This information was collected through a combination of state surveys and NASHP staff research. It offers a snapshot of how the state is defining, training, certifying, and paying for the CHW workforce — as well as how the state is developing cross-agency and state-to-local strategies to improve community health in partnership with CHWs.
This is a dynamic policy space, and states are continuing to develop new approaches. We will continue to make periodic updates to this page. Learn more about state CHW policies across the U.S.
State CHW Definition
The Nevada Certification Board uses the first paragraph of the American Public Health Association definition of CHWs.
State CHW Governance
Nevada does not have a dedicated state office of CHWs. CHW programs are managed through the Nevada Department of Human Services Division of Public and Behavioral Health.
Certification and Training
To be eligible for reimbursement through Nevada Medicaid, CHWs are required to show proof of their CHW certification and attach a completed Collaborative Supervision Agreement.
CHWs may be certified through a Nevada Medicaid–approved CHW training program. The Nevada Certification Board (NCB) is the certifying body. The NCB certifies CHWs based on several requirements, including a certificate of completion for approved courses, approved continuing education courses, relevant work experience under a scope of practice, and a code of conduct agreement. CHWs can be certified as either a CHW I or a CHW II, which requires training in additional competencies such as behavioral health, cultural competency, and health equity.
The Nevada CHW Association oversees CHW curriculum and approved training programs in the state.
Medicaid Reimbursement
Nevada Medicaid reimburses for CHW services under its State Plan Amendment. CHWs were added as a new provider type to the State Plan and Medicaid Services Manual (MSM). Managed care entities (MCEs) will be required to cover CHWs as a provider type, and the associated services will be included in the medical portion of the capitation payment.
CHW services can be reimbursed through the CPT codes 98960 (30 minutes, individual patient), 98961 (30 minutes, 2–4 patients), 98962 (30 minutes, 5–8 patients), and Q3014 (telehealth originating site fee). An individual recipient may receive CHW services for no more than two hours (four units) per day and no more than 12 hours (24 units) per calendar month.
Case management is not part of CHW MSM-covered services. MCEs can elect to engage CHWs for case management purposes. However, those services must be funded through the administrative portion of their capitation rate.
SB 117 (2023) authorized additional providers to supervise CHWs, including dentists, licensed clinical social workers, licensed marriage and family therapists, and clinical professionals.
Rural Health Transformation
Nevada is also exploring opportunities to fund CHW services through the state Rural Health Transformation Program, which notes that there is “strong support for scalable, community-based, and cost-effective workforce recruitment and training for CHWs and Peer Support Specialists (PSSs) as a bridge to connect rural residents with the health system within rural and frontier communities.”
Other Funding or Financing Mechanisms
Information is unavailable.
Key Partnerships
The Nevada Community Health Worker Association is a key partner and oversees CHW curriculum and approved training programs in the state.
The Nevada Certification Board administers CHW certification in the state.
State CHW Legislation
State Resources
ACO – Accountable care organization
AHEC – Area Health Education Centers
APHA – American Public Health Association
APM – Alternative payment model
CBO – Community-based organization
CDC – Centers for Disease Control and Prevention
CDC CCR Funding – Community Health Workers for COVID Response and Resilient Communities Funding
CHR – Community health representative
CHW – Community health worker
CPT Codes – Current Procedural Terminology Codes
C3 Project – CHW Core Competency Project
FFS – Fee for services
HCSPCS Codes – Healthcare Common Procedure Coding System Codes
HRSA – Health Resources & Services Administration
MCO – Managed care organization
NACHW – National Association of Community Health Workers
SDOH – Social determinants of health
VBP – Value-based payment
State CHW Definition: This category indicates where states have a formal definition of a CHW. In some cases, where there is not a definition in statute, this category may draw information from provider manuals and state websites or reports.
Certification and Training: This category includes information about how CHWs are trained in the state, which entities provide training, whether or not the state runs or recognizes a CHW certification program, and information about the entities that administer existing certification programs.
Medicaid Reimbursement: This category includes information about state Medicaid strategies that provide enrollees access to CHW services. Entries indicate whether state Medicaid programs currently reimburse for CHW services or incorporate CHWs into alternative payment models under the authority of a state plan amendment (SPA), or where states have earmarked funds to support CHW services under the authority of an 1115 demonstration waiver. It also indicates where CHW services might be supported through managed care approaches (e.g., where MCOs are paying for CHW services using administrative dollars or where states are using managed care contracts to incentivize or require MCOs to cover CHW services).
Other Funding or Financing Mechanisms: This category includes information about other state funding or financing approaches that cover CHW services or CHW positions. It includes information about federal grant dollars for which the state is the grantee.
Key Partnerships: This category offers information about key partners outside state government, including state CHW associations and CHW training entities, and highlights formal cross-agency partnerships within the state that support alignment of funding and resources for the CHW workforce.
State CHW Legislation: This category highlights any state legislation relevant to the CHW workforce. This might include statutory language directing agencies to develop a Medicaid reimbursement approach, laws that established state CHW certification, or other relevant statutes.
State Resources: This category offers links to any key reports or resources that states elected to highlight as critical to CHW policy and partnership.
