AT/IL funds home access modifications, durable medical equipment, vehicle modifications, mobility devices and communication technology. It does not pay for caregiver hours, and you will see it listed on other sites as though it does. Southern Nevada coordination runs through CARE Chest at 3080 W. Post Rd., Las Vegas, (866) 206-5242.
A naming note. If you find a site referring to Nevada's "CHIP" or "Community Home-Based Initiatives Program," that name is not current. The functioning equivalent today is COPE.
Free local help that is not us
We are a referral service and we are paid by providers. These are not. If your situation is mostly a benefits question rather than a hiring question, start here — several of these will do more for you in one phone call than we can.
| Nevada Care Connection Resource Center — greater Clark County | Las Vegas, North Las Vegas and Mesquite. Run by Nevada Senior Services. (702) 364-2273 · more |
|---|---|
| Nevada Care Connection Resource Center — southeast Clark County | Henderson, Boulder City and Laughlin. Run by Jewish Family Services Agency. (702) 732-0304 · more |
| ADSD Las Vegas Regional Office | 7150 Pollock Drive, Las Vegas, NV 89119. Where the Frail Elderly waiver and COPE applications go. (702) 486-3545 · more |
| Nevada Medicare Assistance Program (SHIP) | Free, unbiased Medicare counseling. In Southern Nevada, delivered by Dignity Health St. Rose Dominican at (702) 616-4926. 800-307-4444 · more |
| Nevada Medicaid — Personal Care Services intake | For an initial PCS request, call the fiscal agent, option 1 then option 4. (800) 525-2395 · more |
| Clark County Adult Protective Services | Suspected abuse, neglect or exploitation of a vulnerable adult. (702) 486-6930 · more |
| Nevada HCQC — Southern Nevada licensing questions | License verification and complaints about a licensed agency. (702) 486-6515 · more |
| VA Southern Nevada Health Care System | North Las Vegas VA Medical Center, 6900 North Pecos Road. Ask for Rehabilitation and Extended Care, or Caregiver Support. 702-791-9000 · more |
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Common questions
What is COPE in Nevada?
The Community Options Program for the Elderly — a state-funded program for Nevadans 65 and older who meet nursing-home level of care but are not Medicaid eligible. Its statewide active caseload was 41 people in ADSD's June 2025 report.
Sources for this page
- Combined Caseload Statistics, June 2025 — Nevada ADSD, Commission on Aging materials, 2025. Statewide figures; the document contains no county-level breakdown.
- Community Options Program for the Elderly (COPE) — Nevada ADSD, 2026.
- Homemaker Program — Nevada ADSD, 2026.
- Contact — Aging and Disability Services Division — Nevada ADSD, 2026.
Reviewed by the Vegas Senior Advisor care team. Last updated November 11, 2026. Spot something wrong? Call (725) 465-8617 and we will correct it within one business day.
