Private Duty Nursing (PDN)

Private Duty Nursing (PDN) is substantial, complex, and continuous skilled nursing care provided in the home for medically fragile Medicaid beneficiaries. This service is considered supplemental to the care provided by a beneficiary’s family or designated caregivers, and allows the beneficiary to remain in their residence rather than an institution. Prior approval (PA) is required for PDN services, and is granted based on the beneficiary’s medical necessity and fragility.


March 2020 PDN Stakeholder Meeting Postponed

In response to the COVID-19 pandemic, NCDHHS is taking necessary precautions to protect the public. As a result, Medicaid is taking the necessary precautions and implementing cancellation of in-person meetings during this time. The March 27, 2020 PDN Stakeholder meeting is postponed until further notice. Updates and additional information will be provided in an email sent to the stakeholder group in the coming weeks. 

Stakeholders may submit questions via email to

PDN Stakeholder Meetings and Listening Sessions

Policies and FAQ



NC Medicaid Clinical Section
Phone: 919-855-4380