Nevada Department Of Health And Human Services

Nevada Department Of Health And Human Services Aging And Disability Services Division, a child division of the State of Nevada, operates as a federal grant recipient administering Older Americans Act, Medicare assistance, disability services, and employment programs statewide across Nevada for the U.S. Department of Health and Human Services Administration for Community Living, the Department of Labor Employment and Training Administration, and other federal agencies. The division operates exclusively as a prime grant recipient (96% of recent awards) and does not compete for federal contracts; all work flows through statutory formula grants and cooperative agreements awarded on a non-competitive basis to state-designated aging and disability service administrators.

The division's federal grant portfolio centers on aging and disability services delivery across Nevada's urban, suburban, rural, and frontier areas. The Administration for Community Living funds the largest share through Older Americans Act Title III programs (home-delivered meals, congregate meals, supportive services, family caregiver support, disease prevention and health promotion, long-term care ombudsman services) and Title VII elder abuse prevention and adult protective services. Representative awards include $15.167 million for Title III home-delivered meals (CFDA 93.045, awarded October 1, 2025, through September 30, 2027), $12.554 million for congregate meals under the same program (awarded October 1, 2025), and $8.503 million for Title III supportive services and senior centers (CFDA 93.044, awarded October 1, 2025). The division also administers the Medicare Enrollment Assistance Program (CFDA 93.071) across three priority tracks (State Health Insurance Assistance Programs, Area Agencies on Aging, and Aging and Disability Resource Centers), receiving $188.269 million, $130.899 million, and $162.550 million respectively in FY 2025 and FY 2026 formula awards for Medicare beneficiary outreach and enrollment counseling. Additional Title III programs fund the Nutrition Services Incentive Program ($2.825 million, CFDA 93.053, awarded October 1, 2025), and the National Family Caregiver Support program ($4.055 million, CFDA 93.052, awarded October 1, 2025). The division also operates block-grant programs for Adult Protective Services (CFDA 93.698, $119.661 million awarded April 1, 2026) and manages an ACL Assistive Technology state grant (CFDA 93.464, $642.533 million, awarded October 1, 2025) and an ACL Independent Living Services grant (CFDA 93.369, $464.382 million, awarded October 1, 2025).

Beyond Administration for Community Living programs, the division holds grants from the Department of Labor Employment and Training Administration for the Senior Community Service Employment Program (SCSEP, CFDA 17.235), most recently $414.386 million for FY 2025 (awarded July 1, 2025, through June 30, 2026), which funds subsidized part-time employment and supportive services for unemployed individuals aged 55 and older. The division also received a five-year cooperative agreement for the Nevada Medicare Assistance Program (awarded April 1, 2025, through March 31, 2030) to expand Medicare outreach and enrollment assistance statewide. Specialized program areas include a dementia care specialist cooperative agreement (CFDA not specified, awarded June 1, 2023, through May 31, 2027) with the Administration on Aging, a Senior Medicare Patrol cooperative agreement (CFDA not specified, awarded June 1, 2023, through May 31, 2028) to educate Medicare beneficiaries about healthcare fraud prevention, and a Money Follows the Person rebalancing demonstration project with the Centers for Medicare and Medicaid Services (awarded July 1, 2023, running through September 30, 2029). The division received support from the Centers for Medicare and Medicaid Services, the Administration on Disabilities, and the Center for Integrated Programs (a subdivision within HHS Administration for Community Living) across its grant portfolio.

The division's operating model passes substantially all federal funding through sub-awards to regional Area Agencies on Aging, nonprofit organizations, and community service providers. All formula grants are awarded on a statutory, non-competitive basis using federal allocation formulas determined by state demographic factors and approved through a state plan submission process. Recent sub-awards flow to the Nevada Department of Education (Disability Innovation Fund – Nevada TRIP, dated September 2026 and December 2025), the Board of Regents of the Nevada System of Higher Education (geriatric workforce expansion partnerships with the University of Nevada, Reno Medical School), and HHS programs supporting family preservation and autism services (TANF-funded Applied Behavior Analysis support for children on the autism spectrum). Activity has remained stable at 18 to 21 awards annually over the past four years; 21 awards carry ultimate completion dates within the next twenty-four months, representing the renewal cycle for formula grants across the division's federal portfolio.