The Verification of School Nursing Form – Attachment I (DMA-3171), and Instruction Sheet (DMA-3171-I) are now on the NC Medicaid PDN forms web page. The form is used to document Private Duty Nursing (PDN) school hours in accordance with Section 3.4.1, PDN and Schools, of Clinical Coverage Policy 3G-2, Private Duty Nursing for Beneficiaries Under 21 Years of Age.
By Feb. 28, 2018, non-accredited nursing service providers previously providing services under the Community Alternatives Program for Children (CAP-C) waiver must obtain accreditation and meet all required occupational licensing entity regulations.