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.

Policies and FAQ

• Community-Based Services Clinical Coverage Policies (including PDN)
• PDN Publid Stakeholder Presentation - Dec. 13, 2019
• PDN Public Stakeholder Presentation - June 27, 2019
• Frequently Asked Questions - June 27, 2019

Resources

• Fee Schedule
• Medicaid Bulletins and Indexes
• PDN Document Checklist
• PDN Forms
• PDN Beneficiary Fact Sheet
• PDN School Fact Sheet
• PDN Stakeholder Invitation

Meetings/Events

PDN Stakeholder Meetings and Listening Sessions

Private Duty Nursing (PDN) Quarterly Stakeholder Engagement

As valued partners of NC Medicaid, we are requesting your participation in a winter stakeholder engagement session. The purpose of this session is to provide an update on Medicaid Managed Care and quality improvement initiatives, share proposed revisions to the Private Duty Nursing (PDN) policies, and receive feedback and suggestions about proposed policy changes. Please share this invitation with your beneficiaries and their caregivers.

Date: Friday, Dec. 13, 2019
Time: 2:30 – 4:00 p.m.
More Information/Registration

Contact

NC Medicaid Clinical Section
Phone: 919-855-4380
Medicaid.HomeCareService@dhhs.nc.gov